Share your information with Team at Ted Blank Travel

Team at Ted Blank Travel

Ted Blank Luxury Travel & Adventure

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		<field type="header" subtype="h2" label="Contact Details"/>&#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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" description="We’ll use this email to follow up about your travel plans." name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When is the best day and time to chat?" name="text-1786901431193" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="select" required="true" label="Select the type of trip(s) you are interested in. If you’re unsure, choose “Not Sure Yet.”" name="select-1785179450812" multiple="multiple" className="form-control">&#13;
			<option label="River Cruise" value="river-cruise">River Cruise</option>&#13;
			<option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option>&#13;
			<option label="Alaska Cruise &amp; Land Tours" value="alaska-cruise-land-tours">Alaska Cruise &amp; Land Tours</option>&#13;
			<option label="Expedition Cruise" value="expedition-cruise">Expedition Cruise</option>&#13;
			<option label="Europe &amp; Guided Tours" value="europe-guided-tours">Europe &amp; Guided Tours</option>&#13;
			<option label="North &amp; South America Cruise &amp; Land Tours" value="north-south-america-cruise-land-tours">North &amp; South America Cruise &amp; Land Tours</option>&#13;
			<option label="Caribbean Cruises &amp; All-Inclusive Vacations" value="caribbean-cruises-allinclusive-vacations">Caribbean Cruises &amp; All-Inclusive Vacations</option>&#13;
			<option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option>&#13;
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		<field type="text" label="Preferred Destination or Region" description="Tell us where you would like to travel. If you’re still exploring  let us know which regions interest you." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What Would You Like Us to Know About Your Trip?" description="Tell us what you’re envisioning  what matters most to you, and any special occasions, interests, or needs we should consider." name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
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