Share your information with Melanie Frady

Melanie Frady

Travelmation

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		<field type="header" subtype="h2" label="Epcot (Walt Disney World) Candlelight Processional Holiday Package"/>&#13;
		<field type="checkbox-group" label="Which package are you interested in?" description="These packages must include a hotel reservation or a 3 day park ticket minimum" name="which-package-are-you-interested-in">&#13;
			<option label="Flight, Hotel, Park Tickets &amp; Candlelight Tickets" value="flight-hotel-park-tickets-candlelight-tickets">Flight, Hotel, Park Tickets &amp; Candlelight Tickets</option>&#13;
			<option label="Hotel, Park Tickets &amp; Candlelight Tickets " value="hotel-park-tickets-candlelight-tickets-">Hotel, Park Tickets &amp; Candlelight Tickets </option>&#13;
			<option label="Park Ticket (3 days or more) plus Candlelight Tickets" value="park-ticket-3-days-or-more-plus-candlelight-tickets">Park Ticket (3 days or more) plus Candlelight Tickets</option>&#13;
			<option label="Disney VIP Tour (minimum 7 hours) plus Candlelight tickets" value="disney-vip-tour-minimum-7-hours-plus-candlelight-tickets">Disney VIP Tour (minimum 7 hours) plus Candlelight tickets</option>&#13;
		</field>&#13;
		<field type="date" label="Check In Date" name="date-1790818882240" className="form-control"/>&#13;
		<field type="date" label="Check Out Date" name="date-1790818896915" className="form-control"/>&#13;
		<field type="select" label="Which Celebrity Narrator Would You Like To See&amp;nbsp;" name="select-1790817089440" className="form-control">&#13;
			<option label="Auliʻi Cravalho - November 27 &amp; 28" value="aulii-cravalho-november-27-28">Auliʻi Cravalho - November 27 &amp; 28</option>&#13;
			<option label="Gary Sinise - November 29 &amp; 30" value="gary-sinise-november-29-30">Gary Sinise - November 29 &amp; 30</option>&#13;
			<option label="Gary Sinise - December 1" value="gary-sinise-december-1">Gary Sinise - December 1</option>&#13;
			<option label="To Be Announced - December 2 &amp; 3" value="to-be-announced-december-2-3">To Be Announced - December 2 &amp; 3</option>&#13;
			<option label="Whoopi Goldberg - December 4 &amp; 5" value="whoopi-goldberg-december-4-5">Whoopi Goldberg - December 4 &amp; 5</option>&#13;
			<option label="Robin Roberts – December 6 &amp; 7" value="robin-roberts-december-6-7">Robin Roberts – December 6 &amp; 7</option>&#13;
			<option label="Jason Kelce – December 8 &amp; 9 " value="jason-kelce-december-8-9-">Jason Kelce – December 8 &amp; 9 </option>&#13;
			<option label="Neil Patrick Harris - December 10-12" value="neil-patrick-harris-december-1012">Neil Patrick Harris - December 10-12</option>&#13;
			<option label="To Be Announced - December 13 &amp; 14" value="to-be-announced-december-13-14">To Be Announced - December 13 &amp; 14</option>&#13;
			<option label="Lauren Daigle - December 15 &amp; 16" value="lauren-daigle-december-15-16">Lauren Daigle - December 15 &amp; 16</option>&#13;
			<option label="Ralph Macchio - December 17-19" value="ralph-macchio-december-1719">Ralph Macchio - December 17-19</option>&#13;
			<option label="Henry Winkler - December 20-21" value="henry-winkler-december-2021">Henry Winkler - December 20-21</option>&#13;
			<option label="Lacey Chabert – December 22 &amp; 23" value="lacey-chabert-december-22-23">Lacey Chabert – December 22 &amp; 23</option>&#13;
			<option label="Jodi Benson - December 24 &amp; 25" value="jodi-benson-december-24-25">Jodi Benson - December 24 &amp; 25</option>&#13;
			<option label="Simu Liu - December 26 &amp; 27" value="simu-liu-december-26-27">Simu Liu - December 26 &amp; 27</option>&#13;
			<option label="Eva Longoria - December 28-30" value="eva-longoria-december-2830">Eva Longoria - December 28-30</option>&#13;
		</field>&#13;
		<field type="select" label="Preferred Resort walk to Epcot or skyliner to Epcot from these resorts&amp;nbsp;" name="select-1790817084435" className="form-control">&#13;
			<option label="Disney's Beach Club - Deluxe (walk to Epcot, closest resort)" value="disneys-beach-club-deluxe-walk-to-epcot-closest-resort">Disney's Beach Club - Deluxe (walk to Epcot, closest resort)</option>&#13;
			<option label="Disney's Yacht Club - Deluxe (walk to Epcot)" value="disneys-yacht-club-deluxe-walk-to-epcot">Disney's Yacht Club - Deluxe (walk to Epcot)</option>&#13;
			<option label="Disney's Boardwalk Inn - Deluxe (walk to Epcot)" value="disneys-boardwalk-inn-deluxe-walk-to-epcot">Disney's Boardwalk Inn - Deluxe (walk to Epcot)</option>&#13;
			<option label="Disney's Riviera - Deluxe (skyliner to Epcot)" value="disneys-riviera-deluxe-skyliner-to-epcot">Disney's Riviera - Deluxe (skyliner to Epcot)</option>&#13;
			<option label="Disney's Grand Floridian - Deluxe (monorail to Epcot)" value="disneys-grand-floridian-deluxe-monorail-to-epcot">Disney's Grand Floridian - Deluxe (monorail to Epcot)</option>&#13;
			<option label="Disney's Contemporary - Deluxe (monorail to Epcot)" value="disneys-contemporary-deluxe-monorail-to-epcot">Disney's Contemporary - Deluxe (monorail to Epcot)</option>&#13;
			<option label="Disney's Polynesian - Deluxe (monorail to Epcot)" value="disneys-polynesian-deluxe-monorail-to-epcot">Disney's Polynesian - Deluxe (monorail to Epcot)</option>&#13;
			<option label="Disney's Caribbean Beach - Moderate (skyliner to Epcot)" value="disneys-caribbean-beach-moderate-skyliner-to-epcot">Disney's Caribbean Beach - Moderate (skyliner to Epcot)</option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="text" label="How many rooms do you need? Standard, Water View Club Level, Villa&amp;nbsp;" name="text-1790819323940" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many park days do you need? Hopper or Standard 1 park per day" name="text-1790819380008" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who is traveling with you (first name, last name, birthday)&amp;nbsp;" name="what-else-can-you-tell-me-about-your-trip" className="form-control"/>&#13;
		<field type="textarea" label="Additional notes about your trip" name="textarea-1790819238514" className="form-control"/>&#13;
		<field type="select" label="How did you connect with my page?&amp;nbsp;" name="select-1790819501082" className="form-control">&#13;
			<option label="Friend Referrel" value="friend-referrel">Friend Referrel</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook " value="facebook-">Facebook </option>&#13;
			<option label="Online Search " value="online-search-">Online Search </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Who was your friend referral so that I can thank them" name="text-1790819614003" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>