Share your information with Lauren Nauman-Alicea

Lauren Nauman-Alicea

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="European Vacation Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your dream vacation!"/>&#13;
		<field type="header" subtype="h1" label="Personal Information"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest First Name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest 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="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Mailing Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travelers"/>&#13;
		<field type="text" required="true" label="Will you be traveling with other adults? Please list their names below. (Example: Susie Jones)&amp;nbsp;" name="will-you-be-traveling-with-other-adults-please-list-their-names-below-example-susie-jones-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be traveling with children? Please list their names and birthdates below. (Example: Susie Jones 1/3/2018)&amp;nbsp;" name="will-you-be-traveling-with-children-please-list-their-names-and-birthdates-below-example-susie-jones-132018-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do any of the travelers require special needs or accessibility?" name="text-1736874157595" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details"/>&#13;
		<field type="checkbox-group" label="Are you planning this trip as part of a group vacation?" name="are-you-planning-this-trip-as-part-of-a-group-vacation">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Desired Departure Date" 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="Desired Return Date" 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" required="true" 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="header" subtype="h1" label="Destinations and Interests"/>&#13;
		<field type="text" required="true" label="Which European countries or cities are you interested in visiting?" name="text-1736874218156" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are there any specific attractions, landmarks, or experiences you would like to include (Eiffel Tour, Colosseum, wine tours, etc)?&amp;nbsp;" name="text-1736874268285" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What type of atmosphere/ambiance would best describe what you&#39;re looking for? (Example: quiet, peaceful, relaxed, social, fun, upbeat, romantic, active, etc.)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are cultural experiences a priority (museums,/historical tours)?&amp;nbsp;" name="are-you-looking-for-beaches-pools-mountains-or-something-else" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are outdoor activities a priority (hiking, skiing, beach)?" name="checkbox-group-1736874363479" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are culinary experiences a priority (food tours/wine tasting)?&amp;nbsp;" name="checkbox-group-1736874394889" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Accommodations"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred Accommodation Type" name="how-important-is-the-view-from-your-room">&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Boutique Inn" value="boutique-inn">Boutique Inn</option>&#13;
			<option label="All-Inclusive, if available" value="allinclusive-if-available">All-Inclusive, if available</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Specific accommodation preferences:&amp;nbsp;" name="checkbox-group-1736874658847">&#13;
			<option label="Central location" value="central-location">Central location</option>&#13;
			<option label="Family-Friendly" value="familyfriendly">Family-Friendly</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Other, please contact me" value="other-please-contact-me">Other, please contact me</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Any &quot;must haves&quot;?" name="any-must-haves" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any &quot;don&#39;t wants&quot;?" name="any-dont-wants" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Budget"/>&#13;
		<field type="radio-group" label="What is your dream vacation budget?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you open to adjusting the itinerary to fit your budget?&amp;nbsp;" name="are-you-open-to-adjusting-the-itinerary-to-fit-your-budget-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Transportation"/>&#13;
		<field type="checkbox-group" required="true" label="Do you need airfare from your departure city?" name="do-you-need-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If airfare is needed, what airport(s) are you willing to depart from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Mode of Transportation within Europe (Train, Rental Car, Flights, Private Transfers).&amp;nbsp;" name="text-1736875078974" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Style"/>&#13;
		<field type="text" label="How would you describe your travel style (relaxed, adventure-packed, luxury, budget-friendly, family-oriented)?&amp;nbsp;" name="text-1736874812997" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you prefer guided tours or independent exploration or a mixture of both?&amp;nbsp;" name="text-1736875189905" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" label="Have you traveled to Europe before? If yes, where?&amp;nbsp;" name="text-1736875251870" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any special occasions or celebrations during this trip?&amp;nbsp;" name="text-1736875277262" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have any specific concerns or preferences I should consider when planning your trip?" name="text-1736875306246" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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