Share your information with Pam Smithgall

Pam Smithgall

South Shore Travel

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		<field type="header" subtype="h2" label="Start Your Adventure!"/>&#13;
		<field type="header" subtype="h3" label="Please give us an idea of what you would like. &amp;nbsp;First a few bits of information. &amp;nbsp;"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone Number" name="text-1784760539630" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Accept or Opt Out of Receiving SMS Messages" description="SMS policies at bottom of page" name="select-1785004806621" className="form-control">&#13;
			<option label="Choose to Accept or Opt Out of SMS messages" value="choose-to-accept-or-opt-out-of-sms-messages" selected="selected">Choose to Accept or Opt Out of SMS messages</option>&#13;
			<option label="Accept SMS Messages" value="accept-sms-messages">Accept SMS Messages</option>&#13;
			<option label="Do Not Accept SMS Messages (Default)" value="do-not-accept-sms-messages-default">Do Not Accept SMS Messages (Default)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where do you think you would like to go?" 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="When can you go on your adventure?&amp;nbsp; How long can you be gone?" name="text-1784762243017" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Names &amp;amp; ages of travelers would be very helpful." name="names-ages-of-travelers-would-be-very-helpful" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Give us an idea of what type of experience you are seeking. &amp;nbsp;It&#39;s also helpful for us to know what you do not want." name="textarea-1521863834784" className="form-control"/>&#13;
		<field type="checkbox-group" label="What activities interest you?" 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="Golf" value="golf">Golf</option>&#13;
			<option label="Stepping from your room on to the beach" value="Butler service">Stepping from your room on to the beach</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Time to work on my health" value="time-to-work-on-my-health">Time to work on my health</option>&#13;
			<option label="Doing absolutely nothing" value="doing-absolutely-nothing">Doing absolutely nothing</option>&#13;
			<option label="Being out in nature" value="being-out-in-nature">Being out in nature</option>&#13;
			<option label="Seeing iconic sights I've dreamed about" value="seeing-iconic-sights-ive-dreamed-about">Seeing iconic sights I've dreamed about</option>&#13;
			<option label="Having someone else take care of meals" value="having-someone-else-take-care-of-meals">Having someone else take care of meals</option>&#13;
			<option label="Time to relax and read a book" value="time-to-relax-and-read-a-book">Time to relax and read a book</option>&#13;
			<option label="Fun activities for the kids" value="fun-activities-for-the-kids">Fun activities for the kids</option>&#13;
			<option label="Exploring on our own" value="exploring-on-our-own">Exploring on our own</option>&#13;
			<option label="Staying in a castle" value="staying-in-a-castle">Staying in a castle</option>&#13;
			<option label="Staying in a villa" value="staying-in-a-villa">Staying in a villa</option>&#13;
			<option label="Enjoying a beautiful suite onboard a ship" value="enjoying-a-beautiful-suite-onboard-a-ship">Enjoying a beautiful suite onboard a ship</option>&#13;
			<option label="Waking up to a beautiful view every day" value="waking-up-to-a-beautiful-view-every-day">Waking up to a beautiful view every day</option>&#13;
			<option label="Learning something new" value="learning-something-new">Learning something new</option>&#13;
			<option label="Expedition travel such as to Antarctica" value="A trip focused on great food">Expedition travel such as to Antarctica</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Let&#39;s talk a bit about money. &amp;nbsp;Example costs: &amp;nbsp;Our getaways for a 7 night getaway for 2 adults with airfare in economy &amp;amp; travel insurance generally starts from approximately:"/>&#13;
		<field type="paragraph" subtype="p" label="*Europe - $15, 000 ($7500 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Expedition Cruises such as Antarctica - starting at $ 30,000 ($15,000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="* US River Cruise or Tour $8,000 ($4,000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Caribbean - $8,000 ($4,000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Cruising the big ocean ships we see in the ads - $4,000 ($2000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*South Pacific - $20,000 ($10,000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Alaska - $9,000 ($4,500 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Hawaii- $9,000 ($4,500 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Premium &amp;amp; Luxury&amp;nbsp; Ocean Cruising starting from $8000 ($4000 per person) - $30,000 ($15,000 per person)"/>&#13;
		<field type="paragraph" subtype="p" label="*Premium &amp;amp; Luxury River Cruising&amp;nbsp; starting from $9000 ($4500 per person)"/>&#13;
		<field type="text" required="true" label="Tell us about your budget" description="Approximate budget for your trip.  (We love to go under budget when possible. )  Information you can provide is helpful.  Take a look at our estimated trips above so you can judge about what works for you.  We tried to be clear on what to expect on costs." name="text-1784762166668" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How can we best help you?" description="We take a lot of stress off your shoulders and try to make your planning as well as your trip be fun.  What would you appreciate being taken off your shoulders for this trip?" name="text-1784762000485" subtype="text" className="form-control"/>&#13;
		<field type="text" label="We love referrals!&amp;nbsp; How did you hear about South Shore Travel?&amp;nbsp; We are curious!" name="how-did-you-hear-about-south-shore-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" label="We would like to send you something&amp;nbsp; so we ask for your mailing address.&amp;nbsp; &amp;nbsp;We do not share your information." name="text-1521929386733" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="When may we speak?" name="when-may-we-speak" value="Please give us two dates and times that would work well for us to give you a call.  We ask for about 15 minutes of time without distraction. ( We are in the office M-F  11:00 a.m. - 7 p.m.  Saturday by appointment )" className="form-control"/>&#13;
		<field type="text" label="Best date and time to talk without distraction. &amp;nbsp;Can&#39;t wait to talk to you!" name="best-date-and-time-to-talk" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="We have a team of 3 to help you.&amp;nbsp; Do you have a preference?" description="Choose who you want to connect with  or if you have no preference that is OK too." name="radio-group-1784763127000">&#13;
			<option label="Pam Smithgall" value="">Pam Smithgall</option>&#13;
			<option label="Sheri Muse" value="">Sheri Muse</option>&#13;
			<option label="Scott Deppe" value="">Scott Deppe</option>&#13;
			<option label="No Preference - you pick for me!" value="no-preference-you-pick-for-me">No Preference - you pick for me!</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="SMS MESSAGING"/>&#13;
		<field type="paragraph" subtype="p" label="If you do not wish to receive SMS messages, you can choose not to check the SMS consent box on our travel planning electronic forms."/>&#13;
		<field type="paragraph" subtype="p" label="During our first consultation you will be asked verbally to agree to receive SMS messages for purposes of conducting time-sensitive travel planning. Your consent is optional."/>&#13;
		<field type="paragraph" subtype="p" label="If you consent to receive SMS messages from South Shore Travel:"/>&#13;
		<field type="paragraph" subtype="p" label="Your SMS information will be stored securely at South Shore Travel and nowhere else."/>&#13;
		<field type="paragraph" subtype="p" label="Messages from us to you will include travel details, payment updates, and periodic travel marketing offers based on your travel interests."/>&#13;
		<field type="paragraph" subtype="p" label="Messages from you to us should be clear and responsive to specific questions we&#39;ve asked in order to complete your travel arrangements, where examples include choices of available travel dates, destinations, and itinerary options."/>&#13;
		<field type="paragraph" subtype="p" label="Messages from you to us should not include sensitive information such as credit card numbers or personal ID information."/>&#13;
		<field type="paragraph" subtype="p" label="No SMS opt-in or phone numbers collected for the purpose of these travel planning messages will be shared with any third party or affiliate company for any marketing purposes."/>&#13;
		<field type="paragraph" subtype="p" label="Reply STOP to opt-out."/>&#13;
		<field type="paragraph" subtype="p" label="Reply HELP for support."/>&#13;
		<field type="paragraph" subtype="p" label="Message &amp;amp; data rates may apply."/>&#13;
		<field type="paragraph" subtype="p" label="Messaging frequency may vary."/>&#13;
		<field type="pageBreak" name="pageBreak-1785010016348" next="Next" previous="Previous"/>&#13;
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