Share your information with Shanell Holding

Shanell Holding

Elite Xscapes

<html>
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Elite Xscapes | Let&#39;s Plan Your Getaway"/>&#13;
		<field type="paragraph" subtype="p" label="Let&#39;s Get You Booked, Boo! ✈️"/>&#13;
		<field type="paragraph" subtype="p" label="Passport ready? Outfits planned? Now tell me where we&#39;re going!"/>&#13;
		<field type="paragraph" subtype="p" label="Fill out the details below so I can put together vacation options that fit your budget, your vibe and your travel goals."/>&#13;
		<field type="paragraph" subtype="p" label="Whether it&#39;s a baecation, birthday trip, family getaway or a little solo escape, your next adventure starts right here!"/>&#13;
		<field type="paragraph" subtype="p" label="* Indicates required question"/>&#13;
		<field type="header" subtype="h1" label="About You"/>&#13;
		<field type="text" required="true" label="First name?" placeholder="Your answer" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" placeholder="Your answer" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Phone:" placeholder="Your answer" name="phone-number" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email:" placeholder="Your answer" name="email" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Tell Me About The Xscape"/>&#13;
		<field type="text" required="true" label="Vacation Budget?" placeholder="Your answer" name="vacation-budget" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number Of Travelers; Ex 1 Adult, 2 Children" placeholder="Your answer" name="number-of-travelers-ex-1-adult-2-children" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Children&#39;s ages?" placeholder="Your answer" name="text-1790809271182" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Travel Insurance ?" name="travel-insurance" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No (If no, obtain signed waiver)" value="No (If no, obtain signed waiver)">No (If no, obtain signed waiver)</option>&#13;
			<option label="Maybe" value="Maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="text" label="Destination Of Interest?" placeholder="Your answer" name="destination-of-interest" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Departure City" placeholder="Your answer" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Airline Preference (Frequent Flyer Programs):" placeholder="Your answer" name="airline-preference-frequent-flyer-programs" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Seat Preference ?" name="radio-group-1775498824032">&#13;
			<option label="Basic Economy " value="basic-economy-">Basic Economy </option>&#13;
			<option label="Extra Leg Room/Premium" value="extra-leg-roompremium">Extra Leg Room/Premium</option>&#13;
			<option label="Business Class" value="business-class">Business Class</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
			<option label="Wing" value="wing">Wing</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Hotel and Resort Vacation"/>&#13;
		<field type="text" label="Number of Nights Stay?" placeholder="Your answer" name="number-of-nights-stay" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Hotel Preferences (Frequent Guest Programs):" placeholder="Your answer" name="hotel-preferences-frequent-guest-programs" subtype="text" className="form-control"/>&#13;
		<field type="text" label="# of Rooms/Arrangement:" placeholder="Your answer" name="number-of-rooms-arrangement" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Room:" name="room" other="true" className="radio-group">&#13;
			<option label="Standard Room/View" value="Standard Room/View">Standard Room/View</option>&#13;
			<option label="Ocean View/Front" value="Ocean View/Front">Ocean View/Front</option>&#13;
			<option label="Balcony" value="Balcony">Balcony</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family-friendly" value="familyfriendly">Family-friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Room Features" name="room-features" other="true" className="checkbox-group">&#13;
			<option label="All Inclusive" value="All Inclusive">All Inclusive</option>&#13;
			<option label="Adults Only" value="Adults Only">Adults Only</option>&#13;
			<option label="Luxury Resort" value="Luxury Resort">Luxury Resort</option>&#13;
			<option label="Suite/Jr Suite" value="Suite/Jr Suite">Suite/Jr Suite</option>&#13;
			<option label="On the Beach" value="On the Beach">On the Beach</option>&#13;
			<option label="Activities On-Site" value="Activities On-Site">Activities On-Site</option>&#13;
			<option label="Family Friendly" value="Family Friendly">Family Friendly</option>&#13;
			<option label="Kids Club" value="Kids Club">Kids Club</option>&#13;
			<option label="Near City Center" value="Near City Center">Near City Center</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Car Rental&amp;nbsp;" className="field-hidden"/>&#13;
		<field type="checkbox-group" label="Car Category:" name="car-category" other="true" className="checkbox-group field-hidden">&#13;
			<option label="Compact" value="Compact">Compact</option>&#13;
			<option label="Mid size" value="Mid size">Mid size</option>&#13;
			<option label="Full size" value="Full size">Full size</option>&#13;
			<option label="Luxury" value="Luxury">Luxury</option>&#13;
			<option label="Airport-Hotel Transport" value="Airport-Hotel Transport">Airport-Hotel Transport</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities do you enjoy when travelling?" name="activity-preferences" other="true" className="checkbox-group">&#13;
			<option label="Sightseeing/History" value="Sightseeing/History">Sightseeing/History</option>&#13;
			<option label="Culture/Arts" value="Culture/Arts">Culture/Arts</option>&#13;
			<option label="Active/Sports" value="Active/Sports">Active/Sports</option>&#13;
			<option label="Walking Tours" value="Walking Tours">Walking Tours</option>&#13;
			<option label="Wine/Culinary" value="Wine/Culinary">Wine/Culinary</option>&#13;
			<option label="Spa" value="Spa">Spa</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="One more thing… 👀"/>&#13;
		<field type="paragraph" subtype="p" label="Submitting this form is an inquiry and does not confirm a reservation. Pricing and availability can change until a deposit or payment has been made."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>