Share your information with Lenna Hernandez

Lenna Hernandez

Magical Enchanted Vacations with Lenna

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Cruise Request Form&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to fill out this form. Please fill it out to the best of your ability and hit SUBMIT. I will get in touch with you within 24-48 hours (usually less) to start the planning process. As always, my services are complimentary when you book your trip through me. I look forward to working with you!"/>&#13;
		<field type="paragraph" subtype="p" label="* Please note: Women who are expecting and are at 6 months gestation or further may not cruise, as well as infants under 6 months of age."/>&#13;
		<field type="header" subtype="h2" label="Contact Info"/>&#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="text" required="true" label="State of Residency" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Cruise Dates" name="cruise-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Desired Destination" name="desired-destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many people in your party and how many rooms will you need? (example: 2 adults, 2 kids (ages xyz), 1 room)" name="how-many-people-in-your-party-and-how-many-rooms-will-you-need-example-2-adults-2-kids-ages-xyz-1-room" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="If needing more than one stateroom, would you like them to be connected?" name="if-needing-more-than-one-stateroom-would-you-like-them-to-be-connected" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do any of the following pertain to you?" name="do-any-of-the-following-pertain-to-you" multiple="multiple" className="form-control">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Senior 65+" value="senior-65" selected="selected">Senior 65+</option>&#13;
			<option label="Interline" value="interline">Interline</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Which cruise line are you interested in?" name="which-cruise-line-are-you-interested-in" multiple="multiple" className="form-control">&#13;
			<option label="Disney" value="disney">Disney</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Undecided" value="undecided">Undecided</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Preferred length of cruise:" name="preferred-length-of-cruise" multiple="multiple" className="form-control">&#13;
			<option label="3 days or less" value="3-days-or-less" selected="selected">3 days or less</option>&#13;
			<option label="3 - 5 days" value="3-5-days">3 - 5 days</option>&#13;
			<option label="6 - 9 days" value="6-9-days">6 - 9 days</option>&#13;
			<option label="10+ days" value="10-days">10+ days</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Where would you like to depart from?" name="where-would-you-like-to-depart-from" multiple="multiple" className="form-control">&#13;
			<option label="Port Canaveral (Orlando, FL)" value="port-canaveral-orlando-fl">Port Canaveral (Orlando, FL)</option>&#13;
			<option label="Tampa, FL" value="tampa-fl">Tampa, FL</option>&#13;
			<option label="Ft. Lauderdale, FL" value="ft-lauderdale-fl">Ft. Lauderdale, FL</option>&#13;
			<option label="Galveston, TX" value="galveston-tx">Galveston, TX</option>&#13;
			<option label="Los Angeles, CA" value="los-angeles-ca">Los Angeles, CA</option>&#13;
			<option label="San Francisco, CA" value="san-francisco-ca">San Francisco, CA</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Have you or anyone in your party ever cruised before?" name="have-you-or-anyone-in-your-party-ever-cruised-before" multiple="multiple" className="form-control">&#13;
			<option label="Yes, all of us" value="yes-all-of-us">Yes, all of us</option>&#13;
			<option label="Yes, at least one of us" value="yes-at-least-one-of-us">Yes, at least one of us</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What stateroom category are you interested in?" name="what-stateroom-category-are-you-interested-in" multiple="multiple" className="form-control">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Concierge" value="concierge">Concierge</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Any special accommodations/requests I should be made aware of? (Hearing accessible, wheelchair accessible, Austim, etc.)" name="any-special-accommodationsrequests-i-should-be-made-aware-of-hearing-accessible-wheelchair-accessible-austim-etc" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like me to add travel insurance in your quote?" name="would-you-like-me-to-add-travel-insurance-in-your-quote" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Would you like me to include gratuities in your quote? You can prepay for them, or they will charge you when you board the ship.&amp;nbsp;" name="would-you-like-me-to-include-gratuities-in-your-quote-you-can-prepay-for-them-or-they-will-charge-you-when-you-board-the-ship-" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Anything else I should know about your trip? Celebrating anything special?" name="anything-else-i-should-know-about-your-trip-celebrating-anything-special" className="form-control"/>&#13;
		<field type="select" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me" multiple="multiple" className="form-control">&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Google Search" value="google-search">Google Search</option>&#13;
			<option label="Family/Friend Referral" value="familyfriend-referral">Family/Friend Referral</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="If someone referred you to me, please list their name here so I can thank them!" name="if-someone-referred-you-to-me-please-list-their-name-here-so-i-can-thank-them" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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