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Stacey Toupin
Making Memories and Magic/Travelmation
<html> <body> <form-template> <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><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="text" required="true" label="First name&nbsp;" name="text-1772212115098" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="text-1741842515973" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="text-1741842546857" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="text-1741842514336" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="text-1741838548767" subtype="text" className="form-control"/> <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"/> <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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="How soon are you looking to book?" name="checkbox-group-1741839011923"> <option label="ASAP" value="asap">ASAP</option> <option label="Within the next 7-10 days" value="within-the-next-710-days">Within the next 7-10 days</option> <option label="In a few months " value="in-a-few-months-">In a few months </option> <option label="Just considering options" value="just-considering-options">Just considering options</option> </field> <field type="text" label="If you'd like flights included what is your desired departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="If there are children what will be their ages at the time of travel?" name="text-1741837639820" subtype="text" className="form-control"/> <field type="radio-group" label="What is your budget in total?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="Budget friendly: max under $5K" value="budget-friendly-max-under-5k">Budget friendly: max under $5K</option> <option label="Moderate: max $10-15K" value="moderate-max-1015k">Moderate: max $10-15K</option> <option label="Splurge: max $15-20K" value="splurge-max-1520k">Splurge: max $15-20K</option> <option label="Luxury: max $15-20K" value="luxury-max-1520k">Luxury: max $15-20K</option> <option label="Let's go big: $20K+" value="lets-go-big-20k">Let's go big: $20K+</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" required="true" label="What kind of trip are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Theme Park " value="theme-park-">Theme Park </option> <option label="All Inclusive Vacation " value="all-inclusive-vacation-">All Inclusive Vacation </option> <option label="Cruise " value="cruise-">Cruise </option> <option label="National Parks " value="national-parks-">National Parks </option> <option label="Europe " value="europe-">Europe </option> <option label="Local Trip " value="local-trip-">Local Trip </option> <option label="Not sure! I want you to help me figure it out! " value="not-sure-i-want-you-to-help-me-figure-it-out-">Not sure! I want you to help me figure it out! </option> </field> <field type="text" label="Please give me a small description of what your vacation desires and goals are:&nbsp;" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Are you celebrating anything (birthday, anniversary, graduation, etc..)?" name="text-1772211806196" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="Are you celebrating anything special?" name="notes" className="form-control"/> <field type="text" label="Who referred you?" description="Friend/Family Social Media... or skip if we've worked together before!" name="prefix" subtype="text" className="form-control"/> <field type="checkbox-group" label="By checking "Yes" below, I acknowledge I am not working with another Travel Advisor. I acknowledge that all quotes are subject to change pricing at any tie and no quote is set until your vacation is booked and there is a confirmation number. It is highly recommended to add travel insurance to all vacation packages.&nbsp;" name="by-checking-yes-below-i-acknowledge-i-am-not-working-with-another-travel-advisor-i-acknowledge-that-all-quotes-are-subject-to-change-pricing-at-any-tie-and-no-quote-is-set-until-your-vacation-is-booked-and-there-is-a-confirmation-number-it-is-highly-recommended-to-add-travel-insurance-to-all-vacation-packages-"> <option label="Yes" value="yes">Yes</option> </field> <field type="paragraph" subtype="p" label="By submitting this form, you are allowing Stacey Toupin, travel agent with Travelmation, to contact you. Please be mindful &amp; respectful of my services by not taking quotes ad booking directly with a vendor. I work very hard to curate the perfect rip for my clients and I am beyond thankful that you are here supporting my small business. Thank you for the opportunity to service your upcoming travels!"/> <field type="header" subtype="h1" label="Header"/> <field type="header" subtype="h1" label="Header"/> <field type="header" subtype="h1" label="Header"/> <field type="header" subtype="h1" label="Header"/> <field type="pageBreak" name="pageBreak-1772211740888" next="Next" previous="Previous"/> <field type="checkbox-group" label="Checkbox Group" name="checkbox-group-1772211743466"> <option label="Option 1" value="option-1">Option 1</option> </field> <field type="checkbox-group" label="Checkbox Group" name="checkbox-group-1772212133699"> <option label="Option 1" value="option-1">Option 1</option> </field> <field type="date" label="Date Field" name="date-1772212134815" className="form-control"/> <field type="header" subtype="h1" label="Header" className="field-hidden"/> <field type="header" subtype="h1" label="Header" className="field-hidden"/> <field type="header" subtype="h1" label="Header" className="field-hidden"/> <field type="header" subtype="h1" label="Header" className="field-hidden"/> <field type="header" subtype="h1" label="Header" className="field-hidden"/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772212174733"/> <field type="textarea" label="Text Area" name="textarea-1772212175784" className="form-control"/> <field type="text" label="Text Field" name="text-1772212176353" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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