Share your information with Kristen Gibson

Kristen Gibson

<html>
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Kristen Gibson - an Agent with WDTR"/>&#13;
		<field type="header" subtype="h2" label="Vacation Quote Form&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="Please complete the form below to receive your personalized vacation quote!"/>&#13;
		<field required="true"  type="text" label="Email" name="email" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Where would you like to go?&amp;nbsp;" name="where-would-you-like-to-go-" className="form-control">&#13;
			<option label="Disney World in Florida" value="disney-world-in-florida">Disney World in Florida</option>&#13;
			<option label="Universal in Florida" value="universal-in-florida">Universal in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Universal in California" value="universal-in-california">Universal in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Cruise (Carnival, Royal Caribbean, Norwegian, etc)" value="">Cruise (Carnival, Royal Caribbean, Norwegian, etc)</option>&#13;
			<option label="Sandals or Beaches Resort " value="sandals-or-beaches-resort-">Sandals or Beaches Resort </option>&#13;
			<option label="All-Inclusive Resort " value="allinclusive-resort-">All-Inclusive Resort </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" label="Date you&#39;re considering arriving?" name="date-youre-considering-arriving" className="form-control"/>&#13;
		<field type="date" label="Date you&#39;re considering departing?" name="date-youre-considering-departing" className="form-control"/>&#13;
		<field type="select" label="What is your approximate &quot;budget&quot; for the entire trip? (Select any that apply to what you&#39;re thinking)" name="what-is-your-approximate-budget-for-the-entire-trip-select-any-that-apply-to-what-youre-thinking" className="form-control">&#13;
			<option label="Off-property: Under $2500" value="offproperty-under-2500">Off-property: Under $2500</option>&#13;
			<option label="Value: $2000-$4000" value="value-20004000">Value: $2000-$4000</option>&#13;
			<option label="Moderate: $3000-$5000" value="moderate-30005000">Moderate: $3000-$5000</option>&#13;
			<option label="Deluxe: $5000+" value="deluxe-5000">Deluxe: $5000+</option>&#13;
			<option label="No budget, would rather see all options and decide" value="no-budget-would-rather-see-all-options-and-decide">No budget, would rather see all options and decide</option>&#13;
		</field>&#13;
		<field type="text" label="Who would be going on this trip? (Adult names, kiddos names and ages please!)" name="who-would-be-going-on-this-triop-adult-names-kiddos-names-and-ages-please" subtype="text" className="form-control"/>&#13;
		<field type="select" label="What type of package?&amp;nbsp;" name="what-type-of-package-" className="form-control">&#13;
			<option label="Room &amp; Tickets" value="room-tickets">Room &amp; Tickets</option>&#13;
			<option label="Room Only" value="room-only">Room Only</option>&#13;
			<option label="Tickets Only" value="tickets-only">Tickets Only</option>&#13;
		</field>&#13;
		<field type="text" label="What else should I know before putting a custom quote together for you?&amp;nbsp;" name="what-else-should-i-know-before-putting-a-custom-quote-together-for-you-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Celebrating anything special?&amp;nbsp;" name="celebrating-anything-special-" className="form-control"/>&#13;
		<field type="text" label="Referred by someone?&amp;nbsp; Where did you find me?" name="referred-by-someone-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Thank you! Please allow 24-48 hours for your custom vacation quote.&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>