Share your information with Heather Mirabito

Heather Mirabito

Cure Family Travel

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		<field type="paragraph" subtype="p" label="Hi! I&#39;m looking forward to working together to build you the perfect vacation. Here&#39;s how it works:"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;Please fill out the form below"/>&#13;
		<field type="paragraph" subtype="p" label="I will send you some options based on the information you provide&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="You will choose which option is the best fit"/>&#13;
		<field type="paragraph" subtype="p" label="I will book your trip! (at no extra cost to you)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Once you are booked, I&#39;ll guide you through any other planning necessary to ensure your trip is a success!&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="My planning services are free! Travel agent commission is built into the price of every vacation, at no additional cost to you. Just please keep in mind - I am only paid when you book through me and after your travel is completed, so serious inquiries only please.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h3" label="Let&#39;s Start Planning Your Hawaiian Vacation!"/>&#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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How would you like me to contact you?&amp;nbsp;" name="how-would-you-like-me-to-contact-you-">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-" other="true">&#13;
			<option label="ASAP! Today or tomorrow." value="asap-today-or-tomorrow">ASAP! Today or tomorrow.</option>&#13;
			<option label="In the next few weeks" value="in-the-next-few-weeks">In the next few weeks</option>&#13;
			<option label="In the next few months" value="in-the-next-few-months">In the next few months</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="List full names and DOB of all travelers (including yourself) as listed on photo ID/passports." description="Often there is limited availability or fluctuating prices - in these cases I may be able to hold rooms for you while you decide - I cannot hold rooms without this info!" name="list-full-names-and-dob-of-all-travelers-as-listed-on-photo-idpassports-" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="Luxury - we love the best of the best" value="luxury-we-love-the-best-of-the-best">Luxury - we love the best of the best</option>&#13;
			<option label="Deluxe - we are all about comfort and convenience" value="deluxe-we-are-all-about-comfort-and-convenience">Deluxe - we are all about comfort and convenience</option>&#13;
			<option label="Moderate - we want a great place with a budget-friendly price" value="moderate-we-want-a-great-place-with-a-budgetfriendly-price">Moderate - we want a great place with a budget-friendly price</option>&#13;
			<option label="Value - budget is our main concern with lots of fun and memories" value="value-budget-is-our-main-concern-with-lots-of-fun-and-memories">Value - budget is our main concern with lots of fun and memories</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to arrive?" name="ending-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="date-1774981464536" className="form-control"/>&#13;
		<field type="text" label="If your dates are flexible please elaborate." name="how-many-parks-are-you-looking-to-visit-please-list-anything-else-you-are-looking-to-do-in-the-orlando-area-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you interested in a specific resort, room type or view? Please let me know.&amp;nbsp;" name="text-1774981867172" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Please let me know if you have an approximate budget (excluding flights) in mind already! If you aren&#39;t sure and would like to see options in a few different price ranges, that&#39;s fine too!&amp;nbsp;" name="radio-group-1774982434420" other="true">&#13;
			<option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option>&#13;
			<option label="$7,000-$9,000" value="70009000">$7,000-$9,000</option>&#13;
			<option label="$10,000+" value="10000" selected="selected">$10,000+</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Which island(s) are you interested in?" name="select-1774981694275" multiple="multiple" className="form-control">&#13;
			<option label="Hawai'i (The Big Island)" value="hawaii-the-big-island">Hawai'i (The Big Island)</option>&#13;
			<option label="Maui" value="maui" selected="selected">Maui</option>&#13;
			<option label="O'ahu" value="oahu">O'ahu</option>&#13;
			<option label="Kaua'i" value="kauai">Kaua'i</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" label="Would you like to add travel insurance?&amp;nbsp;" name="select-1774982616368" className="form-control">&#13;
			<option label="Yes, please add travel protection" value="yes-please-add-travel-protection">Yes, please add travel protection</option>&#13;
			<option label="No, I am declining travel insurance " value="no-i-am-declining-travel-insurance-">No, I am declining travel insurance </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Anything you are celebrating on this vacation?&amp;nbsp;" name="anything-you-are-celebrating-on-this-vacation-" other="true">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="First Visit" value="first-visit">First Visit</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please share any additional details I should know such as special needs (physical, cognitive, dietary), bedding preferences, room preferences (fireworks view, club level, villa), transportation needs or anything else that may be important.&amp;nbsp;&amp;nbsp;" name="notes" className="form-control"/>&#13;
		<field type="textarea" label="If you need multiple rooms, please list the breakdown of which travelers will be in each room.&amp;nbsp;" name="if-you-need-multiple-rooms-please-list-the-breakdown-of-which-travelers-will-be-in-each-room-" className="form-control"/>&#13;
		<field type="text" label="I&#39;d love to connect with you on Social Media! What is your Instagram&amp;nbsp; username? You can find me on Instagram @your.greatest.adventure" name="id-love-to-connect-with-you-on-social-media-what-is-your-instagram-or-facebook-username-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please tell me how you heard about my services! I&#39;d love to thank whoever sent you my way!&amp;nbsp;" name="please-tell-me-how-you-heard-about-my-services" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Please note that pricing and availability are subject to change at any time until a deposit has been received.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Heather Mirabito"/>&#13;
		<field type="paragraph" subtype="p" label="Independent Travel Consultant with Cure Family Travel"/>&#13;
		<field type="paragraph" subtype="p" label="TravelByHM@gmail.com"/>&#13;
	</fields>&#13;
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