Share your information with Tony Gilkinson & Larry Compton

Tony Gilkinson & Larry Compton

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Plan Your Cruise!"/>&#13;
		<field type="paragraph" subtype="p" label="To get started, I will need some basic inforamtion on the cruise we will be planning.&amp;nbsp; Once you submit this form, I will reach out to you asap."/>&#13;
		<field type="header" subtype="h1" label="Contact Information"/>&#13;
		<field type="paragraph" subtype="p" label="This section is for the person that will be handling the communication for the trip planning."/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="header" subtype="h1" label="Travel Party Information"/>&#13;
		<field type="paragraph" subtype="p" label="If you would like to add someone other than yourself as the lead guest please leave their name and email below.&amp;nbsp;"/>&#13;
		<field type="text" label="Lead Guest Name" description="If you would like to add someone other than yourself as the lead guest  please leave their name and email below." name="text-1709567347176" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State of Residency" name="text-1709567349746" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="text-1709567350570" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Full names for ALL guests or N/A if solo traveler" description="Ex.  Danielle Moonstar   Samuel Brian Guthrie  Rahne Sinclair, Roberto David DaCosta  and  Xian Coy Manh" name="text-1709567351372" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date of birth for ALL guests or N/A if solo traveler" description="Ex.  Danielle 01/11/1983  Samuel 02/12/1983  Rahne 03/13/1983  Roberto 04/14/1983, and  Xian 05/15/1983" name="text-1773760988066" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms (staterooms) will you need?" name="text-1709567352785" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This simply provides me with a general idea of when you would like to go.  It can be changed later." name="date-1709567368770" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This simply provides me with a general idea of when you would like to return.  It can be changed later." name="date-1709567369957" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="For all cruises that travel interantionally, do you have a current passport?" description="This would include all ports that are not a part of the United States or U.S. Territories." inline="true" name="radio-group-1709567373414">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Not Yet! " value="not-yet-">Not Yet! </option>&#13;
			<option label="I'd like to travel without one." value="id-like-to-travel-without-one">I'd like to travel without one.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What are your preferred departure ports for the cruise?" name="text-1709567378308" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which cruise lines are you interested in traveling with?&amp;nbsp; (Select all that apply)" inline="true" name="which-cruise-lines-are-you-interested-in-traveling-with-select-all-that-apply" other="true">&#13;
			<option label="AmaWaterways" value="amawaterways">AmaWaterways</option>&#13;
			<option label="Atlas Ocren Voyages" value="atlas-ocren-voyages">Atlas Ocren Voyages</option>&#13;
			<option label="Azamara Club Cruises" value="azamara-club-cruises">Azamara Club Cruises</option>&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option>&#13;
			<option label="Costa Cruises" value="costa-cruises">Costa Cruises</option>&#13;
			<option label="Cunard Line" value="cunard-line">Cunard Line</option>&#13;
			<option label="Holland America Line" value="holland-america-line">Holland America Line</option>&#13;
			<option label="MSC Cruises" value="msc-cruises">MSC Cruises</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Oceania Cruises" value="oceania-cruises">Oceania Cruises</option>&#13;
			<option label="Princess Cruises" value="princess-cruises">Princess Cruises</option>&#13;
			<option label="Regent Seven Seas Cruises" value="regent-seven-seas-cruises">Regent Seven Seas Cruises</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Seabourn Cruise Line" value="seabourn-cruise-line">Seabourn Cruise Line</option>&#13;
			<option label="Silversea Cruises" value="silversea-cruises">Silversea Cruises</option>&#13;
			<option label="Viking Cruises" value="viking-cruises">Viking Cruises</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Windstar Cruises" value="windstar-cruises">Windstar Cruises</option>&#13;
			<option label="Whatever is Available, I just need to go on a cruise!" value="whatever-is-available-i-just-need-to-go-on-a-cruise">Whatever is Available, I just need to go on a cruise!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What type of stateroom are you interested in? (select all that apply)" inline="true" name="what-type-of-stateroom-are-you-interested-in-select-all-that-apply" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total trip budget? (excluding airfare)" description="This just gives me a general starting point and can always be changed later." inline="true" name="radio-group-1709567383311">&#13;
			<option label="$1,500 to $3,000" value="1500-to-3000">$1,500 to $3,000</option>&#13;
			<option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option>&#13;
			<option label="$5,000 to $7,500 " value="5000-to-7500-">$5,000 to $7,500 </option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else can you tell me about your trip?" description="Include anything that will help me create the best itinerary experience for you." name="textarea-1709567390498" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Which of these statements best describes where you are in the planning stages?" inline="true" name="radio-group-1709567393092">&#13;
			<option label="I'm not sure about anything." value="im-not-sure-about-anything">I'm not sure about anything.</option>&#13;
			<option label="I've researched the destination and need some other options." value="ive-researched-the-destination-and-need-some-other-options">I've researched the destination and need some other options.</option>&#13;
			<option label="I'm pretty sure I know what I want, but I want to book it with you." value="im-pretty-sure-i-know-what-i-want-but-i-want-to-book-it-with-you">I'm pretty sure I know what I want, but I want to book it with you.</option>&#13;
			<option label="I've ALREADY BOOKED and I want to transfer it to you to utilize all of the awesome benefits that come with having you as my travel agent." value="ive-already-booked-and-i-want-to-transfer-it-to-you-to-utilize-all-of-the-awesome-benefits-that-come-with-having-you-as-my-travel-agent">I've ALREADY BOOKED and I want to transfer it to you to utilize all of the awesome benefits that come with having you as my travel agent.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="radio-group-1709567394395" other="true">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Within the next 2 weeks." value="within-the-next-2-weeks">Within the next 2 weeks.</option>&#13;
			<option label="Within a couple of months." value="within-a-couple-of-months">Within a couple of months.</option>&#13;
			<option label="Really just considering my options right now." value="really-just-considering-my-options-right-now">Really just considering my options right now.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="When is the best time to follow up with you?" inline="true" name="radio-group-1709567395409" other="true">&#13;
			<option label="Anytime " value="anytime-">Anytime </option>&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Weekends" value="weekends">Weekends</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in Travel/Trip Protection?" description="For most travel  you can add trip protection before final payment is made." name="are-you-interested-in-traveltrip-protection">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Please Read"/>&#13;
		<field type="text" required="true" label="The best compliment you can give is a referral. Where did you hear about me?" name="text-1709567401262" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you currently working with a Travel Agent?" inline="true" name="radio-group-1709567403189">&#13;
			<option label="Nope." value="nope">Nope.</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand that Tony Gilkinson and Larry Compton&#39;s services are provided at no direct cost to me, and that they are compensated by travel partners only after my travel is completed." name="radio-group-1709567407139">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
			<option label="I need more clarification on this statement." value="i-need-more-clarification-on-this-statement">I need more clarification on this statement.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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