Share your information with Sheneka Gordon

Sheneka Gordon

Pleasant Escape Travel

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	<fields>&#13;
		<field type="header" subtype="h2" label="Shanna &amp;amp; Jimmie&#39;s New Orleans Wedding"/>&#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="Lead Traveler Date of Birth (MM, DD, YYYY)" name="lead-traveler-date-of-birth-mm-dd-yyyy" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Additional Traveler" name="additional-traveler" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Additional Traveler Date of Birth (MM, DD, YYYY)" name="additional-traveler-date-of-birth-mm-dd-yyyy" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Travel date preference"/>&#13;
		<field type="date" label="Check -in date" name="if-you-prefer-different-travel-dates-select-dates-and-request-hotel-quote-below" className="form-control"/>&#13;
		<field type="date" label="Check-out date" name="checkout-date" className="form-control"/>&#13;
		<field type="radio-group" label="Airport Departure City" name="airport-departure-city">&#13;
			<option label="Los Angeles" value="los-angeles">Los Angeles</option>&#13;
			<option label="Ontario" value="ontario">Ontario</option>&#13;
		</field>&#13;
		<field type="textarea" label="Provide Airport Departure City ( besides LAX &amp;amp; ONT)" name="provide-airport-departure-city-besides-lax-ont" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Request a quote for the following"/>&#13;
		<field type="radio-group" label="Travel dates March 18, 2026 to March 23,&amp;nbsp; 2027" name="june-30th-july-4th">&#13;
			<option label="Bourbon Orleans Air &amp; Hotel Package" value="bourbon-orleans-air-hotel-package">Bourbon Orleans Air &amp; Hotel Package</option>&#13;
			<option label="Nopsi Hotel" value="nopsi-hotel">Nopsi Hotel</option>&#13;
			<option label="Hotel Options" value="hotel-options">Hotel Options</option>&#13;
			<option label="Other Hotel &amp; Air Package Options" value="other-hotel-air-package-options">Other Hotel &amp; Air Package Options</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Room Accommodations&amp;nbsp;" name="radio-group-1778894449768">&#13;
			<option label="Double Beds" value="double-beds">Double Beds</option>&#13;
			<option label="Queen Double" value="queen-double">Queen Double</option>&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Transportation Arrangements&amp;nbsp;" name="radio-group-1778898587464">&#13;
			<option label="Private Car Service" value="private-car-service">Private Car Service</option>&#13;
			<option label="Shuttle Service" value="shuttle-service">Shuttle Service</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like Travel Insurance&amp;nbsp;" name="would-you-travel-insurance-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Buy Now, Pay Later through Flex Pay Feel good about what you buy and how you pay for it. Low monthly payments Easy application No Flex Pay fees"/>&#13;
		<field type="radio-group" label="Flex Pay" name="radio-group-1778900452367">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers per person?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers" className="radio-group">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Radio Group" name="radio-group-1790449465958">&#13;
			<option label="Option 1" value="option-1">Option 1</option>&#13;
			<option label="Option 2" value="option-2">Option 2</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Please submit all request and communication through email. We will text to ask a quick question or if the Travel Client is not responding to email, but method of communication is preferred by email or phone call. Names and date of birth as it appears on your passport, is required to secure the booking. The deposit or full payment is required to confirm the itinerary. If the travel client misses the 3-to-7-day supplier-mandated deadline for a deposit/confirmation, the booking is generally cancelled or released. A new search is required, and the agent is not responsible for price increases, unavailability, or penalties resulting from this delay. The initial proposal is void, necessitating re-booking at current rates and the travel agent professional fee is required to start the process the over."/>&#13;
		<field type="paragraph" subtype="p" label="A professional fee of $80 for Air &amp;amp; Hotel travel applies if the trip is not booked or if clients fails to respond within the timeframe specified in the quote. This fee will be charged to the credit card on file." className="field-hidden"/>&#13;
	</fields>&#13;
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