Share your information with David Jonathan Bane

David Jonathan Bane

Travel Plug Jon

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		<field type="header" subtype="h2" label="Travel Request Form"/>&#13;
		<field type="header" subtype="h1" label="Welcome!&amp;nbsp; I am TRAVEL PLUG JON!"/>&#13;
		<field type="paragraph" subtype="blockquote" label="I help people GO-BYE-BYE with curated trips that feel relaxing, real, and just the right amount of fun &amp;amp; bougie!"/>&#13;
		<field type="paragraph" subtype="blockquote" label="Whether you&#39;re dreaming of a cruise, an all-inclusive, or something with a passport stamp—I’ve got you!"/>&#13;
		<field type="paragraph" subtype="address" label="&quot;As your Travel Advisor, I make your Travel Life easy.&amp;nbsp; I take care of all the planning essentials, while you relax peacefully.&quot;"/>&#13;
		<field type="paragraph" subtype="address" label="To get started, I need a little information about you and your trip.&amp;nbsp; Don&#39;t worry if you don&#39;t have all the details worked out yet - that&#39;s what I am here for!"/>&#13;
		<field type="paragraph" subtype="address" label="&quot;Rest assured, your privacy is my priority.&amp;nbsp; The information you provide, using our secure form, will only be used for travel planning services with us.&amp;nbsp; This information will be shared with suppliers and vendors ONLY, as needed to plan and/or book your travel.&quot;"/>&#13;
		<field type="paragraph" subtype="address" label="The form below is designed to give me an idea of what you have in mind..."/>&#13;
		<field type="header" subtype="h2" label="Contact Info:"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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 Contact Method" name="preferred-contact-method">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Info:"/>&#13;
		<field type="text" label="What would you like to call this trip?" 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="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to leave?" 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="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="date-1759579268124" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</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="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="text-1759580103883" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Have you been before?" name="have-you-been-before">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children?" name="text-1759580913943" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is your budget per Traveler?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers" other="true">&#13;
			<option label="$500 to $1500" value="500-to-1500">$500 to $1500</option>&#13;
			<option label="$1500 to $2500" value="1500-to-2500">$1500 to $2500</option>&#13;
			<option label="$2500 to $4500" value="2500-to-4500">$2500 to $4500</option>&#13;
			<option label="$4500 to $6500" value="4500-to-6500">$4500 to $6500</option>&#13;
			<option label="$6500 to $8500" value="6500-to-8500">$6500 to $8500</option>&#13;
			<option label="$8500 +" value="8500-">$8500 +</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Type of trip?" name="type-of-trip" other="true">&#13;
			<option label="Romantic Get-A - Way" value="romantic-geta-way">Romantic Get-A - Way</option>&#13;
			<option label="Friends or Family/Group trip" value="friends-or-familygroup-trip">Friends or Family/Group trip</option>&#13;
			<option label="Special Occasion/Celebration" value="special-occasioncelebration">Special Occasion/Celebration</option>&#13;
			<option label="Weekend Get - A - Way" value="weekend-get-a-way">Weekend Get - A - Way</option>&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference" other="true">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate/Premium" value="moderatepremium">Moderate/Premium</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What&#39;s your ideal vacation vibe?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Beach &amp; Chill" value="beach-chill">Beach &amp; Chill</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Adventure &amp; Expoloring" value="adventure-expoloring">Adventure &amp; Expoloring</option>&#13;
			<option label="Spa &amp; Wellness" value="spa-wellness">Spa &amp; Wellness</option>&#13;
			<option label="Local Culture &amp; History" value="local-culture-history">Local Culture &amp; History</option>&#13;
			<option label="Party &amp; Nightlife" value="party-nightlife">Party &amp; Nightlife</option>&#13;
			<option label="Food &amp; Wine Focused" value="food-wine-focused">Food &amp; Wine Focused</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 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;
			<option label="Would like suggestions" value="would-like-suggestions">Would like suggestions</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you interested in payment plan options?" name="are-you-interested-in-payment-plan-options">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Possibly" value="possibly">Possibly</option>&#13;
		</field>&#13;
		<field type="text" label="Any must haves, deal breakers or bucket list ideas?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Anything I Should Know About the Group? (Special needs, accessibility, dynamics, etc.)" 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 looking to book soon, or just exploring options?" name="are-you-looking-to-book-soon-or-just-exploring-options" other="true">&#13;
			<option label="I am ready to book ASAP" value="i-am-ready-to-book-asap">I am ready to book ASAP</option>&#13;
			<option label="I am gathering information for later" value="i-am-gathering-information-for-later">I am gathering information for later</option>&#13;
		</field>&#13;
		<field type="text" label="If someone referred you to me, please enter their name:" name="if-someone-referred-you-to-me-please-enter-their-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Important Info:"/>&#13;
		<field type="checkbox-group" required="true" label="Starting May 2025, U.S. travelers must be REAL ID compliant to board domestic flights and access certain federal facilities. You can find out more info by visiting: https://www.tsa.gov/real-id" name="starting-may-2025-us-travelers-must-be-real-id-compliant-to-board-domestic-flights-and-access-certain-federal-facilities-you-can-find-out-more-info-by-visiting-httpswwwtsagovrealid">&#13;
			<option label="I Understand" value="i-understand">I Understand</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If you&#39;re traveling internationally, your passport must be valid for at least six months beyond your travel dates. Please ensure all travelers have valid passports to avoid any travel disruptions." name="if-youre-traveling-internationally-your-passport-must-be-valid-for-at-least-six-months-beyond-your-travel-dates-please-ensure-all-travelers-have-valid-passports-to-avoid-any-travel-disruptions">&#13;
			<option label="I Understand" value="i-understand">I Understand</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components.&amp;nbsp; This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans.&amp;nbsp; Do you agree and understand that your proposal can come as one packaged rate and itemized pricing will not be available?" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundled-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-creates-a-seamless-and-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-can-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available">&#13;
			<option label="I Understand" value="i-understand">I Understand</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email or scheduled phone calls.&amp;nbsp; This approach provides you with the best level of service while ensuring that no important information is overlooked.&amp;nbsp; In advance of your departure date, we will provide you the best local contact information for prompt assistance after business hours.&amp;nbsp; Unscheduled calls and texts are of course available to you for any in-travel emergencies that arise." name="please-understand-that-while-planning-your-trip-we-will-primarily-be-in-contact-via-email-or-scheduled-phone-calls-this-approach-provides-you-with-the-best-level-of-service-while-ensuring-that-no-important-information-is-overlooked-in-advance-of-your-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-are-of-course-available-to-you-for-any-intravel-emergencies-that-arise">&#13;
			<option label="I Understand" value="i-understand">I Understand</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="CONGRATULATIONS!"/>&#13;
		<field type="paragraph" subtype="blockquote" label="You did it!&amp;nbsp; You are now in the process of planning your amazing trip!&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="blockquote" label="Click &quot;Submit&quot; below, and I will contact you within 48 hours to schedule your complimentary vacation consultation."/>&#13;
		<field type="paragraph" subtype="blockquote" label="Thanks for sharing your travel dreams with me.&amp;nbsp; I’ll work my magic and be in touch soon. "/>&#13;
		<field type="paragraph" subtype="blockquote" label="&amp;nbsp;Check out my travel inspiration &amp;amp; stay connected with me on FaceBook at: Travel Plug Jon"/>&#13;
	</fields>&#13;
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