Share your information with Vanessa Tripp

Vanessa Tripp

Tripp Travel | Fora & Virtuoso Affiliate

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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 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="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="Line 2" name="address-line-2" 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="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="About Your Trip"/>&#13;
		<field type="text" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="When would you like to depart?" name="when-would-you-like-to-depart" subtype="text" className="form-control"/>&#13;
		<field type="text" label="When would you like to return?" name="when-would-you-like-to-return" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes - I am flexible based on availability" value="yes-i-am-flexible-based-on-availability">Yes - I am flexible based on availability</option>&#13;
			<option label="No - I have specific dates" value="no-i-have-specific-dates">No - I have specific dates</option>&#13;
		</field>&#13;
		<field type="textarea" label="Will you be traveling solo or with others? If so, tell us about your group. How many, and what are their ages?&amp;nbsp;&amp;nbsp;" description="If multiple rooms - note who is grouped together by rooms" name="who-all-will-be-traveling-with-you-please-list-all-names-including-middle-and-birthdays-as-listed-on-your-passports" className="form-control"/>&#13;
		<field type="radio-group" label="What are you willing to invest for your travel? (For reference, amounts are &amp;nbsp;an average for two, for a 7-day European trip excluding airfare)" name="how-much-would-you-like-spend-on-average-for-accomodations-per-night" other="true">&#13;
			<option label="$10,000 - $15,000 (excludes airfare)" value="10000-15000-excludes-airfare">$10,000 - $15,000 (excludes airfare)</option>&#13;
			<option label="$15,000 - $20,000 (excludes airfare)" value="15000-20000-excludes-airfare">$15,000 - $20,000 (excludes airfare)</option>&#13;
			<option label="$20,000 + (excludes airfare) " value="20000-excludes-airfare-">$20,000 + (excludes airfare) </option>&#13;
			<option label="Whatever it takes to get the experience we are looking for!" value="whatever-it-takes-to-get-the-experience-we-are-looking-for">Whatever it takes to get the experience we are looking for!</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in concierge air reservations and service - if so, what is your preferred class?" description="Additional information will be requested later such as preferred airlines  seats  loyalty numbers, and more" name="would-you-like-concierge-air-reservations-and-service-if-so-what-is-your-preferred-class" other="true">&#13;
			<option label="Business/Comfort" value="businesscomfort">Business/Comfort</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
			<option label="I will book flights independently" value="i-will-book-flights-independently">I will book flights independently</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Style"/>&#13;
		<field type="textarea" label="What type of activities would you like to do?" description="Biking, Hiking, Paddling, , Water Sports, Sightseeing, History" name="what-is-your-travel-pace-unpack-and-settle-or-move-around-and-explore-the-region" className="form-control"/>&#13;
		<field type="radio-group" label="Do you prefer a private or small group?" name="do-you-prefer-a-private-or-small-group">&#13;
			<option label="Private" value="private" selected="selected">Private</option>&#13;
			<option label="Small Group" value="small-group">Small Group</option>&#13;
			<option label="Best Value" value="best-value">Best Value</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What options best describe your priorities for this trip? Check all that apply." name="what-options-best-describe-your-priorities-for-this-trip-check-all-that-apply">&#13;
			<option label="Family Fun" value="family-fun">Family Fun</option>&#13;
			<option label="Romantic Getaway" value="romantic-getaway">Romantic Getaway</option>&#13;
			<option label="Adults Only " value="adults-only-">Adults Only </option>&#13;
			<option label="Health &amp; Wellness" value="health-wellness">Health &amp; Wellness</option>&#13;
			<option label="Adventure &amp;  Water Sports" value="adventure-water-sports">Adventure &amp;  Water Sports</option>&#13;
			<option label="Sightseeing" value="sightseeing">Sightseeing</option>&#13;
			<option label="Local Cuisine" value="local-cuisine">Local Cuisine</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
			<option label="History" value="history">History</option>&#13;
			<option label="Nature &amp; Hiking" value="nature-hiking">Nature &amp; Hiking</option>&#13;
			<option label="Quiet Relaxation" value="quiet-relaxation">Quiet Relaxation</option>&#13;
		</field>&#13;
		<field type="textarea" label="What amenities are important to you? (ex: balcony, inter-connecting, family suite, etc., waterfront, butler service, etc..)" name="what-cabin-amenities-are-important-to-you-ex-balcony-interconnecting-family-suite-etc" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any favorite brands or suppliers that should have preference?&amp;nbsp; Or have you done any research on a destination to share?" name="do-you-have-any-favorite-brands-or-suppliers-that-should-have-preference-or-have-you-done-any-research-on-a-destination-to-share" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Important Details"/>&#13;
		<field type="textarea" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" className="form-control"/>&#13;
		<field type="textarea" label="Are there are any allergies, special needs, or mobility issues we need to be aware of?" name="are-there-are-any-allergies-special-needs-or-mobility-issues-we-need-to-be-aware-of" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything that you see, do, or experience?&amp;nbsp;" name="is-there-anything-else-that-you-must-do-or-see" className="form-control"/>&#13;
		<field type="textarea" label="What else do you want to share that would help make this trip an unforgettable memory?&amp;nbsp;" name="what-else-do-you-want-to-share-that-would-help-make-this-trip-an-unforgettable-memory-" className="form-control"/>&#13;
		<field type="checkbox-group" label="By submitting this client inquiry form, you consent to receive travel related content via email from Tripp Planner - Fora Travel. By checking the box below, you understand this request is for custom travel. We do not accept partial bookings of hotels, tours or transfers for full custom travel requests. ." name="by-submitting-this-client-inquiry-form-you-consent-to-receive-travel-related-content-via-email-from-tripp-planner-fora-travel">&#13;
			<option label="Yes, I understand." value="yes-i-understand">Yes, I understand.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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