Share your information with Austin Moore

Austin Moore

Society 1955

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		<field type="header" subtype="h1" label="Get Excited! It is Time to Plan a Vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing us as your travel specialists! Welcome to the first step towards planning your dream vacation! Society 1955 provides concierge level planning - before, during and after your trip - without the stress or hassle of booking yourself. As your personal vacation planners specializing in all destinations, we are here to help you make your dream vacation a reality!"/>&#13;
		<field type="paragraph" subtype="p" label="Please assist us in starting your trip planning by filling out this form. The more information the better, as this will help us create packages with the best resort, room types and extras to make your vacation the best!"/>&#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="header" subtype="h1" label="Contact Info!"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Mobile phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details!"/>&#13;
		<field type="date" required="true" label="Desired Check-in Date" name="desired-checkin-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Desired Check-out Date" name="desired-checkout-date" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go">&#13;
			<option label="Walt Disney World, FL" value="walt-disney-world-fl">Walt Disney World, FL</option>&#13;
			<option label="Universal, FL" value="universal-fl">Universal, FL</option>&#13;
			<option label="Disneyland, CA" value="disneyland-ca">Disneyland, CA</option>&#13;
			<option label="Universal, CA" value="universal-ca">Universal, CA</option>&#13;
			<option label="All - Inclusive Beach Vacation " value="all-inclusive-beach-vacation-">All - Inclusive Beach Vacation </option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Other Cruise Line - Royal, Norwegian, Celebrity, etc " value="other-cruise-line-royal-norwegian-celebrity-etc-">Other Cruise Line - Royal, Norwegian, Celebrity, etc </option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Names &amp;amp; Birthdates of Adults (per room)" name="text-1734476069765" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Names &amp;amp; Birthdates of Any Children (per room)" name="ages-of-any-children-per-room" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please describe the trip you are looking for? What destinations have captured your imagination? Are there any specific activities or experiences you&#39;re eager to try? By understanding your unique interests and preferences, we can tailor a personalized vacation that exceeds your expectations. The more details the better!&amp;nbsp;" name="please-describe-the-trip-you-are-looking-for-things-to-include-where-you-want-to-go-how-you-prefer-to-get-there-and-any-assistance-you-need-from-your-travel-planner" className="form-control"/>&#13;
	</fields>&#13;
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  </body>
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