Share your information with Paige Clement

Paige Clement

Boardwalk Travel

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		<field type="paragraph" subtype="p" label="So glad you’re here! I’m a former teacher turned travel agent with a lifelong passion for exploring the world. During my years in the classroom, I made the most of my summer breaks by traveling—discovering new destinations, experiencing different cultures, and creating unforgettable memories along the way. Those adventures sparked a deep love for planning meaningful, well-thought-out trips. Now, I bring that same attention to detail, organization, and care from my teaching days into helping families plan vacations filled with magic, connection, and memories they’ll treasure for years to come."/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out the following information so that we can get started. I will reach out as soon as possible! Can’t wait to make your dreams a reality!"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" other="true">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="When are you thinking of traveling?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="text-1774927439147" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Who all is traveling? # of Adults, # of Children (include ages of children at time of travel)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you have a budget range for your trip?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$1,500 to $3,000" value="">$1,500 to $3,000</option>&#13;
			<option label="$3,000-$5,000" value="">$3,000-$5,000</option>&#13;
			<option label="$5,000-10,000" value="">$5,000-10,000</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do any of these discounts apply?" name="do-any-of-these-discounts-apply">&#13;
			<option label="Active, Retired, or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired, or 100% Disabled Military</option>&#13;
			<option label="Disney Chase Visa Card Holder" value="disney-chase-visa-card-holder">Disney Chase Visa Card Holder</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Annual Pass Holder" value="annual-pass-holder">Annual Pass Holder</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="Disney+ Member" value="disney-member">Disney+ Member</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#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;
	</fields>&#13;
</form-template>
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