Share your information with Amanda Fritts

Amanda Fritts

Moms at Sea Travel, a Dream Vacations Franchise

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		<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 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="select" label="Would you like a phone call?&amp;nbsp;" name="would-you-like-a-phone-call-" className="form-control">&#13;
			<option label="Yes! As soon as possible! I'm ready to cruise!" value="yes-as-soon-as-possible-im-ready-to-cruise">Yes! As soon as possible! I'm ready to cruise!</option>&#13;
			<option label="Yes, but I'd like to schedule it. " value="yes-but-id-like-to-schedule-it-">Yes, but I'd like to schedule it. </option>&#13;
			<option label="Not at this time. " value="not-at-this-time-">Not at this time. </option>&#13;
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		<field type="checkbox-group" label="Would you like a TEXT message when I have sent my initial response? Sometimes emails can be lost in spam and this will help you know when I have responded to your inquiry.&amp;nbsp;" inline="true" name="would-you-like-a-text-message-when-i-have-sent-my-initial-response-sometimes-emails-can-be-lost-in-spam-and-this-will-help-you-know-when-i-have-responded-to-your-inquiry-">&#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="Do you have a preferred ship and sail date already selected?&amp;nbsp;" name="do-you-have-a-preferred-ship-and-sail-date-already-selected-" className="form-control"/>&#13;
		<field type="checkbox-group" label="I don&#39;t know what ship we want, but we want these features:&amp;nbsp;" name="i-dont-know-what-ship-we-want-but-we-want-these-features-" other="true">&#13;
			<option label="Florida Port " value="florida-port-">Florida Port </option>&#13;
			<option label="Galveston Port" value="galveston-port">Galveston Port</option>&#13;
			<option label="New Jersey Port" value="new-jersey-port">New Jersey Port</option>&#13;
			<option label="Alaska Port" value="alaska-port">Alaska Port</option>&#13;
			<option label="European Port" value="european-port">European Port</option>&#13;
			<option label="Waterslides" value="waterslides">Waterslides</option>&#13;
			<option label="Nursery for children ages 6-36 months" value="nursery-for-children-ages-636-months">Nursery for children ages 6-36 months</option>&#13;
			<option label="Diapered Splash Pad" value="diapered-splash-pad">Diapered Splash Pad</option>&#13;
			<option label="Splash Pad for Potty Trained Kids" value="splash-pad-for-potty-trained-kids">Splash Pad for Potty Trained Kids</option>&#13;
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		<field type="select" label="How many guests?&amp;nbsp;" name="how-many-guests-" className="form-control">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6+" value="6">6+</option>&#13;
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		<field type="select" label="How many guests are age 12 and under?" name="how-many-guests-are-age-12-and-under" className="form-control">&#13;
			<option label="N/A" value="na">N/A</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5+" value="5">5+</option>&#13;
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		<field type="checkbox-group" label="Cabin type preference" name="cabin-type-preference">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview Window" value="oceanview-window">Oceanview Window</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Cabins that accommodate 5+" value="cabins-that-accommodate-5">Cabins that accommodate 5+</option>&#13;
			<option label="Accessible Cabin" value="accessible-cabin">Accessible Cabin</option>&#13;
			<option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Eligible Discounts" name="eligible-discounts">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>&#13;
			<option label="EMT/First Responder" value="emtfirst-responder">EMT/First Responder</option>&#13;
			<option label="Senior (55+)" value="senior-55">Senior (55+)</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any thoughts on your vacation experience that you&#39;d like to share? Anything specific on your wish list?&amp;nbsp;" name="do-you-have-any-thoughts-on-your-vacation-experience-that-youd-like-to-share-anything-specific-on-your-wish-list-" className="form-control"/>&#13;
		<field type="textarea" label="How did you hear about me?" name="how-did-you-hear-about-me" className="form-control"/>&#13;
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