Share your information with Megan Ford

Megan Ford

Moms at Sea, a Dream Vacations Franchise

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Can&#39;t wait to help you on a new cruise! Please fill out the information below:"/>&#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 required="true"  type="text" 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" label="Would you like a phone call?" name="would-you-like-a-phone-call">&#13;
			<option label="Yes! As soon as possible!! I'm ready to cruise!" value="yes-as-soon-as-possible-im-ready-to-cruise">Yes! As soon as possible!! I'm ready to cruise!</option>&#13;
			<option label="Yes, but I would like to schedule it." value="yes-but-i-would-like-to-schedule-it">Yes, but I would like to schedule it.</option>&#13;
			<option label="Not at this time." value="not-at-this-time">Not at this time.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like a TEXT when I have sent my initial response? My emails often get lost in spam and I find this helps you when I have responded to your inquiry.&amp;nbsp;" name="would-you-like-a-text-when-i-have-sent-my-initial-response-my-emails-often-get-lost-in-spam-and-i-find-this-helps-you-when-i-have-responded-to-your-inquiry-">&#13;
			<option label="Yes please" value="yes-please">Yes please</option>&#13;
			<option label="No thanks" value="no-thanks">No thanks</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Please let me know if any of these are important and on your wish list:" name="please-let-me-know-if-any-of-these-are-important-and-on-your-wish-list">&#13;
			<option label="New Jersey Port" value="new-jersey-port">New Jersey Port</option>&#13;
			<option label="Florida Port" value="florida-port">Florida Port</option>&#13;
			<option label="Galveston TX Port" value="galveston-tx-port">Galveston TX Port</option>&#13;
			<option label="Waterslides" value="waterslides">Waterslides</option>&#13;
			<option label="Nursery for kids 6-36 months" value="nursery-for-kids-636-months">Nursery for kids 6-36 months</option>&#13;
			<option label="Diapered kid splash pad area" value="diapered-kid-splash-pad-area">Diapered kid splash pad area</option>&#13;
			<option label="Splash pad area for potty trained kids" value="splash-pad-area-for-potty-trained-kids">Splash pad area for potty trained kids</option>&#13;
			<option label="Coco Cay" value="coco-cay">Coco Cay</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="How many guests will be sailing together?" name="how-many-guests-will-be-sailing-together">&#13;
			<option label="1-2" value="12">1-2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6+" value="6">6+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What type of cabin are you looking for?" name="what-type-of-cabin-are-you-looking-for">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option>&#13;
			<option label="Cabins that accommodate 5+" value="cabins-that-accommodate-5">Cabins that accommodate 5+</option>&#13;
		</field>&#13;
		<field type="text" label="Please let me know any additional thoughts on what you are looking for on your wish list:" name="please-let-me-know-any-additional-thoughts-on-what-you-are-looking-for-on-your-wish-list" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Have you cruised before? If so, please share your experience!" name="have-you-cruised-before-if-so-please-share-your-experience" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Which cruise lines are you interested in sailing?" name="radio-group-1770404376426" other="true">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="NCL" value="ncl">NCL</option>&#13;
			<option label="Disney" value="disney">Disney</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Holland America" value="holland-america">Holland America</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>