Share your information with Anna Coomes

Anna Coomes

A Dream and a Wish Travel Co

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		<field type="paragraph" subtype="p" label="So glad you are here! I have helped so many mamas plan family vacations over the years and would love to help you plan out the perfect family vacation. While I absolutely love to plan Disney, I understand that Disney is not everyone&#39;s top pick. I have helped families plan all sorts of vacations from cruises, all inclusives, and Universal trips.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="I need just a bit of info to get started and I will reach out as soon as possible!! Can&#39;t wait to chat!"/>&#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 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="radio-group" label="Where would you like to go?" name="where-would-you-like-to-go">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
			<option label="Other Destination" value="other-destination">Other Destination</option>&#13;
		</field>&#13;
		<field type="text" label="When are you thinking of traveling?&amp;nbsp;" name="when-are-you-thinking-of-traveling-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who all is traveling? # of Adults, # of Children (include ages of children at time of travel)" name="who-all-is-traveling-of-adults-of-children-include-ages-of-children-at-time-of-travel" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a budget range for your trip?" name="do-you-have-a-budget-range-for-your-trip">&#13;
			<option label="$1,500-$3,000" value="15003000">$1,500-$3,000</option>&#13;
			<option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option>&#13;
			<option label="$5,000-$10,000" value="500010000">$5,000-$10,000</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do any of these discounts apply?" name="do-any-of-these-discounts-apply">&#13;
			<option label="Active, Retired, or 100% disabled military" value="active-retired-or-100-disabled-military">Active, Retired, or 100% disabled military</option>&#13;
			<option label="Disney Chase Visa Card holder" value="disney-chase-visa-card-holder">Disney Chase Visa Card holder</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Annual Pass Holder" value="annual-pass-holder">Annual Pass Holder</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="Disney + Member" value="disney-member">Disney + Member</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else you would like me to know?" name="is-there-anything-else-you-would-like-me-to-know" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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