Share your information with Jen Keyser

Jen Keyser

Goofin Around the World with Jen Keyser - A Travel Agent with White Gloves Travel Co

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		<field type="header" subtype="h2" label="Travel Information Request"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your interest in having Goofin&#39; Around the World help you wander the world, explore the magic, celebrate the wonder, and discover new adventures - all while creating lasting memories along the way.&amp;nbsp; Please provide as much information as possible so I can envision your trip - whether it is a Disney destination, a city you want to explore, or a cruise to Alaska, I can help you through each step. I will respond within 2 business days. If you think of something or just have a question you can email me at jen.keyser@whiteglovestravel.com."/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s start with the basic info, your name, email phone and address"/>&#13;
		<field type="text" label="Prefix" name="prefix" 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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Now for the fun questions - who, when, where"/>&#13;
		<field type="textarea" label="Please list first and last names of everyone traveling. If there is a minor, please include their age at the time of travel." name="textarea-1766440806298" className="form-control"/>&#13;
		<field type="textarea" label="Will everyone be staying in the same hotel room? If not, please let me know who will be in each room." description="This will help me find you the best available room(s) for your group." name="textarea-1766443229374" className="form-control"/>&#13;
		<field type="textarea" label="What are your dates of travel. If your dates are flexible let me know." name="textarea-1766442292883" className="form-control"/>&#13;
		<field type="text" label="Where would you like to travel to?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Disney World  Alaskan Cruise, River Cruise etc." name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If traveling to Disney World or Disneyland - how many days would you like to be in the parks?" description="If you&#39;re not sure  it&#39;s OK." placeholder="ex: everyday we are there or only want to visit 2 parks" name="text-1766442762827" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Traveling to Disney - Do any of the following apply to you for potential discounts?" name="checkbox-group-1766443343427" other="true">&#13;
			<option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option>&#13;
			<option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option>&#13;
			<option label="Florida Resident (Walt Disney World)" value="florida-resident-walt-disney-world">Florida Resident (Walt Disney World)</option>&#13;
			<option label="California Resident (Disneyland)" value="california-resident-disneyland">California Resident (Disneyland)</option>&#13;
			<option label="Disney Annual Passholder or Magic Key Passholder" value="disney-annual-passholder-or-magic-key-passholder">Disney Annual Passholder or Magic Key Passholder</option>&#13;
		</field>&#13;
		<field type="textarea" label="Will you be driving or flying to your destination?&amp;nbsp; If flying, I can arrange airport transfers for you, or include rental car options.&amp;nbsp; Just let me know what you would like me to help with." name="textarea-1766443588886" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must see or do on this trip?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Details you would like to share or specific questions? Do you have a specific resort/hotel in mind? Is anyone celebrating anything on this trip? Do you need help with renting strollers, mobility scooters or wheelchair?" name="textarea-1766444339058" className="form-control"/>&#13;
	</fields>&#13;
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