Marcela Bell

Travelmation

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	<fields>&#13;
		<field type="header" subtype="h1" label="New Trip Request&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for considering me to help plan your upcoming trip!&amp;nbsp; My goal is to make your travel planning smooth, stress-free, and tailored to your needs for an unforgettable experience!&amp;nbsp; Best of all, my services are complimentary to you, as I am paid by the vendors once your travel is complete."/>&#13;
		<field type="header" subtype="h1" label="Lead Guest 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" label="Suffix" name="suffix" 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="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="text" required="true" label="How many Adults (18+) will be traveling?" name="how-many-adults-18-will-be-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many kids (17 and under) and their ages? *Please include ages at the time of travel for accurate pricing.&amp;nbsp;" name="how-many-kids-17-and-under-and-their-ages-please-include-ages-at-the-time-of-travel-for-accurate-pricing" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you are not sure  just give me a few destinations you are considering." placeholder="e.g. Disney World     Tahiti    cruise" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When would you like to travel?" name="when-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your estimated budget for all travelers ?&amp;nbsp;" description="This just gives me general starting point. It can always be changed later." name="what-is-your-budget-for-all-travelers-excluding-any-flights-transportation-">&#13;
			<option label="$2,000 - $3,000" value="2000-3000">$2,000 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $8,000" value="5000-8000">$5,000 - $8,000</option>&#13;
			<option label="$8,000 - $12,000" value="8000-12000">$8,000 - $12,000</option>&#13;
			<option label="$12,000 - $15,000" value="12000-15000">$12,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
			<option label="Group Contract" value="group-contract">Group Contract</option>&#13;
			<option label="I'm not sure. Let's discuss!" value="im-not-sure-lets-discuss">I'm not sure. Let's discuss!</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="checkbox-group" required="true" label="What describes your hotel preference?" name="what-describes-your-hotel-preference">&#13;
			<option label="Value/Economy" value="valueeconomy">Value/Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="other" value="other">other</option>&#13;
		</field>&#13;
		<field type="text" label="Any celebrations for this trip?&amp;nbsp;" placeholder="birthday   honeymoon   graduation   anniversary etc." name="any-celebrations-for-this-trip-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is this a group trip?&amp;nbsp;" placeholder="corporate   school   wedding etc." name="is-this-a-group-trip-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Dietary restrictions/medical or accessibility restrictions?" name="what-else-would-you-like-me-to-know-dietary-restrictionsmedical-or-accessibility-restrictions" className="form-control"/>&#13;
		<field type="textarea" label="What can I do to make this the BEST vacation for your family?" name="what-can-i-do-to-make-this-the-best-vacation-for-your-family" className="form-control"/>&#13;
		<field type="text" label="Who can I thank for referring you?&amp;nbsp;" name="if-a-friend-referred-you-who-can-i-thank" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="If I am traveling internationally, I understand that passports must be valid for 6 months AFTER my planned arrival back to the United States. I may be denied travel if my passport expires within this time frame. Upon booking, I agree to these terms, and will be responsible for all costs associated with passport issues if they do arise.&amp;nbsp;" name="if-i-am-traveling-internationally-i-understand-that-if-i-do-not-have-a-valid-passport-at-the-time-of-booking-i-am-booking-at-my-own-risk-and-know-that-it-could-result-in-loss-of-trip-expenses-passports-should-be-valid-for-6-months-post-travel">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I understand that quotes are based on availability and are subject to change and prices are not guaranteed until a deposit is received and the package is confirmed. Submission of this form allows Marcela Bell to contact me by email or phone. I agree that all information provided on this form is accurate." name="i-understand-that-marcela-is-not-compensated-for-her-time-until-i-complete-my-travels-on-a-booking-executed-by-her">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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