Monique Clarke

Movacay

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		<field type="header" subtype="h2" label="Don't miss&amp;nbsp; when group trips come out?"/>&#13;
		<field type="header" subtype="h2" label="Submit Contact Information"/>&#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 address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Check all things you are interested in?" name="check-all-things-you-are-interested-in">&#13;
			<option label="Joining Movacay group trip" value="joining-movacay-group-trip" selected="selected">Joining Movacay group trip</option>&#13;
			<option label="Getting a custom group Cruise or all inclusive quote" value="getting-a-custom-group-cruise-or-all-inclusive-quote">Getting a custom group Cruise or all inclusive quote</option>&#13;
			<option label="Getting an individual trip quote for a Cruise or All inclusive" value="getting-an-individual-trip-quote-for-a-cruise-or-all-inclusive">Getting an individual trip quote for a Cruise or All inclusive</option>&#13;
			<option label="Becoming a Travel agent" value="becoming-a-travel-agent">Becoming a Travel agent</option>&#13;
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		<field type="text" required="true" label="How did you hear about Movacay" name="how-did-you-hear-about-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your social media handle ?" placeholder="IG: Travelwithmovacay" name="what-is-your-social-media-handle-" subtype="text" className="form-control"/>&#13;
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