Share your information with Claudette Hatcher

Claudette Hatcher

Claudette Travels

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information - One Form per Guest"/>&#13;
		<field type="text" required="true" label="Trip name" name="trip-name" 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" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Cell phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Street Address" name="address-line-1" 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="header" subtype="h2" label="Traveler Info"/>&#13;
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="select" label="Which Meetup or Facebook group did you find this event?" name="which-meetup-or-facebook-group-did-you-find-this-event" className="form-control">&#13;
			<option label="Eastside Social Club" value="eastside-social-club">Eastside Social Club</option>&#13;
			<option label="Seattle Social and Getaways" value="seattle-social-and-getaways">Seattle Social and Getaways</option>&#13;
			<option label="Diva's Motorcycle Rides" value="divas-motorcycle-rides">Diva's Motorcycle Rides</option>&#13;
			<option label="Seattle Riders" value="seattle-riders">Seattle Riders</option>&#13;
			<option label="Lady Riders of Western WA" value="lady-riders-of-western-wa">Lady Riders of Western WA</option>&#13;
			<option label="Seattle Solo Travelers" value="seattle-solo-travelers">Seattle Solo Travelers</option>&#13;
			<option label="Bon Voyage" value="bon-voyage">Bon Voyage</option>&#13;
			<option label="Boeing" value="boeing">Boeing</option>&#13;
			<option label="Aerospace" value="aerospace">Aerospace</option>&#13;
			<option label="Claudette Travels" value="claudette-travels">Claudette Travels</option>&#13;
			<option label="Other meetup group" value="other-meetup-group">Other meetup group</option>&#13;
			<option label="Other Facebook group" value="other-facebook-group">Other Facebook group</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel insurance"/>&#13;
		<field type="checkbox-group" required="true" label="Would you like to get a quote for travel insurance?" inline="true" name="would-you-like-to-get-a-quote-for-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" description="This should be someone who is not traveling with you." name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Traveler Requests&amp;nbsp;"/>&#13;
		<field type="text" label="Name of travel companion(s)" description="If you have a someone you&#39;d like to sit with. They must also fill out a booking form" name="name-of-roommates" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="&amp;nbsp;Any additional notes or requests --" name="-any-additional-notes-for-your-travel-advisor-" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="*** If using Zelle to make your payment - send to Claudette Hatcher - Claudette@ClaudetteTravels.com, 206-486-2478. ***&amp;nbsp; (See info at https://https/www.zellepay.com/)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="By submitting this form you&#39;re engaging Claudette Hatcher&#39;s services as your travel agent/advisor who will be doing research on your behalf. Submitting this form acts as an agreement that you will not use the info shared by your travel agent to book the travel with another agent or on your own. You also agree to be included in future emails from Claudette Travels. You&#39;re welcome to opt out at any time. Thank you. "/>&#13;
		<field type="paragraph" subtype="p" label="Claudette Hatcher ☎️ 206.486.2478 📧 Claudette@ClaudetteTravels.com                                   🌐 https://www.ClaudetteTravels.com"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>