Share your information with Erica Cook

Erica Cook

TC Global Destinations

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	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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="text" required="true" label="Where you would like to go?" name="where-you-would-like-to-go" subtype="text" 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" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" 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? Please specify how many adults or children" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget per person?" description="This just gives me a general starting point and can always be changed later." name="budget">&#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="select" required="true" label="Are you deposit ready?" name="select-1767628239127" className="form-control">&#13;
			<option label="Asap ready book" value="asap-ready-book">Asap ready book</option>&#13;
			<option label="Within one week" value="within-one-week">Within one week</option>&#13;
			<option label="Within two weeks" value="within-two-weeks">Within two weeks</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" 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="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</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="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#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="header" subtype="h1" label="Personalized Travel Concierge Services &amp;amp; Fees"/>&#13;
		<field type="select" required="true" label="To get started, please choose which service(s) you’d like to avail:" name="personalized-travel-concierge-services-fees" className="form-control">&#13;
			<option label="Caribbean / All-Inclusive Travel – $40 (Up to 2 to 6 travellers)" value="caribbean-allinclusive-travel-40-up-to-2-to-6-travellers">Caribbean / All-Inclusive Travel – $40 (Up to 2 to 6 travellers)</option>&#13;
			<option label="Carribbean / All-Inclusive / Cruise Quote – $60 (up to 3 cabins / 7 to 12 travelers)" value="carribbean-allinclusive-cruise-quote-60-up-to-3-cabins-7-to-12-travelers">Carribbean / All-Inclusive / Cruise Quote – $60 (up to 3 cabins / 7 to 12 travelers)</option>&#13;
			<option label="Group &amp; Private Villa Quote – Domestic $300 | Caribbean/International $450" value="group-private-villa-quote-domestic-300-caribbeaninternational-450">Group &amp; Private Villa Quote – Domestic $300 | Caribbean/International $450</option>&#13;
			<option label="Group Cruise Consultation – $150 (ideal for 10+ cabins or large events)" value="group-cruise-consultation-150-ideal-for-10-cabins-or-large-events">Group Cruise Consultation – $150 (ideal for 10+ cabins or large events)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Reminder"/>&#13;
		<field type="paragraph" subtype="p" label="Please note: This is a non-refundable research fee for quote creation only, not a deposit or booking fee. Once we receive your research fee, we’ll get started on crafting the perfect travel options for you.&amp;nbsp;"/>&#13;
	</fields>&#13;
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