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Casey Nickens

A Pair of Ears Travel with Casey Nickens

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		<field type="header" subtype="h2" label="Tell me about your Universal Orlando vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="If you are interested in Universal Hollywood, please email me at caseyn@apairofearstravel.com."/>&#13;
		<field type="header" subtype="h1" label="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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" 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="date" required="true" label="Check In Date" 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" required="true" label="Check Out Dates" 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" required="true" label="How many adults?" description="MUST have at least one guest 21 or older on the reservation." name="text-1742874496978" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children?" name="text-1742874404868" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How old will the children be at the time of travel?" name="text-1742874422751" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Resort Preference:" name="resort-preference">&#13;
			<option label="Loews Portofino Bay- FREE Unlimited Express" value="loews-portofino-bay-free-unlimited-express">Loews Portofino Bay- FREE Unlimited Express</option>&#13;
			<option label="Hard Rock Hotel- FREE Unlimited Express" value="hard-rock-hotel-free-unlimited-express">Hard Rock Hotel- FREE Unlimited Express</option>&#13;
			<option label="Loews Royal Pacific- FREE Unlimited Express" value="loews-royal-pacific-free-unlimited-express">Loews Royal Pacific- FREE Unlimited Express</option>&#13;
			<option label="Universal Helios Grand Hotel" value="universal-helios-grand-hotel">Universal Helios Grand Hotel</option>&#13;
			<option label="Loews Sapphire Falls" value="loews-sapphire-falls">Loews Sapphire Falls</option>&#13;
			<option label="Adventura" value="adventura">Adventura</option>&#13;
			<option label="Stella Nova" value="stella-nova">Stella Nova</option>&#13;
			<option label="Terra Luna" value="terra-luna">Terra Luna</option>&#13;
			<option label="Cabana Bay" value="cabana-bay">Cabana Bay</option>&#13;
			<option label="Endless Summer- Dockside Inn &amp; Suites" value="endless-summer-dockside-inn-suites">Endless Summer- Dockside Inn &amp; Suites</option>&#13;
			<option label="Endless Summer- Surfside Inn &amp; Suites" value="endless-summer-surfside-inn-suites">Endless Summer- Surfside Inn &amp; Suites</option>&#13;
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		<field type="text" required="true" label="How many days of park tickets would you like?" name="text-1742876244142" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Type of Ticket (select all that apply)" name="type-of-ticket-select-all-that-apply" other="true">&#13;
			<option label="Base- 1 Park Per Day" value="base-1-park-per-day">Base- 1 Park Per Day</option>&#13;
			<option label="Park-to-Park- Visit Universal and Island of Adventure in the same day (needed for Hogwarts Express)" value="parktopark-visit-universal-and-island-of-adventure-in-the-same-day-needed-for-hogwarts-express">Park-to-Park- Visit Universal and Island of Adventure in the same day (needed for Hogwarts Express)</option>&#13;
			<option label="Include Volcano Bay" value="include-volcano-bay">Include Volcano Bay</option>&#13;
			<option label="Include Unlimited Express Pass/Express Pass" value="include-unlimited-express-passexpress-pass">Include Unlimited Express Pass/Express Pass</option>&#13;
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		<field type="text" required="true" label="What is your budget for accommodations and tickets for all guests?" name="text-1742874574701" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Is this your first time visiting Universal?" name="text-1742966736602" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" description="This just gives me a general starting point and can always be changed later." name="radio-group-1742874635625" other="true">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Within the Week" value="within-the-week">Within the Week</option>&#13;
			<option label="Within 90 Days" value="within-90-days">Within 90 Days</option>&#13;
			<option label="Just Browsing" value="just-browsing">Just Browsing</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;
		<field type="text" required="true" label="How did you hear about A Pair of Ears Travel with Casey Nickens?" name="text-1742874601883" subtype="text" className="form-control"/>&#13;
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