Share your information with Tracy Nicholson

Tracy Nicholson

Nicholson Travel Group

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		<field type="header" subtype="h2" label="Trip Request Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your interest in working with Travel Adventures with Tracy. I will be in touch shortly to discuss your next vacation! &amp;nbsp; - Tracy"/>&#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="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What is your preferred method of contact" name="what-is-your-preferred-method-of-contact">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you agree to receive SMS messages related to your travel plans, including booking updates, confirmations, reminders, and important travel-related communications. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out at any time or HELP for assistance. Consent is not a condition of purchase. View our Privacy Policy: https://www.traveladventureswithtracy.com/privacypolicy" name="by-checking-this-box-you-consent-to-receive-sms-messages-related-to-your-travel-plans-including-booking-updates-confirmations-reminders-and-important-travelrelated-communications-message-frequency-may-vary-message-and-data-rates-may-apply-reply-stop-to-opt-out-at-any-time-or-help-for-assistance-consent-is-not-a-condition-of-purchase-view-our-privacy-policy-httpswwwtraveladventureswithtracycomprivacypolicy">&#13;
			<option label="I agree " value="i-agree-">I agree </option>&#13;
			<option label="No I don't agree" value="no-i-dont-agree">No I don't agree</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Preferred Travel Dates" name="preferred-travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of adventure are you interested in?" name="what-type-of-adventure-are-you-interested-in" other="true">&#13;
			<option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option>&#13;
			<option label="River Cruise" value="river-cruise">River Cruise</option>&#13;
			<option label="Expedition Cruise" value="expedition-cruise">Expedition Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Bundled Flights, Hotel, Transfer, and Tours" value="bundled-flights-hotel-transfer-and-tours">Bundled Flights, Hotel, Transfer, and Tours</option>&#13;
			<option label="Disney &amp; Theme Park Vacations" value="disney-theme-park-vacations">Disney &amp; Theme Park Vacations</option>&#13;
			<option label="Something Else" value="something-else">Something Else</option>&#13;
		</field>&#13;
		<field type="text" label="Please share further details about the trip you&#39;re interested in. The following are helpful for us to get started: Name of cruise line or resort you&#39;re interested in, destination(s), length of your trip, how many people, and date range you would like to travel if not indicated above. Not sure on the details yet? No worries, I can help.&amp;nbsp;" name="destinations-of-interest" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Trip Budget Per Person" name="estimated-budget-not-including-airfare" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Who is traveling?&amp;nbsp;" name="who-is-traveling-" other="true">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Couple" value="couple">Couple</option>&#13;
			<option label="Small Group/Family (2-3 rooms/cabins)" value="small-groupfamily-23-roomscabins">Small Group/Family (2-3 rooms/cabins)</option>&#13;
			<option label="Group (3+ rooms/cabins)" value="group-3-roomscabins">Group (3+ rooms/cabins)</option>&#13;
		</field>&#13;
		<field type="text" label="Is this a special occasion?&amp;nbsp;" name="is-this-a-special-occasion-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How did you hear about us?" name="how-did-you-hear-about-us">&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Website" value="website">Website</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I agree to Travel Adventures by Tracy Terms and Conditions located at this link: https://www.traveladventureswithtracy.com/terms-conditions" name="i-am-requesting-that-travel-adventures-with-tracy-llc-operates-as-my-travel-agency-i-agree-to-their-terms-and-conditions-located-at-this-link-httpswwwtraveladventureswithtracycomtermsconditions">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
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