Share your information with La Tasha Reed

La Tasha Reed

Elevated Heights Travel, LLC

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		<field type="header" subtype="h2" label="At Elevated Heights Travel, our goal is to make your travel planning experience seamless, personalized, and inspiring. We’re happy to collaborate with you during the quoting process and, when available, will present a minimum of three thoughtfully curated options to consider. Because each travel inquiry involves dedicated research and care, we do charge a non-refundable planning fee. Once your final trip selection is confirmed, that fee will be applied toward your overall travel cost—so it’s truly an investment in your journey."/>&#13;
		<field type="checkbox-group" label="I have read the planning fee clause above. Please indicate the box below that you acknowledge and agree to the planning fee of $100. This fee will be added back onto the trip once the client has made final trip decision.&amp;nbsp;" name="i-have-read-the-planning-fee-clause-above-please-indicate-the-box-below-that-you-acknowledge-and-agree-to-the-planning-fee-of-100-this-fee-will-be-added-back-onto-the-trip-once-the-client-has-made-final-trip-decision-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="date" label="Date Field" name="date-1758130910420" 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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults will be traveling?" name="how-many-adults-will-be-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="If applicable, how many kids will be traveling and what are there ages?" name="if-applicable-how-many-kids-will-be-traveling-and-what-are-there-ages" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="No">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Hotel preference (Check all that apply)." name="hotel-preference-check-all-that-apply">&#13;
			<option label="3-Star" value="3star">3-Star</option>&#13;
			<option label="4-Star" value="4star">4-Star</option>&#13;
			<option label="5-Star" value="5star">5-Star</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Vibe preferences" name="vibe-preference">&#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;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
			<option label="Group" value="group">Group</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" 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="Scuba" value="scuba">Scuba</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 theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Education &amp; Cultural experience" value="education-cultural-experience">Education &amp; Cultural experience</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your budget?" name="what-is-your-budget">&#13;
			<option label="Under $1499" value="under-1499">Under $1499</option>&#13;
			<option label="$1500 - $2499" value="1500-2499">$1500 - $2499</option>&#13;
			<option label="$2500 - $4999" value="2500-4999">$2500 - $4999</option>&#13;
			<option label="$5000 -$7500" value="5000-7500">$5000 -$7500</option>&#13;
			<option label="Over $7500" value="over-7500">Over $7500</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Which items do you want quoted?" name="which-items-do-you-want-quoted">&#13;
			<option label="Hotel only" value="hotel-only">Hotel only</option>&#13;
			<option label="Flight only" value="flight-only">Flight only</option>&#13;
			<option label="Hotel &amp; Flight" value="hotel-flight">Hotel &amp; Flight</option>&#13;
			<option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option>&#13;
			<option label="River cruise" value="river-cruise">River cruise</option>&#13;
			<option label="Travel Protection" value="travel-protection">Travel Protection</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any special requests (i.e. ADA, Dietary needs etc.)" name="any-special-requests-ie-ada-dietary-needs-etc" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Things happens and it is important to consider protecting your investment. Would you like us to quote travel protection?" name="checkbox-group-1758131547399">&#13;
			<option label="Yes, I would like Elevated Heights Travel, LLC to quote travel insurance for me" value="yes-i-would-like-elevated-heights-travel-llc-to-quote-travel-insurance-for-me">Yes, I would like Elevated Heights Travel, LLC to quote travel insurance for me</option>&#13;
			<option label="I decline travel protection quote from Elevated Heights Travel, LLC" value="i-decline-travel-protection-quote-from-elevated-heights-travel-llc">I decline travel protection quote from Elevated Heights Travel, LLC</option>&#13;
		</field>&#13;
	</fields>&#13;
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