Share your information with Marci Gelinas

Marci Gelinas

Jetsetter Society, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="This short form helps me confirm availability, room options, and pricing for your travel dates. Once submitted, I’ll review your request and follow up with next steps."/>&#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" 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 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="date" label="Preferred travel dates (or approximate window)" name="date-1769195020447" className="form-control"/>&#13;
		<field type="text" label="Departure Airport(s)" name="text-1769195057614" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who will be traveling? (Adults + children with ages)" description="Example: 2 adults, 2 children (ages 7 &amp;amp; 10)" name="textarea-1769195115913" className="form-control"/>&#13;
		<field type="checkbox-group" label="Which resort(s) are you interested in?" name="checkbox-group-1769195149130" other="true">&#13;
			<option label="Hotel Xcaret México" value="hotel-xcaret-mxico">Hotel Xcaret México</option>&#13;
			<option label="Beaches Turks &amp; Caicos" value="beaches-turks-caicos">Beaches Turks &amp; Caicos</option>&#13;
			<option label="Hyatt Ziva Cap Cana" value="hyatt-ziva-cap-cana">Hyatt Ziva Cap Cana</option>&#13;
			<option label="Not sure — I’d like guidance" value="not-sure-id-like-guidance">Not sure — I’d like guidance</option>&#13;
		</field>&#13;
		<field type="select" label="Room setup preferences" name="select-1769195235380" className="form-control">&#13;
			<option label="One room is ideal" value="one-room-is-ideal" selected="selected">One room is ideal</option>&#13;
			<option label="We’re open to two rooms if needed" value="were-open-to-two-rooms-if-needed">We’re open to two rooms if needed</option>&#13;
			<option label="We need a room for 5+ guests" value="we-need-a-room-for-5-guests">We need a room for 5+ guests</option>&#13;
		</field>&#13;
		<field type="select" label="For planning purposes, which budget range(including flights) feels most comfortable?" name="select-1769195292663" className="form-control">&#13;
			<option label="Under $7,500" value="under-7500" selected="selected">Under $7,500</option>&#13;
			<option label="$7,500–$10,000" value="750010000">$7,500–$10,000</option>&#13;
			<option label="$10,000–$13,000" value="1000013000">$10,000–$13,000</option>&#13;
			<option label="$13,000+" value="13000">$13,000+</option>&#13;
			<option label="Not sure yet — looking for guidance" value="not-sure-yet-looking-for-guidance">Not sure yet — looking for guidance</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What matters most to your family on this trip?" name="checkbox-group-1769195406512">&#13;
			<option label="Easy, nonstop flights" value="easy-nonstop-flights">Easy, nonstop flights</option>&#13;
			<option label="Great food" value="great-food">Great food</option>&#13;
			<option label="Activities for kids/teens" value="activities-for-kidsteens">Activities for kids/teens</option>&#13;
			<option label="Relaxation + downtime" value="relaxation-downtime">Relaxation + downtime</option>&#13;
			<option label="Unique experiences/adventure" value="unique-experiencesadventure">Unique experiences/adventure</option>&#13;
			<option label="Staying all together in one room" value="staying-all-together-in-one-room">Staying all together in one room</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Please acknowledge before submitting:" name="checkbox-group-1769195496413">&#13;
			<option label="I understand that pricing varies by date and availability, and that this request allows Jetsetter Society to confirm accurate options and next steps." value="i-understand-that-pricing-varies-by-date-and-availability-and-that-this-request-allows-jetsetter-society-to-confirm-accurate-options-and-next-steps">I understand that pricing varies by date and availability, and that this request allows Jetsetter Society to confirm accurate options and next steps.</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything else you’d like me to consider while reviewing your request?" name="text-1769195585330" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>