Share your information with STEPHANIE ROBLES

STEPHANIE ROBLES

STEPHANIE ROBLES TRAVELS LLC

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		<field type="header" subtype="h1" label="CLIENT INFORMATION"/>&#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 Address:" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR TRIP"/>&#13;
		<field type="text" required="true" label="Where would you like to go? if unsure do you have an idea of climate/country/island?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?&amp;nbsp;" name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many travelers?" name="who-all-will-be-traveling-with-you-please-list-all-full-names-including-middle-and-birthdates-as-listed-on-passport" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What are you willing to invest in this trip (not including air)?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later" other="true">&#13;
			<option label="$25,000+" value="25000">$25,000+</option>&#13;
			<option label="$15,000 - $25,000 " value="15000-25000-">$15,000 - $25,000 </option>&#13;
			<option label="$10,000 - $15,000 (Min. International Budget Per week]" value="10000-15000-min-international-budget-per-week">$10,000 - $15,000 (Min. International Budget Per week]</option>&#13;
			<option label="$7,000 - $10,000 " value="7000-10000-">$7,000 - $10,000 </option>&#13;
			<option label="Whatever it takes to create the experience we are looking for!" value="whatever-it-takes-to-create-the-experience-we-are-looking-for">Whatever it takes to create the experience we are looking for!</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your desired accommodation style?" name="what-best-describes-your-desired-accommodation-style">&#13;
			<option label="Centrally located  &amp; functional" value="centrally-located-functional">Centrally located  &amp; functional</option>&#13;
			<option label="Luxury &amp; exclusive" value="luxury-exclusive">Luxury &amp; exclusive</option>&#13;
			<option label="Boutique &amp; charming" value="boutique-charming">Boutique &amp; charming</option>&#13;
			<option label="Large All-Inclusive Resort" value="large-allinclusive-resort">Large All-Inclusive Resort</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What travel components would you like us to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply" other="true">&#13;
			<option label="Hotels or Resorts" value="hotels-or-resorts">Hotels or Resorts</option>&#13;
			<option label="Transportation (transfers, rental car, train, etc)" value="transportation-transfers-rental-car-train-etc">Transportation (transfers, rental car, train, etc)</option>&#13;
			<option label="Excursions &amp; Tours" value="excursions-tours">Excursions &amp; Tours</option>&#13;
			<option label="Insurance" value="insurance">Insurance</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="check all that apply" name="what-options-best-describe-your-travel-priorities-checkbox-group">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest &amp; relaxation" value="rest-relaxation">Rest &amp; relaxation</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Food &amp; wine" value="food-wine">Food &amp; wine</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Do you have passports and are they up to date? Please Note: Many countries require 6 months past the date of expiration to enter their country." name="do-you-have-passports-and-are-they-up-to-date-please-note-many-countries-require-6-months-past-the-date-of-expiration-to-enter-their-country">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Tell us about your family or group! Who’s invited on this adventure? How old are they? Any special needs or mobility issues we should be aware of? Any special requests? *" name="tell-us-about-your-family-or-group-whos-invited-on-this-adventure-how-old-are-they-any-special-needs-or-mobility-issues-we-should-be-aware-of-any-special-requests-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What is your accommodation style and needs? Will you be traveling with small children, do you prefer a suite with a sofa bed or two connecting rooms, do you prefer King or Queen beds etc.&amp;nbsp;" description="What else would you like me to know about your travel preferences and/or budget." placeholder="Ex: 1) We prefer a suite with a King bed and a sofa bed for our two children (ages 9 and 7) 2.) We prefer an all inclusive luxury property with a plunge pool and a king bed. 3.) We prefer a villa with 3 bedrooms (at least one King) and a private pool." name="what-is-your-accommodation-style-and-needs-will-you-be-traveling-with-small-children-do-you-prefer-a-suite-with-a-sofa-bed-or-two-connecting-rooms-do-you-prefer-king-or-queen-beds-etc-" className="form-control"/>&#13;
		<field type="text" label="Who can I thank for referring you to us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to be subscribed to our company newsletter?&amp;nbsp;" name="would-you-like-to-be-subscribed-to-our-newsletter-and-travel-updates" className="form-control">&#13;
			<option label="Yes- sign me up!" value="yes-sign-me-up">Yes- sign me up!</option>&#13;
			<option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="LET&#39;S REVIEW THE FINE PRINT"/>&#13;
		<field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal will come as one packaged rate and itemized pricing will not be available?" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundled-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-creates-a-seamless-and-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-will-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available">&#13;
			<option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email or scheduled phone calls. This approach provides you with the best level of service while ensuring that no important information is overlooked. We strongly discourage questions via text message in order to maintain accuracy and clarity while we plan your trip. In advance of your departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts are of course available to you for any in-travel emergencies that arise." name="please-understand-that-while-planning-your-trip-we-will-primarily-be-in-contact-via-email-or-scheduled-phone-calls-this-approach-provides-you-with-the-best-level-of-service-while-ensuring-that-no-important-information-is-overlooked-we-strongly-discourage-questions-via-text-message-in-order-to-maintain-accuracy-and-clarity-while-we-plan-your-trip-in-advance-of-your-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-are-of-course-available-to-you-for-any-intravel-emergencies-that-arise">&#13;
			<option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please be aware that there may be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we&#39;ll discuss your travel goals and provide you with a detailed understanding of any associated fees based upon the unique aspects and complexities of your trip request." name="please-be-aware-that-there-may-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-well-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-upon-the-unique-aspects-and-complexities-of-your-trip-request">&#13;
			<option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option>&#13;
		</field>&#13;
	</fields>&#13;
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