Share your information with Stephanie Chastain

Stephanie Chastain

Infinite Ireland Travel Co.

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for completing the Hotel-Only Inquiry Form. We&#39;re so excited to get to share our extra special hotel perks with you. Please complete one form for each hotel&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" 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 type="text" label="Preferred name" name="preferred-name" 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" required="true" label="Email" name="email" 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="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Traveler Information"/>&#13;
		<field type="textarea" label="Please list the name and the birthdates of each person who will be on the reservation.&amp;nbsp;" description="Example: Thomas Smith - 01/01/1968; Julia Smith - 05/01/1969; Heidi Smith - 05/25/2020" name="please-list-the-name-and-the-birthdates-of-each-person-who-will-be-on-the-reservation-" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Hotel Information"/>&#13;
		<field type="text" required="true" label="Preferred Hotel #1 Name" placeholder="If unsure, please list hotels you are considering." name="preferred-hotel-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Check In Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" label="Check Out Date" name="date-1731090734761" className="form-control"/>&#13;
		<field type="text" label="Preferred Hotel #2 Name" name="text-1731090722142" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Check In Date" name="date-1731090759243" className="form-control"/>&#13;
		<field type="date" label="Check Out Date" name="check-out-date" className="form-control"/>&#13;
		<field type="text" label="Preferred Hotel #3 Name" name="text-1731090756828" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Check In Date" name="date-1731090914611" className="form-control"/>&#13;
		<field type="date" label="Check Out Date" name="date-1731090765502" className="form-control"/>&#13;
		<field type="textarea" label="*If more hotels destinations are required, please list preferred hotel name and your check in/check out dates below" name="if-more-hotels-destinations-are-required-please-list-preferred-hotel-name-and-your-check-incheck-out-dates-below" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Room Preferences"/>&#13;
		<field type="radio-group" required="true" label="Please Select Your Preferred Room Category" name="please-select-your-preferred-room-category" other="true">&#13;
			<option label="Standard/Classic " value="standardclassic-">Standard/Classic </option>&#13;
			<option label="Superior" value="superior">Superior</option>&#13;
			<option label="Executive Level/Room with a View" value="executive-levelroom-with-a-view">Executive Level/Room with a View</option>&#13;
			<option label="Junior Suite" value="junior-suite">Junior Suite</option>&#13;
			<option label="Presidential Suite" value="presidential-suite">Presidential Suite</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="If you need multiple room categories, please select other and indicate multiple room categories.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Please Select Your Preferred Room Arrangement for Room 1" name="please-select-your-preferred-room-arrangement">&#13;
			<option label="King " value="king-">King </option>&#13;
			<option label="Twin (two single/twin beds)" value="twin-two-singletwin-beds">Twin (two single/twin beds)</option>&#13;
			<option label="Triple (double bed with single/twin bed)" value="triple-double-bed-with-singletwin-bed">Triple (double bed with single/twin bed)</option>&#13;
			<option label="Double Double (two double beds--may have occupancy age/limits; less common in Ireland)" value="double-double-two-double-bedsmay-have-occupancy-agelimits-less-common-in-ireland">Double Double (two double beds--may have occupancy age/limits; less common in Ireland)</option>&#13;
			<option label="Interconnecting Rooms (typically 4 guests max; less common in Ireland)" value="interconnecting-rooms-typically-4-guests-max-less-common-in-ireland">Interconnecting Rooms (typically 4 guests max; less common in Ireland)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Please Select Your Preferred Room Arrangement for Room 2" name="radio-group-1731088132493">&#13;
			<option label="King " value="king-">King </option>&#13;
			<option label="Twin (two single/twin beds)" value="twin-two-singletwin-beds">Twin (two single/twin beds)</option>&#13;
			<option label="Triple (double bed with single/twin bed)" value="triple-double-bed-with-singletwin-bed">Triple (double bed with single/twin bed)</option>&#13;
			<option label="Double Double (two double beds--may have occupancy age/limits; less common in Ireland)" value="double-double-two-double-bedsmay-have-occupancy-agelimits-less-common-in-ireland">Double Double (two double beds--may have occupancy age/limits; less common in Ireland)</option>&#13;
			<option label="Interconnecting Rooms (typically 4 guests max; less common in Ireland)" value="interconnecting-rooms-typically-4-guests-max-less-common-in-ireland">Interconnecting Rooms (typically 4 guests max; less common in Ireland)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Please Select Your Preferred Room Arrangement for Room 3" name="radio-group-1731088162371">&#13;
			<option label="King " value="king-">King </option>&#13;
			<option label="Twin (two single/twin beds)" value="twin-two-singletwin-beds">Twin (two single/twin beds)</option>&#13;
			<option label="Triple (double bed with single/twin bed)" value="triple-double-bed-with-singletwin-bed">Triple (double bed with single/twin bed)</option>&#13;
			<option label="Double Double (two double beds--may have occupancy age/limits; less common in Ireland)" value="double-double-two-double-bedsmay-have-occupancy-agelimits-less-common-in-ireland">Double Double (two double beds--may have occupancy age/limits; less common in Ireland)</option>&#13;
			<option label="Interconnecting Rooms (typically 4 guests max; less common in Ireland)" value="interconnecting-rooms-typically-4-guests-max-less-common-in-ireland">Interconnecting Rooms (typically 4 guests max; less common in Ireland)</option>&#13;
		</field>&#13;
		<field type="textarea" label="*If more rooms are required, please list your preferred room arrangement for all below." name="textarea-1731091201602" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Additional Information"/>&#13;
		<field type="text" label="Any celebrations or milestones that you&#39;re marking on this trip?" name="any-big-milestones-or-celebrations-that-you-would-like-to-celebrate-in-ireland" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any information that would be helpful when booking or important to pass on to hotels?" placeholder="i.e. ground floor room requests; mobility concerns   health concerns, food allergies, etc." name="do-you-have-any-medical-conditions-we-need-to-be-aware-of" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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