Share your information with Jessica Humphreys

Jessica Humphreys

The Getaway Club

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Plan a Vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Your vacation is more than &quot;just a trip&quot; - it&#39;s where you collect some of your most treasured memories.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="At The Getaway Club we offer thoughtfully designed travel experiences for each and every client.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Each family is unique, and each vacation is a journey worth remembering. We know how important these moments are to you, and as your travel agent I&#39;m here to help every step of the way.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Ready to join The Club? Please fill out the details below and I&#39;ll reach out to you soon to plan your next getaway."/>&#13;
		<field type="text" required="true" label="First name" placeholder="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" placeholder="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="123-456-7890" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I&#39;ll send you a text shortly after you fill out this form, just so we can get the conversation started. I can&#39;t wait to connect with you!**"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to travel?" name="where-do-you-want-to-go" other="true">&#13;
			<option label="Walt Disney World Resort (FL) 🏰 " value="walt-disney-world-resort-fl-">Walt Disney World Resort (FL) 🏰 </option>&#13;
			<option label="Disneyland Resort (CA) 🏰 " value="disneyland-resort-ca-">Disneyland Resort (CA) 🏰 </option>&#13;
			<option label="Universal Orlando Resort 🌎 " value="universal-orlando-resort-">Universal Orlando Resort 🌎 </option>&#13;
			<option label="Universal Hollywood Resort ⭐️ " value="universal-hollywood-resort-">Universal Hollywood Resort ⭐️ </option>&#13;
			<option label="Disney Cruise 🚢 " value="disney-cruise-">Disney Cruise 🚢 </option>&#13;
			<option label="Other Cruise Line 🛳️ " value="other-cruise-line-">Other Cruise Line 🛳️ </option>&#13;
			<option label="All-Inclusive Resort 🏝️ " value="allinclusive-resort-">All-Inclusive Resort 🏝️ </option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When do you want to check in?" name="when-do-you-want-to-check-in" className="form-control"/>&#13;
		<field type="date" required="true" label="When do you want to checkout?" name="when-do-you-want-to-checkout" className="form-control"/>&#13;
		<field type="text" label="Do you already have a specific resort/hotel or (or stateroom type for a cruise) in mind? If so which one?" description="If not  feel free to leave this blank." name="do-you-already-have-a-specific-resorthotel-or-or-stateroom-type-for-a-cruise-in-mind-if-so-which-one" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Let&#39;s talk budget. This is just a guess on what you want to spend. I will work with you to make sure we plan the trip you want around your ideal budget. Once we start working together, having this info gives us a good starting point. (As a rule of thumb, families can expect to spend around $1,000/person for a week-long Walt Disney World vacation.) What&#39;s your budget for resort + park tickets?" name="lets-talk-budget-this-is-just-a-guess-on-what-you-want-to-spend-i-will-work-with-you-to-make-sure-we-plan-the-trip-you-want-around-your-ideal-budget-once-we-start-working-together-having-this-info-gives-us-a-good-starting-point-what-is-your-budget-for-all-travelers-not-including-flights" className="form-control">&#13;
			<option label="Select an option below" value="select-an-option-below">Select an option below</option>&#13;
			<option label="Around $2,500 (Please select this option only if you're traveling with a small family on a short trip.)" value="around-2500-please-select-this-option-only-if-youre-traveling-with-a-small-family-on-a-short-trip">Around $2,500 (Please select this option only if you're traveling with a small family on a short trip.)</option>&#13;
			<option label="Around $5,000" value="around-5000">Around $5,000</option>&#13;
			<option label="Around $7,500" value="around-7500">Around $7,500</option>&#13;
			<option label="Around $10,000+" value="around-10000">Around $10,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Promotional rates and rooms are subject to availability, so I may put a room(s) on a temporary courtesy hold before quoting it to you to ensure it&#39;s availabile if you like it. In order to put a courtesy hold on a room, I need the full names of all guests. Please list the full name of each adult going on the trip:" name="please-list-first-and-last-names-of-all-adults-going-on-the-trip" value="(i.e. Jane Doe  John Doe)" className="form-control"/>&#13;
		<field type="textarea" label="Please list the full name of each child (under 18) going on the trip along with the ages they will be at time of travel:" name="please-list-first-and-last-names-of-all-kids-going-on-the-trip-along-with-the-ages-they-will-be-at-time-of-trip" value="(i.e. Jimmy Doe (3)  Jessica Doe (8))" className="form-control"/>&#13;
		<field type="checkbox-group" label="There may be special discounts available for certain groups. Are you any of the below? Choose all that apply:" name="there-are-special-discounts-for-certain-groups-are-you-any-of-the-below-choose-all-that-apply">&#13;
			<option label="Disney Visa Chase Cardholder" value="disney-visa-chase-cardholder">Disney Visa Chase Cardholder</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Active, Retired, or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired, or 100% Disabled Military</option>&#13;
			<option label="Florida Resident " value="florida-resident-">Florida Resident </option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Georgia Resident" value="georgia-resident">Georgia Resident</option>&#13;
			<option label="Canada Resident" value="canada-resident">Canada Resident</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else up front you&#39;d like me to know about your trip? (i.e. handicap accessible options, already booked and interested in transfering your booking to my care, bringing along a pet, etc.)" name="textarea-1767921556375" className="form-control"/>&#13;
		<field type="text" label="If you don&#39;t mind, would you please share with me how you found me? (Friend Referral, Facebook, Facebook Group, Instagram, TikTok, Ad, etc.)&amp;nbsp;" name="if-you-dont-mind-would-you-please-share-with-me-how-you-found-me-friend-referral-facebook-facebook-group-instagram-tiktok-ad-etc-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Please check this box to indicate it&#39;s ok for me to contact you via text message, phone call, and/or email in order to provide you with personalized care, or share with you travel promotions, planning guides, etc." name="checkbox-group-1767921717823">&#13;
			<option label="Yes, it's ok for you to contact me via text message, phone call, and/or email." value="yes-its-ok-for-you-to-contact-me-via-text-message-phone-call-andor-email">Yes, it's ok for you to contact me via text message, phone call, and/or email.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please check this box to indicate you agree with The Getaway Club&#39;s terms and conditions." name="please-check-this-box-if-youd-like-to-be-sent-occasional-emails-to-inform-you-of-the-latest-travel-deals-insider-tips-and-planning-resources">&#13;
			<option label="Yes, I agree to the full terms and conditions." value="yes-i-agree-to-the-full-terms-and-conditions">Yes, I agree to the full terms and conditions.</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="You can view the full terms and conditions at bit.ly/tgctermsandconditions&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="**Regarding SMS messaging: Standard messaging rates apply."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>