Share your information with Morgan Carozza

Morgan Carozza

Waves and Wonder Travel LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Disney Cruise Line Quote Form"/>&#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" placeholder="ex: myname@example.com" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone Number" description="Only numbers - no hyphens or spaces" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there a specific Waves and Wonder agent you would like to work with?" name="is-there-a-specific-waves-and-wonder-agent-you-would-like-to-work-with" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred Method of Contact" name="preferred-method-of-contact">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Call" value="call">Call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Disney Cruise Destination" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Castaway Cay or Caribbean" name="destination" subtype="text" className="form-control"/>&#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="text" label="What port would you like to embark from?" description="Where would you like your cruise to embark from? (Ex. Port Canaveral)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults? (18 and up)" name="how-many-adults-18-and-up" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children?" name="how-many-children" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Age of each child" name="age-of-each-child" rows="0" className="form-control"/>&#13;
		<field type="text" label="How many staterooms?" name="how-many-staterooms" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How many adults and children will be in each stateroom? (if booking more than one stateroom)" name="how-many-adults-and-children-will-be-in-each-stateroom-if-booking-more-than-one-stateroom" className="form-control"/>&#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="checkbox-group" label="Stateroom Preference" description="Select all that apply" name="stateroom-preference">&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Verandah" value="verandah">Verandah</option>&#13;
			<option label="Concierge" value="concierge">Concierge</option>&#13;
			<option label="Help Me Decide" value="help-me-decide">Help Me Decide</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Check all that apply" name="check-all-that-apply">&#13;
			<option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="Military" value="military">Military</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Is this your first trip on Disney Cruise Line?" name="is-this-your-first-trip-on-disney-cruise-line">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#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="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>