Share your information with Simone McFarlane-Tucker

Simone McFarlane-Tucker

Glamour Tag Consultation Services, LLC

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Company &amp;amp; Traveler Information&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Company Name:&amp;nbsp;" name="company-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary Contact Person:" description="(Full Name &amp;amp; Title)" name="primary-contact-person" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Business Email:&amp;nbsp;" name="business-email-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone Number:&amp;nbsp;" name="phone-number-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Travelers:&amp;nbsp;" name="number-of-travelers-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Traveler(s) Full Name(s) (as per ID/Passport):&amp;nbsp;" name="travelers-full-names-as-per-idpassport-" className="form-control"/>&#13;
		<field type="textarea" label="Department or Team (if applicable):&amp;nbsp;" name="department-or-team-if-applicable-" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details &amp;amp; Preferences&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Purpose of Travel:&amp;nbsp;" toggle="true" name="purpose-of-travel-" other="true">&#13;
			<option label="Business Meeting/Client Visit" value="business-meetingclient-visit">Business Meeting/Client Visit</option>&#13;
			<option label="Conference or Trade Show" value="conference-or-trade-show">Conference or Trade Show</option>&#13;
			<option label="Corporate Retreat" value="corporate-retreat">Corporate Retreat</option>&#13;
			<option label="Team Incentive Trip" value="team-incentive-trip">Team Incentive Trip</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Destination(s):" description="Where will the trip take place? (City/Country)" name="destinations" className="form-control"/>&#13;
		<field type="date" required="true" label="Travel Dates: DEPARTURE" name="travel-dates-departure" className="form-control"/>&#13;
		<field type="date" label="Travel Dates: RETURN" name="travel-dates-return" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred Flight Class:&amp;nbsp;" toggle="true" name="preferred-flight-class-">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Business Class" value="business-class">Business Class</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Preferred Airlines (if any):&amp;nbsp;" name="preferred-airlines-if-any-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Accommodation Preferences&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Hotel Preferences:&amp;nbsp;" toggle="true" name="hotel-preferences-" other="true">&#13;
			<option label="Business-Class Hotel" value="businessclass-hotel">Business-Class Hotel</option>&#13;
			<option label="Luxury Hotel" value="luxury-hotel">Luxury Hotel</option>&#13;
			<option label="Boutique Hotel" value="boutique-hotel">Boutique Hotel</option>&#13;
			<option label="Extended Stay" value="extended-stay">Extended Stay</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Room Type Preference:&amp;nbsp;" name="room-type-preference-" other="true">&#13;
			<option label="Standard" value="standard">Standard</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Connecting Rooms (for groups)" value="connecting-rooms-for-groups">Connecting Rooms (for groups)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Proximity Requirements:&amp;nbsp;" name="proximity-requirements-" other="true">&#13;
			<option label="Near the Conference Venue" value="near-the-conference-venue">Near the Conference Venue</option>&#13;
			<option label="Near Business District" value="near-business-district">Near Business District</option>&#13;
			<option label="Near Airport" value="near-airport">Near Airport</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Transportation &amp;amp; Logistics&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Do You Need Ground Transportation?&amp;nbsp;" name="do-you-need-ground-transportation-">&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Rental Cars" value="rental-cars">Rental Cars</option>&#13;
			<option label="Private Driver/Chauffeur" value="private-driverchauffeur">Private Driver/Chauffeur</option>&#13;
			<option label="Ride-Share Services" value="rideshare-services">Ride-Share Services</option>&#13;
			<option label="No, I will arrange my own" value="no-i-will-arrange-my-own">No, I will arrange my own</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Corporate Expense Tracking:&amp;nbsp;" description="Would you like us to provide a detailed expense report for reconciliation?" name="corporate-expense-tracking-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Corporate Event &amp;amp; Meeting Services&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Do You Need Meeting or Event Space?" toggle="true" name="do-you-need-meeting-or-event-space" other="true">&#13;
			<option label="Yes, on-site at the hotel" value="yes-onsite-at-the-hotel">Yes, on-site at the hotel</option>&#13;
			<option label="Yes, a separate venue" value="yes-a-separate-venue">Yes, a separate venue</option>&#13;
			<option label="No, not needed" value="no-not-needed">No, not needed</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Audio/Visual &amp;amp; Technology Needs:&amp;nbsp;" name="audiovisual-technology-needs-" other="true">&#13;
			<option label="Conference Room Setup" value="conference-room-setup">Conference Room Setup</option>&#13;
			<option label="Video Conferencing Equipment" value="video-conferencing-equipment">Video Conferencing Equipment</option>&#13;
			<option label="Presentation Screens &amp; Projectors" value="presentation-screens-projectors">Presentation Screens &amp; Projectors</option>&#13;
			<option label="Microphones &amp; Sound System" value="microphones-sound-system">Microphones &amp; Sound System</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Team Activities or Retreat Planning:" name="team-activities-or-retreat-planning">&#13;
			<option label="Networking Events" value="networking-events">Networking Events</option>&#13;
			<option label="Team-Building Activities" value="teambuilding-activities">Team-Building Activities</option>&#13;
			<option label="Group Excursions" value="group-excursions">Group Excursions</option>&#13;
			<option label="Wellness &amp; Relaxation Packages" value="wellness-relaxation-packages">Wellness &amp; Relaxation Packages</option>&#13;
			<option label="Not needed" value="not-needed">Not needed</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Budget &amp;amp; Payment Options&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Estimated Budget Per Traveler:&amp;nbsp;" name="estimated-budget-per-traveler-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred Payment Method:&amp;nbsp;" toggle="true" name="preferred-payment-method-" other="true">&#13;
			<option label="Company Card" value="company-card">Company Card</option>&#13;
			<option label="Corporate Billing/Invoice" value="corporate-billinginvoice">Corporate Billing/Invoice</option>&#13;
			<option label="Employee Reimbursement" value="employee-reimbursement">Employee Reimbursement</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would You Like Information on Corporate Travel Discounts or Rewards Programs?" name="would-you-like-information-on-corporate-travel-discounts-or-rewards-programs">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Header"/>&#13;
		<field type="header" subtype="h1" label="Additional Requests &amp;amp; Services&amp;nbsp;"/>&#13;
		<field type="textarea" required="true" label="Dining Preferences &amp;amp; Dietary Restrictions: Please list them below" name="dining-preferences-dietary-restrictions-please-list-them-below" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Dining Preferences: Do you need assistance finding a restaurant?" inline="true" name="dining-preferences-do-you-need-assistance-finding-a-restaurant">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Anything Else We Should Know?" description="(Additional requests  company travel policies, special accommodations, etc.)" name="anything-else-we-should-know" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Best emergency contact person who is not coming with you on this trip. Provide name, email, and phone number." name="textarea-1741634401595" className="form-control"/>&#13;
		<field type="checkbox-group" label="How did you find GLAMour Tag? IF REFERRED BY A FRIEND/FAMILY/BUSINESS, CHECK THE OTHER SECTION AND PUT THEIR NAME IN THEIR NAME IN THEIR OTHER SECTION." name="how-did-you-find-glamour-tag-if-referred-by-a-friendfamilybusiness-check-the-other-section-and-put-their-name-in-their-name-in-their-other-section">&#13;
			<option label="Friend/Family/Business" value="friendfamilybusiness">Friend/Family/Business</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Networking Event" value="networking-event">Networking Event</option>&#13;
			<option label="Bing" value="bing">Bing</option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>