Patricia Billings

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="REQUEST A VACATION QUOTE&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 required="true"  type="text" label="Email" 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="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Adults (18+) will be traveling? Please include full legal names and birthdays." name="how-many-adults-18-will-be-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children (17 and under)? Please include full legal names and birthdays.&amp;nbsp;" name="how-many-children-17-and-under-and-their-ages-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" 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="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="YES " value="yes-">YES </option>&#13;
			<option label="NO " value="no-">NO </option>&#13;
		</field>&#13;
		<field type="text" label="If flights are needed what airport would you like to depart from?&amp;nbsp;" name="if-flight-are-needed-what-airport-would-you-like-to-depart-from-i-cannot-add-flights-to-disney-destinations-or-universal-studios-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What is your ideal budget?" name="what-is-your-ideal-budget">&#13;
			<option label="Value (less than $1500 per person) " value="value-less-than-1500-per-person-">Value (less than $1500 per person) </option>&#13;
			<option label="Moderate ($1500 - $2500 per person)" value="moderate-1500-2500-per-person">Moderate ($1500 - $2500 per person)</option>&#13;
			<option label="Deluxe  ($2500+ per person) " value="deluxe-2500-per-person-">Deluxe  ($2500+ per person) </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If cruising what kind of stateroom do you prefer?" name="if-cruising-what-kind-of-stateroom-do-you-prefer">&#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;
		</field>&#13;
		<field type="checkbox-group" label="If traveling internationally does everyone have valid passports. Passports must be valid 6 months past your arrival date home." name="if-traveling-internationally-does-everyone-have-valid-passports-passports-must-be-valid-6-months-past-your-arrival-date-home">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Any celebrations?&amp;nbsp;" name="any-celebrations-">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary " value="anniversary-">Anniversary </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How soon are you ready to book?&amp;nbsp;" name="how-soon-are-you-ready-to-book-">&#13;
			<option label="Lets GO!!! " value="lets-go-">Lets GO!!! </option>&#13;
			<option label="in 1 or 2 weeks. " value="in-1-or-2-weeks-">in 1 or 2 weeks. </option>&#13;
			<option label="Just looking for pricing. " value="just-looking-for-pricing-">Just looking for pricing. </option>&#13;
		</field>&#13;
		<field type="text" label="Are there any restrictions I should know about for your vacation. ex. Dietary, accessibility restrictions?&amp;nbsp;" name="are-there-any-restrictions-i-should-know-about-for-your-vacation-ex-dietary-accessibility-restrictions-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Text Area" name="textarea-1728382832311" value="I'm happy to provide complimentary travel planning services for most clients. There's a small group fee for large groups  destination weddings, and European custom itineraries. To ensure I can dedicate the time to plan your dream vacation, I kindly ask that you commit to booking through me if I provide you with a quote. There's no extra cost to you, as my commission comes directly from the vendors. Thank you for understanding and respecting my time and expertise." className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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