Share your information with Patty Crichton

Patty Crichton

Alaska and Beyond Llc

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	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Your names" description="Names of people traveling" name="your-names" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go in Alaska?" description="Please be as detailed as possible" placeholder="Example: thinking of a small luxury ship for 7-10 days in the Inside Passage then we&#39;d like a few days in Anchorage or Vancouver" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of ship are you considering?" description="Size matters :)  Check ones that appeal  to you" name="what-type-of-ship-are-you-considering" other="true">&#13;
			<option label="1.Small Expedition ship like Uncruise, Nat Geographic  20-100 pax- Casual  &amp; Immersive" value="1small-expedition-ship-like-uncruise-nat-geographic-20100-pax-casual-immersive">1.Small Expedition ship like Uncruise, Nat Geographic  20-100 pax- Casual  &amp; Immersive</option>&#13;
			<option label="2. Small luxury all-inclusive  like Silversea, Crystal, Regent, Seabourn  etc300-1000 pax, many amenities, dress for dinner " value="2-small-luxury-allinclusive-like-silversea-crystal-regent-seabourn-etc3001000-pax-many-amenities-dress-for-dinner-">2. Small luxury all-inclusive  like Silversea, Crystal, Regent, Seabourn  etc300-1000 pax, many amenities, dress for dinner </option>&#13;
			<option label="3. Larger Expedition eco-friendly ship like  Hurtigruten- not well-known in US but fantastic product  that costs less than #1" value="3-larger-expedition-ecofriendly-ship-like-hurtigruten-not-wellknown-in-us-but-fantastic-product-that-costs-less-than-1">3. Larger Expedition eco-friendly ship like  Hurtigruten- not well-known in US but fantastic product  that costs less than #1</option>&#13;
			<option label="#1 , #2, or #3- need help deciding" value="1-2-or-3-need-help-deciding">#1 , #2, or #3- need help deciding</option>&#13;
			<option label="River Cruise in Europe" value="river-cruise-in-europe">River Cruise in Europe</option>&#13;
			<option label="Small Luxury all-inclusive ship- other destinations" value="small-luxury-allinclusive-ship-other-destinations">Small Luxury all-inclusive ship- other destinations</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Text Area" name="textarea-1715888814906" value="Important: When would you like to go? What date restrictions do you have?" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How long a trip are you planning?" description="12 day cruise with stay in Vancouver; no more than 10 days;" name="dates-flexible" other="true">&#13;
			<option label="8 days or less" value="8-days-or-less">8 days or less</option>&#13;
			<option label="10-12 day would be nice " value="1012-day-would-be-nice-">10-12 day would be nice </option>&#13;
			<option label="2 weeks approx " value="2-weeks-approx-">2 weeks approx </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers and what age group?" description="Couple in 60&#39;s with grandchildren 10 &amp;amp; 16" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Traveling with you:" description="click all that apply" name="traveling-with-you" other="true">&#13;
			<option label="Spouse/partner/friend" value="spousepartnerfriend">Spouse/partner/friend</option>&#13;
			<option label="Another couple" value="another-couple">Another couple</option>&#13;
			<option label="Adults with kids 18 or under" value="adults-with-kids-18-or-under">Adults with kids 18 or under</option>&#13;
			<option label="Multi-generation family (grandparents/parents &amp; children)" value="multigeneration-family-grandparentsparents-children">Multi-generation family (grandparents/parents &amp; children)</option>&#13;
			<option label="Single" value="single">Single</option>&#13;
			<option label="children 12 or under" value="children-12-or-under">children 12 or under</option>&#13;
			<option label="group of several couples" value="group-of-several-couples">group of several couples</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What are the main reasons for traveling to Alaska?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Wildlife" value="wildlife">Wildlife</option>&#13;
			<option label="Glaciers" value="glaciers">Glaciers</option>&#13;
			<option label="Culture" value="culture">Culture</option>&#13;
			<option label="We're active: Adventure activities like hiking, kayaking" value="were-active-adventure-activities-like-hiking-kayaking">We're active: Adventure activities like hiking, kayaking</option>&#13;
			<option label="Good food; we're foodies" value="good-food-were-foodies">Good food; we're foodies</option>&#13;
			<option label="Relaxation" value="relaxation">Relaxation</option>&#13;
			<option label="Meet new people" value="meet-new-people">Meet new people</option>&#13;
			<option label="We're not very active but would love see AK upclose" value="were-not-very-active-but-would-love-see-ak-upclose">We're not very active but would love see AK upclose</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
			<option label="Get away from crowds" value="get-away-from-crowds">Get away from crowds</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else ? Celebrating something? Past cruises? Types of hotels you prefer?" description="What else is helpful for me to know for personal recommendation?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
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