Share your information with Norma Roessler

Norma Roessler

Wonderful World Travel Advisors, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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 type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?&amp;nbsp;&amp;nbsp;" 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" required="true" 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" required="true" 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="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, what other date ranges would work for you?" name="if-yes-what-other-date-ranges-would-work-for-you" subtype="text" className="form-control"/>&#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" required="true" label="Please list full names and dates of birth of you and your traveling companions as they appear on passports" name="please-list-full-names-and-ages-of-all-travelers-as-they-appear-on-passports" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please list any food restrictions, strong dislikes, or allergies of anyone in your traveling group." name="please-list-any-food-restrictions-or-allergies-of-anyone-in-your-traveling-group" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any treats, snacks or beverages you prefer (alcoholic or non-alcoholic)?&amp;nbsp;" name="are-there-any-treats-snacks-or-beverages-you-prefer-alcoholic-or-nonalcoholic-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please let me know of any special accommodations anyone in your traveling party might have" name="please-let-me-know-of-any-special-accommodations-anyone-in-your-traveling-party-might-have" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your budget/budget range for all travelers, not including air?" name="what-is-your-budgetbudget-range-for-all-travelers-does-this-include-air" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please state your preferred room configuration (one king, two connecting rooms, etc.)" name="please-state-your-preferred-room-configuration-one-king-two-connecting-rooms-etc" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="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;
			<option label="Private Villa" value="private-villa">Private Villa</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Boating/water activities" value="boatingwater-activities">Boating/water activities</option>&#13;
			<option label="Cultural highlights" value="cultural-highlights">Cultural highlights</option>&#13;
			<option label="Diving" value="diving">Diving</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Authentic/immersive experiences" value="authenticimmersive-experiences">Authentic/immersive experiences</option>&#13;
			<option label="Swimming " value="swimming-">Swimming </option>&#13;
			<option label="Winter sports " value="winter-sports-">Winter sports </option>&#13;
			<option label="Kids' club" value="kids-club">Kids' club</option>&#13;
			<option label="Adults only" value="adults-only">Adults only</option>&#13;
			<option label="Scenery" value="scenery">Scenery</option>&#13;
			<option label="Hiking" value="hiking">Hiking</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
			<option label="Food tasting" value="food-tasting">Food tasting</option>&#13;
			<option label="Cooking class" value="cooking-class">Cooking class</option>&#13;
			<option label="Historical" value="historical">Historical</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="How would you describe your travel style?" name="how-would-you-describe-your-travel-style">&#13;
			<option label="On the go - I don't want to miss a thing!" value="on-the-go-i-dont-want-to-miss-a-thing">On the go - I don't want to miss a thing!</option>&#13;
			<option label="Relaxed - I like to linger in each destination and relax" value="relaxed-i-like-to-linger-in-each-destination-and-relax">Relaxed - I like to linger in each destination and relax</option>&#13;
			<option label="A mix of both, please!" value="a-mix-of-both-please">A mix of both, please!</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" 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="radio-group" label="Does everyone in your traveling party have passports that do not expire within six months of your return?" name="does-everyone-in-your-traveling-party-have-passports-that-do-not-expire-within-six-months-of-your-return">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Paragraph"/>&#13;
		<field type="text" required="true" label="With which area of travel planning do you need assistance?&amp;nbsp; Hotels only?&amp;nbsp; Excursions and transfers?&amp;nbsp; Flights?&amp;nbsp;&amp;nbsp;" name="text-1680627988598" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" label="You can provide hotel loyalty numbers for additional travelers here..." name="you-can-provide-bonvoy-numbers-for-additional-travelers-here" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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