Share your information with Ashleigh Topliss

Ashleigh Topliss

Glow With Me Adventures

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	<fields>&#13;
		<field type="header" subtype="h1" label="New Trip Inquiry Form"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" placeholder="Don&#39;t worry  I won&#39;t cold call you :) but I may text you if your quote goes unopened as sometimes they like to hide in spam." name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" placeholder="ex: Disneyland; Mexico; Cruise" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When would you like to travel?" placeholder="I cannot quote based on &quot;cheapest time to travel&quot; or &quot;when the crowds are low&quot; (because there are always crowds)  I need to know your preferred timeline  even a general week or two. If giving a vague time period  please let me know which dates do not work for you.   Tip: If you want to avoid peak crowds  avoid traveling around holiday weeks, specifically USA holidays. Any weeks with a holiday will have higher crowds." name="when-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Who is traveling with you? Please list all names &amp;amp; organize by room (if multiple rooms). Please include age at the time of travel for any children" placeholder="Please include ages of children at time of travel" name="number-of-adults-and-children-travelling" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For Theme Parks - How many days would you like to be in the parks?" placeholder="ex: 3 Day Park Hopper" name="for-theme-parks-how-many-days-would-you-like-to-be-in-the-parks" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For Theme Parks - would you like Park Hopper or Lightning Lane Multi Pass?" placeholder="ex: 3 Day Park Hopper" name="text-1756071204711" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For Cruising - Where would you like to go?" placeholder="Please advise if you have a specific place you&#39;d like to cruise to or a specific cruise line" name="for-cruising-where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For All Inclusive - Where would you like to go?" placeholder="ex: Puerto Vallarta  Dominican Republic" name="for-all-inclusive-where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If not listed above&amp;nbsp; - Where would you like to go?" placeholder="ex: Hawaii  South East Asia  African Safari" name="text-1752521747620" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travellers in USD?" description="This just gives a general starting point and can be changed later" name="what-is-your-budget-for-all-travellers" other="true">&#13;
			<option label="Value - Less than $5000 USD" value="value-less-than-5000-usd">Value - Less than $5000 USD</option>&#13;
			<option label="Moderate - Less than $7500 USD" value="moderate-less-than-7500-usd">Moderate - Less than $7500 USD</option>&#13;
			<option label="Deluxe - Less than $10,000 USD" value="deluxe-less-than-10000-usd">Deluxe - Less than $10,000 USD</option>&#13;
			<option label="No Budget - $10,000+" value="no-budget-10000">No Budget - $10,000+</option>&#13;
			<option label="Still working out the budget &amp; would like to see several options within different price ranges" value="still-working-out-the-budget-would-like-to-see-several-options-within-different-price-ranges">Still working out the budget &amp; would like to see several options within different price ranges</option>&#13;
		</field>&#13;
		<field type="select" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference" multiple="multiple" className="form-control">&#13;
			<option label="Value - Basic is fine as long as it's clean" value="value-basic-is-fine-as-long-as-its-clean">Value - Basic is fine as long as it's clean</option>&#13;
			<option label="Moderate - Prefer a nicer hotel with upgraded amenities" value="moderate-prefer-a-nicer-hotel-with-upgraded-amenities">Moderate - Prefer a nicer hotel with upgraded amenities</option>&#13;
			<option label="Deluxe - Prefer a higher end, more luxury experience" value="deluxe-prefer-a-higher-end-more-luxury-experience">Deluxe - Prefer a higher end, more luxury experience</option>&#13;
			<option label="Suite - Prefer a suite with extra space" value="suite-prefer-a-suite-with-extra-space">Suite - Prefer a suite with extra space</option>&#13;
			<option label="Kitchen - Would like a hotel with a kitchen/hot cooking capabilities beyond a microwave" value="kitchen-would-like-a-hotel-with-a-kitchenhot-cooking-capabilities-beyond-a-microwave">Kitchen - Would like a hotel with a kitchen/hot cooking capabilities beyond a microwave</option>&#13;
			<option label="Disney - Would like to stay at a Disney hotel" value="disney-would-like-to-stay-at-a-disney-hotel">Disney - Would like to stay at a Disney hotel</option>&#13;
			<option label="Breakfast - Free breakfast is a MUST even if my other preferences cannot be met or the hotel is further away" value="breakfast-free-breakfast-is-a-must-even-if-my-other-preferences-cannot-be-met-or-the-hotel-is-further-away">Breakfast - Free breakfast is a MUST even if my other preferences cannot be met or the hotel is further away</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you visited this destination before?" name="have-you-visited-this-destination-before">&#13;
			<option label="No, this is my first time" value="no-this-is-my-first-time">No, this is my first time</option>&#13;
			<option label="Yes, in recent years" value="yes-in-recent-years">Yes, in recent years</option>&#13;
			<option label="Yes, long time ago" value="yes-long-time-ago">Yes, long time ago</option>&#13;
		</field>&#13;
		<field type="select" label="How involved would you like us to be in this planning process?&amp;nbsp;" description="Don&#39;t worry this isn&#39;t a final answer!" name="how-involved-would-you-like-us-to-be-in-this-planning-process-" className="form-control">&#13;
			<option label="Disney Besties! A great deal-assistance before and during my trip" value="disney-besties-a-great-dealassistance-before-and-during-my-trip">Disney Besties! A great deal-assistance before and during my trip</option>&#13;
			<option label="Help with initial booking, park reservations &amp; trip itinerary but we don't need to be Disney Besties" value="help-with-initial-booking-park-reservations-trip-itinerary-but-we-dont-need-to-be-disney-besties">Help with initial booking, park reservations &amp; trip itinerary but we don't need to be Disney Besties</option>&#13;
			<option label="Help with booking &amp; dining reservations" value="help-with-booking-dining-reservations">Help with booking &amp; dining reservations</option>&#13;
			<option label="Just booking hotel &amp; tickets and I'll handle the rest of the details" value="just-booking-hotel-tickets-and-ill-handle-the-rest-of-the-details">Just booking hotel &amp; tickets and I'll handle the rest of the details</option>&#13;
		</field>&#13;
		<field type="select" label="How ready are you to book? This will help us understand how to triage quote requests" name="how-ready-are-you-to-book-this-will-help-us-understand-how-to-triage-quote-requests" className="form-control">&#13;
			<option label="I'm ready to put a deposit down right away!" value="im-ready-to-put-a-deposit-down-right-away">I'm ready to put a deposit down right away!</option>&#13;
			<option label="I'm close to being ready to put a deposit down but will likely need some time to decide" value="im-close-to-being-ready-to-put-a-deposit-down-but-will-likely-need-some-time-to-decide">I'm close to being ready to put a deposit down but will likely need some time to decide</option>&#13;
			<option label="I'm still gathering pricing &amp; info" value="im-still-gathering-pricing-info">I'm still gathering pricing &amp; info</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must see or do?" name="anything-you-absolutely-must-see-or-do" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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