Share your information with Mandy Scherer

Mandy Scherer

Away Awaits, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Client Travel Quote Request Form"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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="Preferred name" name="preferred-name" 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="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="radio-group" label="How do you prefer to be contacted? " name="how-do-you-prefer-to-be-contacted-">&#13;
			<option label="Phone call" value="phone-call">Phone call</option>&#13;
			<option label="Text " value="text-">Text </option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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="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="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Tell me about your preferred length of the trip and any date flexibility" name="tell-me-about-your-preferred-length-of-the-trip-and-any-date-flexibility" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of arrangements would like?" description="Select all that apply" name="what-type-of-arrangements-would-like">&#13;
			<option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option>&#13;
			<option label="Family Friendly All-Inclusive Resort" value="family-friendly-allinclusive-resort">Family Friendly All-Inclusive Resort</option>&#13;
			<option label="Adults-Only All-Inclusive Hotel/Resort" value="">Adults-Only All-Inclusive Hotel/Resort</option>&#13;
			<option label="Vacation Home Rental" value="vacation-home-rental">Vacation Home Rental</option>&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
			<option label="Aiport transfers" value="aiport-transfers">Aiport transfers</option>&#13;
			<option label="Excursions/Tours/Activities" value="excursionstoursactivities">Excursions/Tours/Activities</option>&#13;
			<option label="Travel Protection/Insurance" value="travel-protectioninsurance">Travel Protection/Insurance</option>&#13;
		</field>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list the age (or birthdates) of each traveler at the time of travel." name="please-list-the-age-or-birthdates-of-each-traveler-at-the-time-of-travel" className="form-control"/>&#13;
		<field type="text" label="What is your total budget for all travelers?" name="what-is-your-total-budget-for-all-travelers" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="HOTEL/RESORT INFORMATION"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference">&#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="checkbox-group" label="Select your preferred room view." name="select-your-preferred-room-view">&#13;
			<option label="Standard/Garden" value="standardgarden">Standard/Garden</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean Front" value="ocean-front">Ocean Front</option>&#13;
			<option label="Swim-Up" value="swimup">Swim-Up</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your room preference?" name="what-is-your-room-preference">&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="2 Queen Beds" value="2-queen-beds">2 Queen Beds</option>&#13;
			<option label="Suite (1 King + Pullout Sofa)" value="suite-1-king-pullout-sofa">Suite (1 King + Pullout Sofa)</option>&#13;
			<option label="Suite (2 Queens + Pullout Sofa)" value="suite-2-queens-pullout-sofa">Suite (2 Queens + Pullout Sofa)</option>&#13;
			<option label="2 Bedrooms" value="2-bedrooms">2 Bedrooms</option>&#13;
		</field>&#13;
		<field type="checkbox-group" 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="Social &amp; Party" value="social-party">Social &amp; Party</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Culinary Experiences" value="culinary-experiences">Culinary Experiences</option>&#13;
			<option label="Historical &amp; Cultural" value="historical-cultural">Historical &amp; Cultural</option>&#13;
			<option label="Scheduled Itinerary" value="scheduled-itinerary">Scheduled Itinerary</option>&#13;
			<option label="Health &amp; Wellness" value="health-wellness">Health &amp; Wellness</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="FLIGHT INFORMATION"/>&#13;
		<field type="checkbox-group" label="Do you have a preferred airline?" name="do-you-have-a-preferred-airline" other="true">&#13;
			<option label="Southwest" value="southwest">Southwest</option>&#13;
			<option label="Delta" value="delta">Delta</option>&#13;
			<option label="American" value="american">American</option>&#13;
			<option label="Frontier" value="frontier">Frontier</option>&#13;
			<option label="Allegiant" value="allegiant">Allegiant</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you prefer non-stop flights, if available?" name="do-you-prefer-nonstop-flights-if-available">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Whatever is cheaper" value="whatever-is-cheaper">Whatever is cheaper</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="header" subtype="h1" label="RENTAL CAR"/>&#13;
		<field type="select" label="What type of vehicle do you prefer?" name="what-type-of-vehicle-do-you-prefer" className="form-control">&#13;
			<option label="NONE" value="none">NONE</option>&#13;
			<option label="Economy Car (Chevrolet Spark or similar)" value="economy-car-chevrolet-spark-or-similar">Economy Car (Chevrolet Spark or similar)</option>&#13;
			<option label="Small Sedan (Ford Focus or similar)" value="small-sedan-ford-focus-or-similar">Small Sedan (Ford Focus or similar)</option>&#13;
			<option label="Large Sedan (Chevrolet Malibu or similar)" value="large-sedan-chevrolet-malibu-or-similar">Large Sedan (Chevrolet Malibu or similar)</option>&#13;
			<option label="Standard Sedan (VW Jetta or similar)" value="standard-sedan-vw-jetta-or-similar">Standard Sedan (VW Jetta or similar)</option>&#13;
			<option label="Medium Sedan (Mazda 3 or similar)" value="medium-sedan-mazda-3-or-similar">Medium Sedan (Mazda 3 or similar)</option>&#13;
			<option label="Medium Truck (Dodge Ram 1500 or similar)" value="medium-truck-dodge-ram-1500-or-similar">Medium Truck (Dodge Ram 1500 or similar)</option>&#13;
			<option label="Large Premium Sedan (Nissan Maxima or similar)" value="large-premium-sedan-nissan-maxima-or-similar">Large Premium Sedan (Nissan Maxima or similar)</option>&#13;
			<option label="Small SUV (Nissan Kicks or similar)" value="small-suv-nissan-kicks-or-similar">Small SUV (Nissan Kicks or similar)</option>&#13;
			<option label="Minivan (Chrysler Pacificia or similar)" value="minivan-chrysler-pacificia-or-similar">Minivan (Chrysler Pacificia or similar)</option>&#13;
			<option label="Midsize SUV (Nissan Rouge or similar)" value="midsize-suv-nissan-rouge-or-similar">Midsize SUV (Nissan Rouge or similar)</option>&#13;
			<option label="Standard 5 Passenger SUV (Chevy Equinox or similar)" value="standard-5-passenger-suv-chevy-equinox-or-similar">Standard 5 Passenger SUV (Chevy Equinox or similar)</option>&#13;
			<option label="Large SUV (GMC Yukon or similar)" value="large-suv-gmc-yukon-or-similar">Large SUV (GMC Yukon or similar)</option>&#13;
			<option label="Extra Capacity Large SUV (Cherolet Suburban or similar)" value="extra-capacity-large-suv-cherolet-suburban-or-similar">Extra Capacity Large SUV (Cherolet Suburban or similar)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="EXCURSIONS/TOURS/ACTIVITIES"/>&#13;
		<field type="textarea" label="Tell me about anything you are interested in doing or seeing while on your trip." name="tell-me-about-anything-you-are-interested-in-doing-or-seeing-while-on-your-trip" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="SPECIAL CONSIDERATIONS"/>&#13;
		<field type="checkbox-group" label="Do you have any special needs that might affect your trip?" name="do-you-have-any-special-needs-that-might-affect-your-trip" other="true">&#13;
			<option label="Special Diet" value="special-diet">Special Diet</option>&#13;
			<option label="Allergies" value="allergies">Allergies</option>&#13;
			<option label="Physical Mobility" value="physical-mobility">Physical Mobility</option>&#13;
			<option label="Psychological (Anxiety, OCD, PTSD,  ect)" value="psychological-anxiety-ocd-ptsd-ect">Psychological (Anxiety, OCD, PTSD,  ect)</option>&#13;
			<option label="Pregnancy" value="pregnancy">Pregnancy</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please tell me more about any special needs you have so I can best service you and your trip." name="please-tell-me-more-about-any-special-needs-you-have-so-i-can-best-service-you-and-your-trip" 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;
	</fields>&#13;
</form-template>
  </body>
</html>