Share your information with Rylie Thornsberry

Rylie Thornsberry

Enchanted Travels With Rylie

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		<field type="header" subtype="h2" label="Full name"/>&#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="Travel Dates" name="text-1765768667713" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Destination" name="select-1765768692430" multiple="multiple" className="form-control">&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Universal Orlando" value="universal-orlando" selected="selected">Universal Orlando</option>&#13;
			<option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option>&#13;
			<option label="All-Inclusive" value="allinclusive">All-Inclusive</option>&#13;
			<option label="Domestic (Non Hawaii/Alaska)" value="domestic-non-hawaiialaska">Domestic (Non Hawaii/Alaska)</option>&#13;
			<option label="Hawaii or Alaska" value="hawaii-or-alaska">Hawaii or Alaska</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="International " value="international-">International </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
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