Share your information with Angela Guinyard

Angela Guinyard

The Travel Curio

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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" required="true" label="Email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many people are traveling? " name="how-many-people-are-traveling-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many CHILDREN below the age of 12 are traveling? " description="If there are not any children  please enter 0." name="how-many-children-below-the-age-of-12-are-traveling-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="If more than 5/or a group, are you the group leader?&amp;nbsp;" name="if-more-than-5or-a-group-are-you-the-group-leader-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="If an international destination, will everyone have a passport valid 6 months into the future from the return date? " name="if-an-international-destination-does-everyone-have-a-passport-valid-6-months-into-the-future-from-the-return-date-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Information "/>&#13;
		<field type="text" label="Departure city" description="Please note the location you would like to departure from when booking air" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would like to go? " name="where-would-like-to-go-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is the occasion (birthday, general vacation, wedding, family reunion, group trip)? " description="General vacation" name="what-is-the-occasion-birthday-general-vacation-wedding-family-reunion-group-trip-" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to go?" name="when-would-you-like-to-go" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return? " name="when-would-you-like-to-return-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you travel dates flexible? " name="are-you-travel-dates-flexible-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What type of trip/package do you prefer? " name="what-type-of-trip-do-you-prefer-" className="form-control">&#13;
			<option label="Hotel/Resort Only " value="hotelresort-only-">Hotel/Resort Only </option>&#13;
			<option label="Hotel/Resort and Air Package " value="hotelresort-and-air-package-">Hotel/Resort and Air Package </option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Both Resort/Hotel and Cruise " value="both-resorthotel-and-cruise-">Both Resort/Hotel and Cruise </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your ideal vacation? What would satisfy your travel goals?" description="Check all that apply." name="vibe-preference">&#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="Party" value="party">Party</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="text" required="true" label="What is your estimated budget per person? When calculating this amount, think about the inclusions you&#39;re request, hotel, hotel and air, cruise, tours, etc. " name="what-is-your-estimated-budget-per-person-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences">&#13;
			<option label="Beach or lake" value="beach-or-lake">Beach or lake</option>&#13;
			<option label="Arts and theater" value="arts-and-theater">Arts and theater</option>&#13;
			<option label="Cultural tours " value="cultural-tours-">Cultural tours </option>&#13;
			<option label="Scuba/water activiies" value="scubawater-activiies">Scuba/water activiies</option>&#13;
			<option label="Adventure activities" value="adventure-activities">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Total relaxation; I'm disconnecting" value="total-relaxation-im-disconnecting">Total relaxation; I'm disconnecting</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your accommodations style? " description="It is important to note an extremely limited number of locations/hotels offer all-inclusive similar to the Caribbean and Mexico." name="what-best-describes-your-accommodations-style-">&#13;
			<option label="Moderate (4 star)" value="moderate-4-star">Moderate (4 star)</option>&#13;
			<option label="Luxury (5 star and above)" value="luxury-5-star-and-above">Luxury (5 star and above)</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="All-Inclusive " value="allinclusive-">All-Inclusive </option>&#13;
			<option label="Other (Exclusive: Yacht, Stays of Distinction)" value="other-exclusive-yacht-stays-of-distinction">Other (Exclusive: Yacht, Stays of Distinction)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Special Instructions"/>&#13;
		<field type="text" required="true" label="Any required activities; what you must absolutely do or see? " name="any-required-activities-what-you-must-absolutely-do-or-see-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please provide details to assist in planning your next vacation.For instance, if there&#39;s more than two people, how many rooms and persons per room. " description="Please provide details that will assist with planning your dream getaway." name="how-can-i-help-you-please-provide-details-to-assist-in-planning-your-next-vacation" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like us to plan a special event for you and your guest during the trip? " description="Please note this will require an additional service fee and/or costs to procure the event." name="would-you-like-us-to-plan-a-special-event-for-you-and-your-guest-during-the-trip-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to order customized items such as t-shirts, bags/backpacks?" description="Please note this will require an additional service fee and/or costs to procure the items." name="would-you-like-to-order-customized-items-such-as-tshirts-bagsbackpacks">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How did you hear about the Travel Curio? " name="how-did-you-hear-about-the-travel-curio-">&#13;
			<option label="Returning Client" value="returning-client">Returning Client</option>&#13;
			<option label="Referral from friends or family" value="referral-from-friends-or-family">Referral from friends or family</option>&#13;
			<option label="Social Media (Instagram or Facebook)" value="social-media-instagram-or-facebook">Social Media (Instagram or Facebook)</option>&#13;
			<option label="We had an interaction/conversation" value="we-had-an-interactionconversation">We had an interaction/conversation</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Service and Special Acknowledgements "/>&#13;
		<field type="radio-group" required="true" label="I understand there is a non-refundable Design Fee for everyone collected&amp;nbsp; prior to any services being performed. This will be discussed in detail during our appointment . Please indicate that you understand by selecting Yes below. If you do NOT accept, we will not proceed with processing your request.*" name="i-understand-there-is-a-nonrefundable-design-fee-for-everyone-collected-prior-any-services-being-performed-this-will-be-discussed-in-detail-during-our-appointment-please-indicate-that-you-understand-by-selecting-yes-below-if-you-do-not-accept-we-will-not-proceed-with-processing-your-request">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Would you like to be the first to receive information about group trips, all-inclusive packages and a periodic newsletter directly in your inbox?" name="would-you-like-to-be-the-first-to-receive-information-about-group-trips-allinclusive-packages-and-a-periodic-newsletter-directly-in-your-inbox">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>