Share your information with Brooke Weeks

Brooke Weeks

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Plan Your Trip!"/>&#13;
		<field type="paragraph" subtype="p" label="To get started, I will need some basic information on the trip that we will be planning. Once you submit this form I will reach out to you asap.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Contact Info"/>&#13;
		<field type="paragraph" subtype="p" label="This section is for the person that will be handling the communication for trip planning."/>&#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="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="Travel Party Info"/>&#13;
		<field type="paragraph" subtype="p" label="If you would like to add someone other than yourself as the lead guest please leave their name and email below."/>&#13;
		<field type="text" label="Lead Guest Name" description="If you would like to add someone other than yourself as the lead guest please leave their name and email below." name="lead-guest-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Full names and ages of travelers at TIME OF TRAVEL" description="Ex. Apple Longbottom 35  Banana Longbottom 34  Blueberry Longbottom 13, Strawberry Longbottom 7, Raspberry Longbottom 6 months." name="ages-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Info"/>&#13;
		<field type="date" required="true" 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" required="true" 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="radio-group" required="true" label="How soon would you like to book?" name="how-soon-would-you-like-to-book">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Within the week" value="within-the-week">Within the week</option>&#13;
			<option label="Within a couple months" value="within-a-couple-months">Within a couple months</option>&#13;
			<option label="Just considering my options" value="just-considering-my-options">Just considering my options</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Which describes where you are in planning to travel?" name="which-describes-where-you-are-in-planning" other="true">&#13;
			<option label="I'm not sure about anything" value="im-not-sure-about-anything">I'm not sure about anything</option>&#13;
			<option label="I've researched the destination and need some options" value="ive-researched-the-destination-and-need-some-options">I've researched the destination and need some options</option>&#13;
			<option label="We've already booked our flights! Help me figure out where to stay!" value="weve-already-booked-our-flights-help-me-figure-out-where-to-stay">We've already booked our flights! Help me figure out where to stay!</option>&#13;
			<option label="I'm pretty sure I know what I want, but I want to book with you." value="im-pretty-sure-i-know-what-i-want-but-i-want-to-book-with-you">I'm pretty sure I know what I want, but I want to book with you.</option>&#13;
			<option label="I know where I want to go, but I need you to help me to decide when." value="i-know-where-i-want-to-go-but-i-need-you-to-help-me-to-decide-when">I know where I want to go, but I need you to help me to decide when.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Which kind of trip are you interested in booking?" name="which-kind-of-trip-are-you-interested-in-booking">&#13;
			<option label="Walt Disney World (Florida)" value="walt-disney-world-florida">Walt Disney World (Florida)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Universal Studios Orlando/Hollywood" value="universal-studios-orlandohollywood">Universal Studios Orlando/Hollywood</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Group Function (School, Incentive, Church etc)" value="group-function-school-incentive-church-etc">Group Function (School, Incentive, Church etc)</option>&#13;
			<option label="Business" value="business">Business</option>&#13;
			<option label="Not sure/ Other" value="not-sure-other">Not sure/ Other</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="If traveling internationally, do you have a current passport?" name="if-traveling-internationally-do-you-have-a-current-passport" className="form-control">&#13;
			<option label="Yes!" value="yes" selected="selected">Yes!</option>&#13;
			<option label="Not yet, but working on it." value="not-yet-but-working-on-it">Not yet, but working on it.</option>&#13;
			<option label="Not yet. Can you help me with that?" value="not-yet-can-you-help-me-with-that">Not yet. Can you help me with that?</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total trip budget?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">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="textarea" label="What else can you tell me about your trip?" description="Is there anything else that would help me plan an amazing trip for you?" name="what-else-can-you-tell-me-about-your-trip" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="When is the best time to follow up with you?&amp;nbsp;" name="when-is-the-best-time-to-follow-up-with-you-">&#13;
			<option label="Anytime" value="anytime">Anytime</option>&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Weekends" value="weekends">Weekends</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Please Read!"/>&#13;
		<field type="text" required="true" label="The best compliment you can give is a referral! Where did you hear about me?" name="did-someone-refer-you-if-so-whom-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you currently working with another travel agent?" name="are-you-currently-working-with-another-travel-agent">&#13;
			<option label="Nope!" value="nope">Nope!</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I am only able to help you at no cost if you book through me. If at any point you decide to book on your own or use another travel agent, I ask that you let me know immediately, as I will not get paid if you do this." name="i-am-only-able-to-help-you-at-no-cost-if-you-book-through-me-if-at-any-point-you-decide-to-book-on-your-own-or-use-another-travel-agent-i-ask-that-you-let-me-know-immediately-as-i-will-not-get-paid-if-you-do-this">&#13;
			<option label="I understand!" value="i-understand">I understand!</option>&#13;
			<option label="I need more clarification on this." value="i-need-more-clarification-on-this">I need more clarification on this.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>