Share your information with Traci Lee

Traci Lee

Coast + Vine Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Step 1: Connect"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred method of communication" name="preferred-method-of-communication">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What kind of experience are you seeking on this trip?&amp;nbsp;" name="when-do-you-want-to-travel-tell-me-about-your-timeframe-here-or-enter-specific-date-below-" className="form-control"/>&#13;
		<field type="date" required="true" 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" required="true" 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" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you looking for a full itinerary plan or hotel bookings only?" name="are-you-looking-for-a-full-itinerary-plan-or-hotel-bookings-only">&#13;
			<option label="Hotels only" value="hotels-only">Hotels only</option>&#13;
			<option label="Full Itinerary Plan" value="full-itinerary-plan">Full Itinerary Plan</option>&#13;
			<option label="Group Travel " value="group-travel-">Group Travel </option>&#13;
			<option label="River or Ocean Cruise " value="river-or-ocean-cruise-">River or Ocean Cruise </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What budget do you have in mind for this trip, and what price range are you comfortable with for your accommodations?&amp;nbsp;" name="what-budget-do-you-have-in-mind-for-this-trip-and-what-price-range-are-you-comfortable-with-for-your-accommodations-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have flights booked yet?&amp;nbsp;" name="text-1736280684315" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure city? If your departure and arrival city are not the same, what are your plans?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers? If you are traveling with kids, what ages? If multi-gen, fill me in on the dynamics.&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Villa/private rental" value="villaprivate-rental">Villa/private rental</option>&#13;
			<option label="Boutique hotels" value="boutique-hotels">Boutique hotels</option>&#13;
			<option label="5 star luxury resort " value="5-star-luxury-resort-">5 star luxury resort </option>&#13;
			<option label="Cruise (Ocean, River or Yacht) " value="cruise-ocean-river-or-yacht-">Cruise (Ocean, River or Yacht) </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Wellness/Retreat" value="wellnessretreat">Wellness/Retreat</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Food and wine" value="food-and-wine">Food and wine</option>&#13;
			<option label="Local culture / history / art" value="local-culture-history-art">Local culture / history / art</option>&#13;
			<option label="Family Cultural Immersion" value="family-cultural-immersion">Family Cultural Immersion</option>&#13;
			<option label="Family  Relaxing Vacation" value="family-relaxing-vacation">Family  Relaxing Vacation</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach &amp; watersports" value="beach-watersports">Beach &amp; watersports</option>&#13;
			<option label="Guided tours" value="guided-tours">Guided tours</option>&#13;
			<option label="Free time to explore" value="free-time-to-explore">Free time to explore</option>&#13;
			<option label="Adventure activities" value="adventure-activities">Adventure activities</option>&#13;
			<option label="Golf &amp; sports (to watch or play) " value="golf-sports-to-watch-or-play-">Golf &amp; sports (to watch or play) </option>&#13;
			<option label="Spa &amp; Wellness" value="spa-wellness">Spa &amp; Wellness</option>&#13;
			<option label="Arts &amp; theater / cultural experiences" value="arts-theater-cultural-experiences">Arts &amp; theater / cultural experiences</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Dining Preferences&amp;nbsp;" name="dining-preferences-">&#13;
			<option label="Fine dining" value="fine-dining">Fine dining</option>&#13;
			<option label="Local hidden gems" value="local-hidden-gems">Local hidden gems</option>&#13;
			<option label="Casual dining " value="casual-dining-">Casual dining </option>&#13;
			<option label="Private Chef Experiences" value="private-chef-experiences">Private Chef Experiences</option>&#13;
			<option label="Wine paring dinners" value="wine-paring-dinners">Wine paring dinners</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" 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="checkbox-group" required="true" label="Are you interested in any of the following? Please check all that apply." name="are-you-interested-in-any-of-the-following-please-check-all-that-apply">&#13;
			<option label="Private transfers" value="private-transfers">Private transfers</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
			<option label="VIP airport services" value="vip-airport-services">VIP airport services</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" label="Would you like to be added to our newsletter list?&amp;nbsp;" name="would-you-like-to-be-added-to-our-newsletter-list-" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>