Share your information with Chelsea Parker

Chelsea Parker

Chelsea Rae Travels

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		<field type="header" subtype="h3" label="Let&#39;s plan something incredible!"/>&#13;
		<field type="paragraph" subtype="p" label="Tell me a little about yourself and what you&#39;re dreaming up. I&#39;ll be in touch within 48 hours to chat more."/>&#13;
		<field type="header" subtype="h3" label="ABOUT YOU"/>&#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" subtype="email" required="true" label="Email" name="email" 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="Number of travelers" placeholder="e.g. 2 adults, 1 child (age 4)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Full legal names as they appear on passports / government IDs that will be traveling, and dates of birth.&amp;nbsp;" placeholder="Please include relationships to each traveler and for children, please include ages. " name="full-legal-names-as-they-appear-on-passports-government-ids-that-will-be-traveling-and-dates-of-birth-" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about me?" placeholder="Instagram, Referral, Google, Other" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If referred, who sent you?" name="if-referred-who-sent-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="YOUR TRIP"/>&#13;
		<field type="textarea" required="true" label="Tell me about your trip" placeholder="What&#39;s the occasion? Where are you dreaming of? What does the perfect trip feel like to you?" name="dream-trip-description" className="form-control"/>&#13;
		<field type="text" required="true" label="Destination(s) in mind" placeholder="e.g. Italy, Japan, or open to ideas" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Approximate travel dates" placeholder="e.g. October 2027, flexible, 10/5/27 - 10/16/27" name="approximate-travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Trip length" placeholder="e.g. 10 nights" name="trip-length" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What sort of feeling are you after?" description="What&#39;s the vibe of the trip?" name="what-sort-of-feeling-are-you-after" 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="Social / celebration " value="social-celebration-">Social / celebration </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;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Nightly hotel budget" name="budget" other="true" className="radio-group">&#13;
			<option label="$500-$800" value="500-800">$500-$800</option>&#13;
			<option label="$800-$1,200" value="800-1200">$800-$1,200</option>&#13;
			<option label="$1,200-$1,800" value="1200-1800">$1,200-$1,800</option>&#13;
			<option label="$1,800-$2,500" value="1800-2500">$1,800-$2,500</option>&#13;
			<option label="$2,500+" value="2500plus">$2,500+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="HOW I CAN HELP"/>&#13;
		<field type="radio-group" required="true" label="Which best describes what you&#39;re looking for?" name="what-are-you-looking-for" other="true" className="radio-group">&#13;
			<option label="The Stay (Complimentary): You've found your hotel — I'll handle the booking and make sure you get all available benefits: room upgrades, F&amp;B; credits, early/late check-in/out, and more." value="the-stay-complimentary-youve-found-your-hotel-ill-handle-the-booking-and-make-sure-you-get-all-available-benefits-room-upgrades-fb-credits-earlylate-checkinout-and-more">The Stay (Complimentary): You've found your hotel — I'll handle the booking and make sure you get all available benefits: room upgrades, F&amp;B; credits, early/late check-in/out, and more.</option>&#13;
			<option label="The Journey (From $400 / week): Full trip design — hotels, a curated destination consultation, custom itinerary, and all the logistics handled: activities, ground transport, trains, ferries, and rental cars. Delivered as a digital itinerary with all supporting documents." value="the-journey-from-400-week-full-trip-design-hotels-a-curated-destination-consultation-custom-itinerary-and-all-the-logistics-handled-activities-ground-transport-trains-ferries-and-rental-cars-delivered-as-a-digital-itinerary-with-all-supporting-documents">The Journey (From $400 / week): Full trip design — hotels, a curated destination consultation, custom itinerary, and all the logistics handled: activities, ground transport, trains, ferries, and rental cars. Delivered as a digital itinerary with all supporting documents.</option>&#13;
			<option label="The VIP Experience (From $525 / week): Everything in The Journey, plus concierge support — restaurant and cocktail bar reservations, spa bookings, tee times, and anything else that makes the trip feel truly effortless." value="the-vip-experience-from-525-week-everything-in-the-journey-plus-concierge-support-restaurant-and-cocktail-bar-reservations-spa-bookings-tee-times-and-anything-else-that-makes-the-trip-feel-truly-effortless">The VIP Experience (From $525 / week): Everything in The Journey, plus concierge support — restaurant and cocktail bar reservations, spa bookings, tee times, and anything else that makes the trip feel truly effortless.</option>&#13;
			<option label="Not sure yet, I'd love to talk it through." value="not-sure-yet-id-love-to-talk-it-through">Not sure yet, I'd love to talk it through.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="I understand that any hotels quoted and confirmed will be booked through Chelsea Rae Travels." name="understand-hotel-booking-policy" className="checkbox-group">&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Thanks so much for reaching out. I will respond within 48 hours.&amp;nbsp;"/>&#13;
	</fields>&#13;
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