Share your information with Ashley Ridgeway

Ashley Ridgeway

Ashley Ridgeway - A Independent Travel Agent of Marvelous Mouse Travels

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	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Start Planning Your Next Trip!!"/>&#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="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="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: On a Disney Cruise" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of vacation are we planning for?" description="If unsure  please check any destination of interest." name="what-type-of-vacation-are-we-planning-for">&#13;
			<option label="Walt Disney World - Florida" value="walt-disney-world-florida">Walt Disney World - Florida</option>&#13;
			<option label="Disneyland - California" value="disneyland-california">Disneyland - California</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Disney's Aulani Resort &amp; Spa - Hawaii" value="disneys-aulani-resort-spa-hawaii">Disney's Aulani Resort &amp; Spa - Hawaii</option>&#13;
			<option label="Disneyland Paris - France" value="disneyland-paris-france">Disneyland Paris - France</option>&#13;
			<option label="Universal Orlando Resort - Florida" value="universal-orlando-resort-florida">Universal Orlando Resort - Florida</option>&#13;
			<option label="Universal Hollywood Resort - California" value="universal-hollywood-resort-california">Universal Hollywood Resort - California</option>&#13;
			<option label="All-Inclusive Resort in Mexico or the Caribbean" value="allinclusive-resort-in-mexico-or-the-caribbean">All-Inclusive Resort in Mexico or the Caribbean</option>&#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="Land Tour (private, semi-private or group)" value="land-tour-private-semiprivate-or-group">Land Tour (private, semi-private or group)</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Expedition Cruise" value="expedition-cruise">Expedition Cruise</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your travel 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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" description="For children  please list ages at time of travel" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Who is this vacation for?&amp;nbsp;" description="Check all that apply" name="who-is-this-vacation-for-">&#13;
			<option label="Myself" value="myself">Myself</option>&#13;
			<option label="My Immediate Family" value="my-immediate-family">My Immediate Family</option>&#13;
			<option label="My Extended Family" value="my-extended-family">My Extended Family</option>&#13;
			<option label="Friends" value="friends">Friends</option>&#13;
			<option label="Family &amp; Friends" value="family-friends">Family &amp; Friends</option>&#13;
			<option label="Wedding Group" value="wedding-group">Wedding Group</option>&#13;
			<option label="Group (Sports Team, Reunion, Corporate, Etc.)" value="group-sports-team-reunion-corporate-etc">Group (Sports Team, Reunion, Corporate, Etc.)</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" 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" label="What best describes your travel style?" name="hotel-preference" other="true">&#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="select" label="Are you Active Duty or Retired Military?" name="are-you-active-duty-or-retired-military" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about me?&amp;nbsp;" description="I love referrals! If you were referred by a specific individual  please let me so I can thank them." name="client-referred-by" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
	</fields>&#13;
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