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Megan Rucks
Moms at Sea Travel, a Dream Vacations Franchise
Inquiry Form
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Megan Rucks- Moms at Sea Travel"/> <field type="text" required="true" label="First Name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone Number" description="This is helpful just in case my email goes to your spam folder" name="phone-number" subtype="text" className="form-control"/> <field type="date" 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"/> <field type="date" 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"/> <field type="text" label="What is your departure prefered port?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers will be going? Please list the ages of the guests." name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What vacation are you looking to book?" description="Please select all that apply" name="what-vacation-are-you-looking-to-book" other="true"> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Carnival " value="carnival-">Carnival </option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> <option label="Disney Resorts" value="disney-resorts">Disney Resorts</option> <option label="Universal" value="universal">Universal</option> <option label="Ama Waterways" value="ama-waterways">Ama Waterways</option> <option label="Viking River Cruises" value="viking-river-cruises">Viking River Cruises</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> </field> <field type="text" label="What ship would you like to sail on? Or resort would you like to stay at?" description="Please be specific if possible. Please understand that broad requests will take longer to respond to and may require a phone call." name="what-ship-would-you-like-to-sail-on-or-resort-would-you-like-to-stay-at" subtype="text" className="form-control"/> <field type="checkbox-group" label="I don't know what we want but we want these features:" description="Check all that apply." name="vibe-preference" other="true"> <option label="Florida Port" value="florida-port">Florida Port</option> <option label="New Jersey Port" value="new-jersey-port">New Jersey Port</option> <option label="Galveston Port" value="galveston-port">Galveston Port</option> <option label="Alaska Port" value="alaska-port">Alaska Port</option> <option label="European Port" value="european-port">European Port</option> <option label="Waterslides" value="waterslides">Waterslides</option> <option label="Nursery for children ages 6-36 months" value="nursery-for-children-ages-636-months">Nursery for children ages 6-36 months</option> <option label="Kids Club for children over 3" value="kids-club-for-children-over-3">Kids Club for children over 3</option> <option label="Splash pad for kids in diapers" value="splash-pad-for-kids-in-diapers">Splash pad for kids in diapers</option> <option label="Adults only" value="adults-only">Adults only</option> </field> <field type="text" label="State of residency and please list any Loyalty numbers you might have for promotions as well." name="must-dos" subtype="text" className="form-control"/> <field type="checkbox-group" label="What type of room category are you interested in?" description="Check all that apply." name="activity-preferences" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Inside Balcony" value="inside-balcony">Inside Balcony</option> <option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option> <option label="Suite" value="suite">Suite</option> <option label="Concierge Suites" value="concierge-suites">Concierge Suites</option> <option label="Cabins that hold 5+" value="cabins-that-hold-5">Cabins that hold 5+</option> <option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option> <option label="Accessible Cabins" value="accessible-cabins">Accessible Cabins</option> </field> <field type="textarea" label="Any other helpful information?" description="What else would you like me to know about your travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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