Share your information with Wrenn Coussens

Wrenn Coussens

JOYVENTURE Collective

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    <form-template>&#13;
	<fields>&#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" name="preferred-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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred method of contact&amp;nbsp;" description="I typically start with a phone conversation for getting initial details and then planning moving forward will use your preferred method of contact" name="preferred-method-of-contact-">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text " value="text-">Text </option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="select" label="What type of travel are you interested in...&amp;nbsp;" description="this is a general guideline I can help create whatever type of trip you would like!" name="what-type-of-travel-are-you-interested-in-" multiple="multiple" className="form-control">&#13;
			<option label="Custom Itinerary (overseas, city travel within the USA etc.)" value="custom-itinerary-overseas-city-travel-within-the-usa-etc">Custom Itinerary (overseas, city travel within the USA etc.)</option>&#13;
			<option label="Theme Park (Disney, Universal etc.)" value="theme-park-disney-universal-etc">Theme Park (Disney, Universal etc.)</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Vacation Rental " value="vacation-rental-">Vacation Rental </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have specific dates? Please list them.&amp;nbsp; If not, do you have a date range in mind?&amp;nbsp;" name="do-you-have-specific-dates-please-list-them-if-not-do-you-have-a-date-range-in-mind-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?&amp;nbsp;" description="if unsure of your party size please give a estimate" name="how-many-travelers-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Full names of additional travelers (for those under 18, please provide age at time of travel)" description="First Name  Last Name &amp;amp; age if under 18 years old" name="full-names-of-additional-travelers-for-those-under-18-please-provide-age-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="this is a general starting point  can be edited later in planning" name="what-is-your-budget-for-all-travelers">&#13;
			<option label="$1,500 - $3,000" value="1500-3000">$1,500 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option>&#13;
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>&#13;
			<option label="$10,000 - $12,500" value="10000-12500">$10,000 - $12,500</option>&#13;
			<option label="$12,500 - $15,000" value="12500-15000">$12,500 - $15,000</option>&#13;
			<option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option>&#13;
			<option label="$20,000 - $25,000" value="20000-25000">$20,000 - $25,000</option>&#13;
			<option label="$25,000 + " value="25000-">$25,000 + </option>&#13;
		</field>&#13;
		<field type="select" label="Are you traveling for a special occasion?" name="are-you-traveling-for-a-special-occasion" className="form-control">&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Retirement" value="retirement">Retirement</option>&#13;
			<option label="None" value="none">None</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know as we get started?&amp;nbsp;" description="what else would you like to share about your travel preferences  budget, fun thoughts etc." name="what-else-would-you-like-me-to-know-" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="My goal is to book an unforgettable, stress-free JOYVENTURE beyond your expectations. My planning services, knowledge, and organization of your travel come at no additional cost to you, as my commission is paid by the vendors. (Note: Please understand that a decision to book for yourself or with another travel agent means my personal time and effort will not be compensated.)"/>&#13;
		<field type="paragraph" subtype="p" label="Let&#39;s get planning your JOYVENTURE! I am so excited to help.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="output" label="Wrenn"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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