Share your information with Martina Arnold

Martina Arnold

Journey With Jeffries

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Get Started!&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Person Requesting Booking Inquiry&amp;nbsp; &amp;nbsp;"/>&#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" 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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What type of vacation are you planning?" name="what-type-of-vacation-are-you-planning" className="form-control">&#13;
			<option label="Land Only" value="land-only">Land Only</option>&#13;
			<option label="Land + Air" value="land-air">Land + Air</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Turks &amp;amp; Caicos" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." 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="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is the per person budget for the trip?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Does You Have a TSA Approved REAL ID (Identification Card)?&amp;nbsp;" name="does-you-have-a-tsa-approved-real-id-identification-card-" className="form-control">&#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="Will Your Passport EXPIRE Within The Nex 6 Months?" name="will-your-passport-expire-within-the-nex-6-months" className="form-control">&#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="Resort Preference"/>&#13;
		<field type="select" required="true" label="What is Your Resort Type?" name="do-you-prefer-an-allinclusive-resort" className="form-control">&#13;
			<option label="All-Inclusive " value="allinclusive-">All-Inclusive </option>&#13;
			<option label="All-Inclusive - Adult Only" value="allinclusive-adult-only">All-Inclusive - Adult Only</option>&#13;
			<option label="All-Inclusive with Adult Only Areas" value="allinclusive-with-adult-only-areas">All-Inclusive with Adult Only Areas</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="5-Star" value="5star">5-Star</option>&#13;
			<option label="4-Star" value="4star">4-Star</option>&#13;
			<option label="3-Star" value="3star">3-Star</option>&#13;
			<option label=" Stars don't matter, as long as it fits my budget and is nice." value="-stars-dont-matter-as-long-as-it-fits-my-budget-and-is-nice"> Stars don't matter, as long as it fits my budget and is nice.</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Resort/Hotel Size" name="resorthotel-size" className="form-control">&#13;
			<option label="Smaller &amp; More Intimate" value="smaller-more-intimate">Smaller &amp; More Intimate</option>&#13;
			<option label="Larger &amp; More Active" value="larger-more-active">Larger &amp; More Active</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." inline="true" name="vibe-preference" other="true">&#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-and-wine">Food and wine</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What are MUST HAVE activities on the resort?" description="Check all that apply" inline="true" name="activity-preferences" other="true">&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Casino" value="casino">Casino</option>&#13;
			<option label="Multiple pools (adult pool)" value="multiple-pools-adult-pool">Multiple pools (adult pool)</option>&#13;
			<option label="Play for children" value="play-for-children">Play for children</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Fitness Gym" value="fitness-gym">Fitness Gym</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you interested in excursions/tours off resort?" description="(history/cultural  scuba  adventure activities  golf  etc.)" name="are-you-interested-in-excursionstours-off-resort" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Airfare"/>&#13;
		<field type="select" required="true" label="Will you require airfare?" name="will-you-require-airfare" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not sure" value="not-sure">Not sure</option>&#13;
		</field>&#13;
		<field type="text" label="&amp;nbsp;Please list your preferred airport:" name="-please-list-your-preferred-airport" subtype="text" className="form-control"/>&#13;
		<field type="text" label="&amp;nbsp;Do you have a preferred airline?" name="-do-you-have-a-preferred-airline" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Do all travelers have TSA PreCheck or Global Entry?" name="do-all-travelers-have-tsa-precheck-or-global-entry" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="select" label="Seat belt extender(s) required?&amp;nbsp;" name="seat-belt-extenders-required-" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Wheelchair(s) required?" name="wheelchairs-required" className="form-control">&#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="Additional Details&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="Would You Like A Travel Insurance Quote For This Trip?" name="would-you-like-a-travel-insurance-quote-for-this-trip" className="form-control">&#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="Which type of payment arrangement would you prefer?" name="which-type-of-payment-arrangement-would-you-prefer" className="form-control">&#13;
			<option label="Pay In Full" value="pay-in-full">Pay In Full</option>&#13;
			<option label="Deposit + Payment Plan" value="deposit-payment-plan" selected="selected">Deposit + Payment Plan</option>&#13;
		</field>&#13;
		<field type="text" label="Are you celebrating a special occasion?" name="are-you-celebrating-a-special-occasion" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Are there any health or physical ability concerns we should know about?" name="are-there-any-health-or-physical-ability-concerns-we-should-know-about" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" 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="paragraph" subtype="p" label="Thank you for choosing Journey with Jeffries to help bring your travel dreams to life! We&#39;re committed to securing the best prices from our wide range of suppliers for you. Once you&#39;ve submitted your Inquiry Form, I will be in touch with you within 3 business days.&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>