Share your information with Alison Hensel

Alison Hensel

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Client Information"/>&#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="select" required="true" label="How would you like to be contacted?" name="how-would-you-like-to-be-contacted" className="form-control">&#13;
			<option label="" value="" selected="selected"/>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</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="text" label="Are your dates flexible?" name="are-your-dates-flexible" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book" other="true">&#13;
			<option label="Within the next 7-10 days" value="within-the-next-710-days">Within the next 7-10 days</option>&#13;
			<option label="In a month" value="in-a-month">In a month</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</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="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Age of travelers?" name="age-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler Information" description="Full names as listed on travel documents" placeholder="Full names as listed on travel documents" name="traveler-information" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget in total?" description="This just gives me a general starting point and can always be changed later." name="radio-group-1752169098138">&#13;
			<option label="Under $5k" value="under-5k">Under $5k</option>&#13;
			<option label="$5-10K" value="5-10">$5-10K</option>&#13;
			<option label="$10-15K" value="10-15">$10-15K</option>&#13;
			<option label="$15-20K" value="15-20">$15-20K</option>&#13;
			<option label="$20k+" value="20">$20k+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference" other="true">&#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="Please give me a small description of what your vacation desires and goals are:" name="please-give-me-a-small-description-of-what-your-vacation-desires-and-goals-are" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="text-1752169198070" 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="text" label="Who referred you?" name="who-referred-you" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="By checking &quot;Yes&quot; below, I acknowledge I am not working with another Travel Advisor. I acknowledge that all quotes are subject to change pricing at any time and no quote is set until your vacation is booked and there is a confirmation number. It is highly recommended to add travel insurance to all vacation packages." name="by-checking-yes-below-i-acknowledge-i-am-not-working-with-another-travel-advisor-i-acknowledge-that-all-quotes-are-subject-to-change-pricing-at-any-time-and-no-quote-is-set-until-your-vacation-is-booked-and-there-is-a-confirmation-number-it-is-highly-recommended-to-add-travel-insurance-to-all-vacation-packages">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="By submitting this form, you are allowing Alison Hensel, travel agent with Travelmation, to contact you. Please be mindful &amp;amp; respectful of my services by not taking quotes and booking directly with a vendor. I work very hard to curate the perfect trip for my clients and I am beyond thankful you are here supporting my small business. Thank you for the opportunity to service your upcoming travels!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>