Share your information with Rebecca Ralston

Rebecca Ralston

Bec's Treks

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="CONTACT 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 type="text" label="Preferred name" name="preferred-name" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please provide legal names, birthdates with years, and ages at time of travel for all travelers." description="I am required to offer travel protection for your trip. Names and dates of birth are required for insurance quoting purposes." name="please-provide-the-full-legal-name-as-is-on-your-passport-and-birthdates-for-all-travelers" className="form-control"/>&#13;
		<field type="text" label="Are there any allergies, mobility needs, or personal considerations I should be mindful of to ensure a comfortable travel experience for everyone?" name="are-there-any-allergies-mobility-needs-or-personal-considerations-we-should-be-mindful-of-to-ensure-a-comfortable-travel-experience-for-everyone" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you know where you would like to go, or are you looking for a curated proposal with ideas?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If you listed a general destination, is anywhere &quot;off limits&quot; for you?" name="text-1730131133521" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="text" label="Are your dates flexible? If so, please describe.&amp;nbsp;" name="are-your-dates-flexible-if-so-please-describe-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where will you be flying from?" placeholder="Airport Code" name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="YOUR TRAVEL STYLE"/>&#13;
		<field type="text" label="What inspired this trip? Are you celebrating anything special?" name="is-this-vacation-to-celebrate-anything-special-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What hotels do you typically gravitate towards? Any favorite hotels from past stays? Any amenity must haves?" description="Specific hotel or hotel group  boutique vs. large, etc. Examples of amenity must haves - gym  pool  spa  kids club  24 hr room service  etc." name="what-hotels-do-you-typically-gravitate-towards-any-favorite-hotels-from-past-stays" className="form-control"/>&#13;
		<field type="textarea" label="What are your room/bedding needs?" description="i.e. connecting rooms   door separation within a suite, a crib, separate beds" name="textarea-1738616888934" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What level of investment are you comfortable making for this trip? (Excluding international air and incidentals/meals while in destination)" description="Please note that budget ranges can vary significantly by destination  and I&#39;m happy to walk you through current pricing for your specific location during our call." name="what-is-your-travel-investment-for-all-travelers-not-including-airfare-or-food" other="true" className="radio-group">&#13;
			<option label="Weekender/Overnight" value="weekenderovernight">Weekender/Overnight</option>&#13;
			<option label="Under $10,000" value="under-10000">Under $10,000</option>&#13;
			<option label="$10,000-15,000" value="1000015000">$10,000-15,000</option>&#13;
			<option label="$15,000-25,000" value="1500025000">$15,000-25,000</option>&#13;
			<option label="$25,000+" value="25000">$25,000+</option>&#13;
			<option label="I would like to see all my preferences and trip goals reached, no matter the cost" value="i-would-like-to-see-all-my-preferences-and-trip-goals-reached-no-matter-the-cost">I would like to see all my preferences and trip goals reached, no matter the cost</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you anticipate needing 24/7 on-call support while traveling?" description="I+C  operates during standard business hours and is not a 24/7 service. Please let me know if you anticipate needing round-the-clock support while traveling   so I can plan accordingly." name="do-you-anticipate-needing-247-oncall-support-while-traveling" className="radio-group">&#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="Please summarize your vision for this trip and what is most important to you.&amp;nbsp;" description="Is it the hotel product or the experiences? Do you like to be within walking distance to restaurants and shops? Any specific amenities you must have at a hotel? Do you just want to relax or are there any specific activities you would like to have planned?" name="is-there-anything-else-that-you-must-do-or-see" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there anything else that you “must do” or see? Feel free to elaborate on questions listed above." name="text-1729885384894" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="BEFORE WE START PLANNING&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Trip Design &amp;amp; Planning Fees: To provide a personalized experience, I charge a trip design and/or travel planning fee.&amp;nbsp; A quote for the planning fee will be provided after our initial phone consultation. Are you comfortable with this investment to get started? Please note: If you already know the hotel you’d like to book, there is no planning fee for simple hotel-only reservations with added value perks.&amp;nbsp;" name="checkbox-group-1766265105836" className="checkbox-group">&#13;
			<option label="I understand and agree." value="i-understand-and-agree">I understand and agree.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Accommodation Bookings: If you decide to move forward with full-service trip planning, I must be the booking agent for your accommodations. I am unable to offer full planning services involving points bookings, Airbnb, or VRBO. However, you are welcome to use points for flights." name="dr-luxury-travel-requires-that-we-are-the-booking-agent-for-your-accommodations-for-travel-planning-services-however-we-are-not-able-to-assist-with-bookings-that-involve-using-points-airbnb-or-vrbo-we-encourage-using-points-for-flights" className="checkbox-group">&#13;
			<option label="I understand and agree." value="i-understand-and-agree">I understand and agree.</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about me? If you were referred by someone else or saw them post about me on Social Media, please let me know who they are. I would love to thank them." name="who-can-i-thank-for-referring-you-to-us" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to fill out the inquiry form. Once I receive your completed form, I will email you with next steps.&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>