Share your information with Amanda Pointer

Amanda Pointer

ZackRaymond Travel Group

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for reaching out to us! &amp;nbsp;If you are ready to book, please complete this Inquiry Form and the office will get back with you within 3 - 4 business days."/>&#13;
		<field type="header" subtype="h2" label="Inquiry Form"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" 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="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="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is the occasion?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="text-1758841428179" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list the ages of all children attending(if any)." name="text-1723068572565" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="" value=""/>&#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;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Adults Only All Inclusive" value="adults-only-all-inclusive">Adults Only All Inclusive</option>&#13;
			<option label="All- Inclusive(Family Friendly)" value="all-inclusivefamily-friendly">All- Inclusive(Family Friendly)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What best describes your airline preference?" name="what-best-describes-your-airline-preference" other="true">&#13;
			<option label="United" value="united">United</option>&#13;
			<option label="Delta" value="delta">Delta</option>&#13;
			<option label="American Airlines" value="american-airlines">American Airlines</option>&#13;
			<option label="Southwest" value="southwest">Southwest</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#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="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</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 " value="beach-">Beach </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;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Travel Insurance" inline="true" name="travel-insurance">&#13;
			<option label="Yes, Add Insurance to the Package" value="yes-add-insurance-to-the-package">Yes, Add Insurance to the Package</option>&#13;
			<option label="I Decline Insurance and will sign Waiver" value="i-decline-insurance-and-will-sign-waiver">I Decline Insurance and will sign Waiver</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="text-1723068707349" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768340952146" next="Next" previous="Previous"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>