Marie Bliss

Society 1955

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		<field type="paragraph" subtype="p" label="Thank you for choosing me as your travel specialist! Welcome to the first step towards planning  your dream vacation! I can't wait to get started with a personalized proposal for your vacation! "/>&#13;
		<field type="paragraph" subtype="p" label="As your personal vacation planner, I am here to help you plan a dream vacation for your entire party!"/>&#13;
		<field type="paragraph" subtype="p" label="Please assist me in starting your trip planning by filling out this form. This will help me narrow my search for options you may be interested in. To select more than one choice in the questions with lists of options, use the CTRL button while selecting."/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;Once you receive your personalized vacation proposal, please let me know as soon as possible if you would like to follow through with booking since rates are subject to change! (Don't worry, I will keep an eye out for you if changes occur once you're booked because I LOVE saving $$$ for my clients!)."/>&#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="Mobile phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Basics"/>&#13;
		<field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults &amp;amp; Children with Children's Ages" name="number-of-adults-children" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Desired Check-in Date" name="desired-checkin-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Desired Check-out Date" name="desired-checkout-date" className="form-control"/>&#13;
		<field type="select" required="true" label="Are these dates flexible?" name="are-these-dates-flexible" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
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		<field type="textarea" required="true" label="Please describe the trip you are looking for? Things to include: where you want to go, how you prefer to get there, and any assistance you need from your travel planner." name="please-describe-the-trip-you-are-looking-for-things-to-include-where-you-want-to-go-how-you-prefer-to-get-there-and-any-assistance-you-need-from-your-travel-planner" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know to best meet your vacation requests?" name="what-else-would-you-like-me-to-know-to-best-meet-your-vacation-requests" className="form-control"/>&#13;
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