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Timmery Rogers

Magically Designed Vacations, LLC

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		<field type="header" subtype="h3" label="Hi there! We are so happy you are here and we look forward to working with you. Please answer the questions below and submit the form."/>&#13;
		<field type="header" subtype="h1" label="Primary Client&#39;s Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="date" required="true" label="Birthday" name="birthday" 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="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Magically Designed Vacations, LLC can only book United States Citizens.  " name="magically-designed-vacations-llc-can-only-book-united-states-citizens-" className="checkbox-group">&#13;
			<option label="I certify that I am a United States Citizen " value="i-certify-that-i-am-a-united-states-citizen-">I certify that I am a United States Citizen </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If you reside in Florida, Maryland, California, Washington, or Hawaii, please do not complete this form and email info@magicallydesignedvacations.com." name="if-you-reside-in-california-washington-or-hawaii-please-do-not-complete-this-form-and-email-infomagicallydesignedvacationscom" className="checkbox-group">&#13;
			<option label="I certify that I do not reside in Florida, Maryland, California, Washington, or Hawaii" value="i-certify-that-i-do-not-reside-in-florida-maryland-california-washington-or-hawaii">I certify that I do not reside in Florida, Maryland, California, Washington, or Hawaii</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Traveler Details"/>&#13;
		<field type="textarea" required="true" label="Please include a list of all travelers to include date of births.&amp;nbsp; If you will need more than one room, please list travelers per room." name="please-include-a-list-of-all-travelers-if-you-have-any-children-in-your-travel-party-please-list-their-age-as-this-is-required-by-travel-suppliers-for-quoting-purposes-if-you-will-need-more-than-one-room-please-list-travelers-per-room" rows="1" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="textarea" required="true" label="Where do you want to go?&amp;nbsp; &amp;nbsp;The more specific you can be about what you are looking for will help in the quoting process." name="textarea-1763474948435" className="form-control"/>&#13;
		<field type="date" required="true" label="Trip Start Date" name="trip-start-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Trip End Date" name="trip-end-date" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Preferred hotel/resort or cruise. The more specific you can be about what you are looking for will help in the quoting process." name="textarea-1763475173497" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Do you have a preference on the view from your room? For example, if this is for a resort room, do you want a standard (parking lot) view or something like a water view if applicable? If this is for a cruise and you know if you want an inside, ocean view or balcony, please state below." name="textarea-1763475254163" className="form-control"/>&#13;
		<field type="text" required="true" label="Trip budget for all travelers only for hotel/cruise stateroom and park tickets if booking a Universal or Disney package - excludes travel cost, extras and meals." name="trip-budget-for-all-travelers-only-for-hotelcruise-state-room-and-park-tickets-if-booking-a-universal-or-disney-package-excludes-travel-cost-extras-and-meals" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Hotel/Cruise preference" name="hotel-preference" className="radio-group">&#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="textarea" label="Are there any other things that are important to you that were not listed?&amp;nbsp;" name="textarea-1763490282371" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Travel advisors put a lot of care into every quote.&amp;nbsp; Since travel advisors aren’t paid until a trip is booked and completed, the time spent quoting and assisting with the trip is something we give upfront. Thanks for keeping in mind that this time is valuable — your thoughtfulness really does make a difference." name="travel-advisors-put-a-lot-of-care-into-every-quote-since-travel-advisors-arent-paid-until-a-trip-is-booked-and-completed-the-time-spent-quoting-and-assisting-with-the-trip-is-something-we-give-upfront-thanks-for-keeping-in-mind-that-this-time-is-valuable-your-thoughtfulness-really-does-make-a-difference" className="checkbox-group">&#13;
			<option label="I understand that my Travel Advisor invests time and care into each quote, and I will be thoughtful and respectful of their time when submitting this request." value="i-understand-that-my-travel-advisor-invests-time-and-care-into-each-quote-and-i-will-be-thoughtful-and-respectful-of-their-time-when-submitting-this-request">I understand that my Travel Advisor invests time and care into each quote, and I will be thoughtful and respectful of their time when submitting this request.</option>&#13;
		</field>&#13;
		<field type="text" label="If you would prefer a scheduled phone consult after the form is submitted with your advisor before a quote is sent, please indicate so here." name="text-1765633627114" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="I understand if I am requesting a trip out of the country, all of my traveling party to include myself, must have valid passport book at time of travel that is valid for at least 6 months or more beyond the date of travel. If I am wanting to take a cruise that leaves and returns to the US but is visiting another country during the cruise, I understand it&#39;s encouraged for all travelers to have a passport book (valid for at least 6 months or more beyond the date of travel) in case I have to leave the ship in another country and fly back as a passport book would be required to fly back from another country. I also understand it&#39;s my responsibility to know and follow the requirements of traveling to another country." name="i-understand-if-i-am-requesting-a-trip-out-of-the-country-all-of-my-traveling-party-to-include-myself-must-have-valid-passport-book-at-time-of-travel-that-is-valid-for-at-least-6-months-or-more-beyond-the-date-of-travel-if-i-am-wanting-to-take-a-cruise-that-leaves-and-returns-to-the-us-but-is-visiting-another-country-during-the-cruise-i-understand-its-encouraged-for-all-travelers-to-have-a-passport-book-valid-for-at-least-6-months-or-more-beyond-the-date-of-travel-in-case-i-have-to-leave-the-ship-in-another-country-and-fly-back-as-a-passport-book-would-be-required-to-fly-back-from-another-country-i-also-understand-its-my-responsibility-to-know-and-follow-the-requirements-of-traveling-to-another-country" className="radio-group">&#13;
			<option label="Yes, I understand" value="yes-i-understand">Yes, I understand</option>&#13;
			<option label="I am not requesting a trip out of the country or a cruise." value="i-am-not-requesting-a-trip-out-of-the-country-or-a-cruise">I am not requesting a trip out of the country or a cruise.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How did you hear about Magically Designed Vacations?&amp;nbsp;" name="how-did-you-hear-about-magically-designed-vacations-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to receive Magically Designed Vacations newsletter and occasional emails about upcoming travel offers?" name="would-you-like-to-receive-magically-designed-vacations-newsletter-and-occasional-emails-about-upcoming-travel-offers" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please review Magically Designed Vacations, LLC terms &amp;amp; conditions at this link: https://www.magicallydesignedvacations.com/terms-conditions" name="checkbox-group-1765390258102" className="checkbox-group">&#13;
			<option label="I agree to Magically Designed Vacations, LLC terms and conditions" value="i-agree-to-magically-designed-vacations-llc-terms-and-conditions">I agree to Magically Designed Vacations, LLC terms and conditions</option>&#13;
		</field>&#13;
	</fields>&#13;
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