Share your information with Melissa IntVeldt, ASTA Verified Travel Advisor

Melissa IntVeldt, ASTA Verified Travel Advisor

My Traveling Panda

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="My Traveling Panda – Travel Request Intake Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing My Traveling Panda to help plan your next adventure! Please complete this form to provide the details we need to create a personalized travel experience."/>&#13;
		<field type="header" subtype="h2" label="Full Name as shown on your passport"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Additional Travelers (Full Name and Date of Birth):" name="additional-travelers-full-name-and-date-of-birth" className="form-control"/>&#13;
		<field type="textarea" label="Preferred Travel Dates:" name="preferred-travel-dates" className="form-control"/>&#13;
		<field type="textarea" label="Are your dates flexible?&amp;nbsp;" name="textarea-1743517837131" className="form-control"/>&#13;
		<field type="textarea" label="Do you need assistance with airfare? (If YES, from which airport(s) / No – I will book my own flights or I plan to use points/miles – Please specify airline and program):" name="textarea-1743517851746" className="form-control"/>&#13;
		<field type="textarea" label="Tell me about your dream vacation. What would you love to see, do, or experience?" name="textarea-1743517865530" className="form-control"/>&#13;
		<field type="text" label="Any special occasions (e.g., honeymoon, anniversary, birthday)?" name="any-special-occasions-eg-honeymoon-anniversary-birthday" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Total Budget (including airfare if applicable):" name="total-budget-including-airfare-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#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;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#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="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</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 theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#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="textarea" label="Do you have any dietary restrictions or special needs? (Yes – Specify / No):" name="textarea-1743517942331" className="form-control"/>&#13;
		<field type="textarea" label="Anything else I should know to make your trip ideal for you?" name="textarea-1743517963582" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>