Brittney Tromanhauser

Avery Travel Group

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full Name (As It Appears On Your Passport)"/>&#13;
		<field type="text" required="true" label="First Name" description="As it appears on passport" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle Name" description="As it appears on passport" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last Name" description="As it appears on passport" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where Would You Like To Travel?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" 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="radio-group" label="Do You Need Airfare Included In Your Proposal?" name="do-you-need-airfare-included-in-your-proposal">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What Airport Will You Be Departing From?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What Airfare Class Would You Like To Book?" name="what-airfare-class-would-you-like-to-book">&#13;
			<option label="Business" value="business">Business</option>&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please List All Travelers Full Names And Date Of Birth" name="please-list-all-travelers-full-names-and-date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Do All Travelers Have A Valid Passport?" name="do-all-travelers-have-a-valid-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I Need To Check The Expiration Date..." value="i-need-to-check-the-expiration-date">I Need To Check The Expiration Date...</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Hotel Preference" name="hotel-preference">&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Hotel Chains (Marriott, Hilton, Etc)" value="hotel-chains-marriott-hilton-etc">Hotel Chains (Marriott, Hilton, Etc)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bedding Preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat Preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What Type Of Trip Are You Interested In?" name="vibe-preference">&#13;
			<option label="All Inclusive Tropical Vacation" value="all-inclusive-tropical-vacation">All Inclusive Tropical Vacation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Corporate Incentive" value="corporate-incentive">Corporate Incentive</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Adults Only Trip" value="adults-only-trip">Adults Only Trip</option>&#13;
			<option label="Multi-Generational" value="multigenerational">Multi-Generational</option>&#13;
			<option label="Escorted Tour" value="escorted-tour">Escorted Tour</option>&#13;
			<option label="Cruise (Ocean or River)" value="cruise-ocean-or-river">Cruise (Ocean or River)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What Is Your Ideal Investment For This Trip?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="&lt;$5,000" value="5000">&lt;$5,000</option>&#13;
			<option label="$5,000-$7,500" value="50007500">$5,000-$7,500</option>&#13;
			<option label="$7,500-$10,000" value="750010000">$7,500-$10,000</option>&#13;
			<option label="$10,000-$20,000" value="1000020000">$10,000-$20,000</option>&#13;
			<option label="$20,000+" value="20000">$20,000+</option>&#13;
		</field>&#13;
		<field type="text" label="If You Have A Specific Budget Please Specify" name="if-you-have-a-specific-budget-please-specify" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="If You Have Any Brand Loyalty Numbers, List Them Here" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="textarea" label="Comments, Questions, Or Special Requests" 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="radio-group" label="How Did You Hear About Us?" name="how-did-you-hear-about-us">&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Internet Search " value="internet-search-">Internet Search </option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
		</field>&#13;
		<field type="text" label="If You Were Referred By Someone Please Let Us Know Who!" name="if-you-were-referred-by-someone-please-let-us-know-who" subtype="text" className="form-control"/>&#13;
		<field type="select" label="We share travel tips, destination ideas, and exclusive offers via email—want to be on the list?" name="would-you-like-to-receive-occasional-emails-about-upcoming-travel-offers" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="*Please note that Avery Travel Group will charge a non refundable fee starting at $250 and increases due to the complexity of planning. This fee covers the extensive research, quotes, and time taken to create a custom itinerary for you. We will discuss the fee in during your consultation call. Fee must be paid before a quote will be sent."/>&#13;
	</fields>&#13;
</form-template>
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