David Bourg

Moonlight Travel

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		<field type="paragraph" subtype="p" label="Some of this information may be used to book your travel components.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="If it does not match your government issued ID used to travel, you will be responsible for any and all related consequences."/>&#13;
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		<field type="paragraph" subtype="p" label="Just the basic questions that I need before I can even get started."/>&#13;
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		<field type="text" required="true" label="First name (REQUIRED)" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name (REQUIRED)" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City (REQUIRED)" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State (REQUIRED)" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email (REQUIRED)" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number (REQUIRED)" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Have you ever worked with a travel advisor (agent) before? (REQUIRED)" inline="true" name="have-you-ever-worked-with-a-travel-advisor-agent-before-required">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="text" required="true" label="What kind of getaway are you looking for? (REQUIRED)" placeholder="Are you looking for a cruise  a rail journey, or a custom itinerary....." name="what-kind-of-getaway-are-you-looking-for-required" subtype="text" className="form-control"/>&#13;
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		<field type="header" subtype="h3" label="Optional Questions"/>&#13;
		<field type="paragraph" subtype="p" label="This information will help me get to know you and understand what you want out of your vacation"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="text" label="How did you find out about Moonlight Travel" name="how-did-you-find-out-about-moonlight-travel-david" subtype="text" className="form-control"/>&#13;
		<field type="text" label="When are you looking to travel?&amp;nbsp;" placeholder="Please provide at least month and year" name="text-1736442718168" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp;" description="Please provide details in the last question" inline="true" name="are-your-dates-flexible-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="textarea" label="Please list any landmarks, restaurants, hotels, or activities that you consider most do's.&amp;nbsp;" name="please-list-any-landmarks-restaurants-hotels-or-activities-that-you-consider-most-dos-" className="form-control"/>&#13;
		<field type="textarea" label="What would make this vacation a success for you?" name="what-would-make-this-vacation-a-success-for-you" className="form-control"/>&#13;
		<field type="text" label="Do you know of anyone else who may be interested in traveling with you on this trip?" name="text-1736442917256" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Is there any other information you think would assist me in creating your dream vacation?" name="is-there-any-other-information-you-think-would-assist-me-in-creating-your-dream-vacation" className="form-control"/>&#13;
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By submitting this form I agree to Moonlight Travel LLC's terms and conditions of booking, which are located at:

https://moonlighttravel.online/terms_and_conditions_060824/

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