Share your information with Lindsay Deevy

Lindsay Deevy

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Contact Details"/>&#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="text" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Address&amp;nbsp; Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Want to connect on Instagram? Share your IG handle! You can find me @travelbylindsay" name="want-to-connect-on-instagram-share-your-ig-handle-you-can-find-me-travelbylindsay" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="text" label="Are you celebrating something special? If so, what?" name="are-you-celebrating-something-special-if-so-what" subtype="text" className="form-control"/>&#13;
		<field type="text" 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: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" 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" 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" 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" label="How many travelers?&amp;nbsp; Please list ages of any children." description="Ex: family of 6 with kids ages 3  6  8  and 10." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers not including flights?" description="This just gives me a general starting point.  If hotel only  please select &quot;other&quot; and enter  $$/night." name="budget" other="true">&#13;
			<option label="$7,000 to $10,000" value="7000-to-10000">$7,000 to $10,000</option>&#13;
			<option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option>&#13;
			<option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option>&#13;
			<option label="$20,000 to $30,000" value="20000-to-30000">$20,000 to $30,000</option>&#13;
			<option label="$30,000+" value="30000">$30,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need assistance with flights?" name="radio-group-1684434587240">&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your accomodation preference?" name="hotel-preference" other="true">&#13;
			<option label="Premium (4*)" value="premium-4">Premium (4*)</option>&#13;
			<option label="Luxury (5*)" value="luxury-5">Luxury (5*)</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Villa or private home" value="villa-or-private-home">Villa or private home</option>&#13;
			<option label="Recognized brand (Four Seasons, Rosewood, Aman, Marriott brands, etc)" value="recognized-brand-four-seasons-rosewood-aman-marriott-brands-etc">Recognized brand (Four Seasons, Rosewood, Aman, Marriott brands, etc)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="While we are able to access a wide range of private hotels, villas, and homes, Houlahan Travel is not able to assist with bookings that involve Airbnb and VRBO." name="while-we-are-able-to-access-a-wide-range-of-private-hotels-villas-and-homes-houlahan-travel-is-not-able-to-assist-with-bookings-that-involve-airbnb-and-vrbo">&#13;
			<option label="I understand and agree" value="i-understand-and-agree">I understand and agree</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please note Houlahan Travel is not able to assist with bookings that involve using points or miles (hotels, air, etc.).&amp;nbsp;&amp;nbsp;" name="please-note-houlahan-travel-is-not-able-to-assist-with-bookings-that-involve-using-points-or-miles-hotels-air-etc-">&#13;
			<option label="I understand and agree" value="i-understand-and-agree">I understand and agree</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What type of travel are you interested in?" name="what-type-of-travel-are-you-interested-in" other="true">&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Customized Itinerary" value="customized-itinerary">Customized Itinerary</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Safari" value="safari">Safari</option>&#13;
			<option label="All-inclusive" value="allinclusive">All-inclusive</option>&#13;
			<option label="Golf Trip" value="golf-trip">Golf Trip</option>&#13;
			<option label="Sports Event (Masters, Super Bowl, etc.)" value="sports-event-masters-super-bowl-etc">Sports Event (Masters, Super Bowl, etc.)</option>&#13;
			<option label="Solo Travel" value="solo-travel">Solo Travel</option>&#13;
			<option label="Group Travel" value="group-travel">Group Travel</option>&#13;
			<option label="Corporate Trip" value="corporate-trip">Corporate Trip</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." 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-wine">Food and wine</option>&#13;
			<option label="Active" value="active">Active</option>&#13;
			<option label="Connect with nature" value="connect-with-nature">Connect with nature</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and watersports" value="beach-and-watersports">Beach and watersports</option>&#13;
			<option label="Outdoor adventure activities" value="outdoor-adventure-activities">Outdoor adventure activities</option>&#13;
			<option label="Arts and theater" value="arts-and-theater">Arts and theater</option>&#13;
			<option label="Museums" value="museums">Museums</option>&#13;
			<option label="Local food &amp; wine experiences" value="local-food-wine-experiences">Local food &amp; wine experiences</option>&#13;
			<option label="Wellness" value="wellness">Wellness</option>&#13;
			<option label="Sports Tourism (either to play or watch)" value="sports-tourism-either-to-play-or-watch">Sports Tourism (either to play or watch)</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Wildlife" value="wildlife">Wildlife</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="text" label="Is there anywhere (hotel or destination) you have visited that has set your ideal standards for your future travels?" name="is-there-anywhere-hotel-or-destination-you-have-visited-that-has-set-your-ideal-standards-for-your-future-travels" subtype="text" 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="radio-group" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="Referral/WOM" value="referralwom">Referral/WOM</option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
			<option label="Google/Web search" value="googleweb-search">Google/Web search</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="At Houlahan Travel, we charge a non-refundable trip planning fee for our services and itinerary planning.&amp;nbsp; Simple hotel only bookings are complimentary and we are happy to extend our preferred partner amenities to you.&amp;nbsp; In this case, hotel concierge can assist with transfers, dining, activities, etc.&amp;nbsp;&amp;nbsp;" name="at-houlahan-travel-we-charge-a-nonrefundable-trip-planning-fee-for-our-services-and-itinerary-planning-simple-hotel-only-bookings-are-complimentary-and-we-are-happy-to-extend-our-preferred-partner-amenities-to-you-in-this-case-hotel-concierge-can-assist-with-transfers-dining-activities-etc-">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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