Share your information with Whitney Wheat

Whitney Wheat

Travelmation

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	<fields>&#13;
		<field type="header" subtype="h1" label="Thank you for choosing me for your travel needs.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Wondering how all this works? No worries, I got you. You simply submit this form. I do my best to get into contact with you within 24 hours and start sending you quotes within 24-48 hours. We work together on finding the right trip for you. I book and handle things on your behalf to make things less stressful for you.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Is there a booking fee?&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="I do not charge a booking fee, as I get paid commission 30/60 days after you check out. With that being said I do not get paid to send quotes, only if you go on your trip.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Cancelation Fee&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="I do charge a non refundable and non negotiable $200 cancelation fee. If you choose to cancel for any reason after booking is made this fee will need to be charged before I can proceed with cancelation.&amp;nbsp; This is completely separate from the supplier/vendors cancelation policies that may apply to the cancelation. This fee is to protect my time spent on the research and quoting process, as well as any additional services needed after booking.&amp;nbsp; &amp;nbsp;**This will not apply if you need to adjust the dates of your trip. Only if you are canceling.**"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When is your birthday?&amp;nbsp;" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are you working with another travel agent?&amp;nbsp;" name="are-you-working-with-another-travel-agent-">&#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="Where and when would you like to go?&amp;nbsp;" name="where-and-when-would-you-like-to-go-" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are these dates flexible?" name="are-these-dates-flexible">&#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="Who all will be going with you? (Please provide legal first and last names with birthday)&amp;nbsp;" name="please-provide-first-and-last-legal-names-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How soon are you looking to book this trip?&amp;nbsp;" name="please-select-one" multiple="multiple" className="form-control">&#13;
			<option label="ASAP I need a vacation" value="asap-i-need-a-vacation">ASAP I need a vacation</option>&#13;
			<option label="With in the month" value="with-in-the-month">With in the month</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Total budget with flights/transportation if needed.&amp;nbsp;" name="total-budget-with-flightstransportation-if-needed-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anyone with accessible needs going on this trip?&amp;nbsp;" name="anyone-with-accessible-needs-going-on-this-trip-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Celebrating anything on this trip? Tell me about it!" name="tell-me-about-it" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Did someone refer you to me? That&#39;s great! Let me know who I should thank.&amp;nbsp;" name="thats-great-let-me-know-who-i-should-thank-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I have read and agree to the above cancelation policy.&amp;nbsp;" name="checkbox-group-1775496704772">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
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