Share your information with Jessica Bisese

Jessica Bisese

Jessica Bisese - Travelmation LLC

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Surprise Trip Travel Planning Form:&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing to have your trip planned by me! Please fill out the information below to help me customize your dream vacation. 🌍✨"/>&#13;
		<field type="paragraph" subtype="p" label="1. Personal Information:"/>&#13;
		<field type="text" required="true" label="Full Name(s): Please list all travelers with their full names." name="full-names-please-list-all-travelers-with-their-full-names" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date(s) of Birth: Please provide the birthdate for each traveler." name="dates-of-birth-please-provide-the-birthdate-for-each-traveler" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do you have a passport?" name="do-you-have-a-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="2. Travel Details:"/>&#13;
		<field type="text" required="true" label="Who are you traveling with? Please list the names and relationships of all travelers (e.g., spouse, friend, family)." name="who-are-you-traveling-with-please-list-the-names-and-relationships-of-all-travelers-eg-spouse-friend-family" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What airport will you be flying out of? Please specify your departure airport." name="what-airport-will-you-be-flying-out-of-please-specify-your-departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates: What are your preferred travel dates?" name="travel-dates-what-are-your-preferred-travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="3. Travel Preferences:"/>&#13;
		<field type="checkbox-group" label="What type of destination are you interested in? (Choose all that apply)" name="what-type-of-destination-are-you-interested-in-choose-all-that-apply" other="true">&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Mountains" value="mountains">Mountains</option>&#13;
			<option label="City" value="city">City</option>&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Culture" value="culture">Culture</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference" other="true">&#13;
			<option label="City vide" value="city-vide">City vide</option>&#13;
			<option label="Villa, private " value="villa-private-">Villa, private </option>&#13;
			<option label="Luxury resort" value="luxury-resort">Luxury resort</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" 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="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" 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="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
			<option label="History" value="history">History</option>&#13;
			<option label="Food and Wine" value="food-and-wine">Food and Wine</option>&#13;
			<option label="See local highlights and get out and explore" value="see-local-highlights-and-get-out-and-explore">See local highlights and get out and explore</option>&#13;
			<option label="Immersed with locals" value="immersed-with-locals">Immersed with locals</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;4. Budget Requirements: Please note that the budget includes round-trip flights for all travelers.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Budget Range:$8 000 (for 2 people) minimum$10,000 (for 4 people) minimum"/>&#13;
		<field type="checkbox-group" label="Budget: Select your preferred range:" name="budget-select-your-preferred-range">&#13;
			<option label="$8,000 - $10,000" value="8000-10000">$8,000 - $10,000</option>&#13;
			<option label="$10,000 - $12,000" value="10000-12000">$10,000 - $12,000</option>&#13;
			<option label="$12,000 - $15,000" value="12000-15000">$12,000 - $15,000</option>&#13;
			<option label="$15,000 - $18,000" value="15000-18000">$15,000 - $18,000</option>&#13;
			<option label="$18,000 - $20,000" value="18000-20000">$18,000 - $20,000</option>&#13;
			<option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option>&#13;
			<option label="$30,000 and up" value="30000-and-up">$30,000 and up</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="5. Additional Information:"/>&#13;
		<field type="text" label="Is there anything else I should know about your trip? Please mention any specific preferences, special requests, or concerns." name="is-there-anything-else-i-should-know-about-your-trip-please-mention-any-specific-preferences-special-requests-or-concerns" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any allergies, fears, or &quot;DO NOT PLAN&quot; requests? Please list any health concerns, food preferences, or places you would prefer not to visit." name="any-allergies-fears-or-do-not-plan-requests-please-list-any-health-concerns-food-preferences-or-places-you-would-prefer-not-to-visit" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Once I have all this info I’ll get started on planning your amazing surprise trip! 🎉 Let’s make this vacation one to remember."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>