Share your information with Monique Lange

Monique Lange

Paw-some Stay LLC

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Go on a Cruise - Travel by Paw-some Stay"/>&#13;
		<field type="paragraph" subtype="p" label="My travel planning help is complimentary to you. I earn a commission when you book through me, but I typically don’t receive that payment until several weeks after you’ve completed your trip."/>&#13;
		<field type="paragraph" subtype="p" label="All the time spent researching options, preparing quotes, and helping you plan happens upfront, before I’m paid."/>&#13;
		<field type="paragraph" subtype="p" label="Please request a personalized quote with the intention of booking through Travel by Paw-some Stay."/>&#13;
		<field type="checkbox-group" required="true" label="Please acknowledge before continuing" name="checkbox-group-1792911098364">&#13;
			<option label="I acknowledge and understand how my travel advisor is paid." value="acknowledged">I acknowledge and understand how my travel advisor is paid.</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1792911097241" next="Next" previous="Previous"/>&#13;
		<field type="text" subtype="email" required="true" label="Contact email address" name="email" className="form-control"/>&#13;
		<field required="true"  type="text" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Once you receive a suitable quote, will you be ready to make a deposit within the next week?" name="booking-timeline" className="radio-group">&#13;
			<option label="Yes, I am ready to book." value="yes-ready-to-book">Yes, I am ready to book.</option>&#13;
			<option label="I am researching pricing for a future booking." value="pricing-for-future">I am researching pricing for a future booking.</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Which option best describes you?" name="booking-assistance-status" className="radio-group">&#13;
			<option label="I would like to book with a travel advisor's help." value="book-with-travel-advisor">I would like to book with a travel advisor's help.</option>&#13;
			<option label="I am comparing options and have not decided how to book." value="comparing-options">I am comparing options and have not decided how to book.</option>&#13;
		</field>&#13;
		<field type="text" label="Number of adult guests (18 and older)" name="number-of-adult-guests" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of children (17 and younger at time of travel; enter 0 if none)" name="number-of-children" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For each child or teen age 17 or younger, including infants, list their full legal name (no nicknames) and age at the time of travel. Enter N/A if none." name="children-ages" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="If you need multiple staterooms, list the adults and children&#39;s ages in each room." description="Help: Example: Room 1: 2 adults  children ages 5 and 4. Room 2: 2 adults, child age 12. Capacity varies by ship and stateroom category." name="staterooms-age-listing" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred departure port" description="Help: Preferences only; available ports depend on ship  sailing date and released itineraries." name="preferred-departure-port" other="true" className="radio-group">&#13;
			<option label="Port Canaveral, Florida" value="port-canaveral-florida">Port Canaveral, Florida</option>&#13;
			<option label="Fort Lauderdale, Florida" value="fort-lauderdale-florida">Fort Lauderdale, Florida</option>&#13;
			<option label="Galveston, Texas" value="galveston-texas">Galveston, Texas</option>&#13;
			<option label="San Diego, California" value="san-diego-california">San Diego, California</option>&#13;
			<option label="New York, New York" value="new-york-ny">New York, New York</option>&#13;
			<option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option>&#13;
			<option label="Vancouver, Canada" value="vancouver-canada">Vancouver, Canada</option>&#13;
			<option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option>&#13;
			<option label="Civitavecchia (Rome), Italy" value="civitavecchia-italy">Civitavecchia (Rome), Italy</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred travel month" name="preferred-travel-month" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred travel year" name="preferred-travel-year" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Specific travel dates or a narrower date range, including any flexibility" name="specific-travel-dates-or-flexibility" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred destination" name="destination" other="true" className="radio-group">&#13;
			<option label="Caribbean" value="caribbean">Caribbean</option>&#13;
			<option label="Bahamas" value="bahamas">Bahamas</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Mexico" value="mexico">Mexico</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Preferred cruise length" name="preferred-cruise-length" other="true" className="radio-group">&#13;
			<option label="1-4 nights" value="1-4-nights">1-4 nights</option>&#13;
			<option label="5-7 nights" value="5-7-nights">5-7 nights</option>&#13;
			<option label="8 or more nights" value="8-or-more-nights">8 or more nights</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Stateroom category" name="stateroom-category" other="true" className="radio-group">&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Verandah" value="verandah">Verandah</option>&#13;
			<option label="Suite or luxury accommodations" value="suite-or-luxury-accommodations">Suite or luxury accommodations</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you live in the Phoenix metro area and need pet care at home while you’re away?" description="Pet care is provided by Paw-some Stay in the Phoenix metro area  quoted separately and subject to your location and availability." name="radio-group-1792868866775" className="radio-group">&#13;
			<option label="Yes, I would like a quote for pet care at home" value="yes-i-would-like-a-quote-for-pet-care-at-homeyes-pet-care-at-home">Yes, I would like a quote for pet care at home</option>&#13;
			<option label="I would like more information" value="i-would-like-more-informationinformation">I would like more information</option>&#13;
			<option label="No, thank you" value="no-thank-youno">No, thank you</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Proposed cruise budget PER STATEROOM" name="budget" other="true" className="radio-group">&#13;
			<option label="$2,000-$3,999" value="2000-3999">$2,000-$3,999</option>&#13;
			<option label="$4,000-$5,999" value="4000-5999">$4,000-$5,999</option>&#13;
			<option label="$6,000-$7,999" value="6000-7999">$6,000-$7,999</option>&#13;
			<option label="$8,000-$9,999" value="8000-9999">$8,000-$9,999</option>&#13;
			<option label="$10,000 or more" value="10000-or-more">$10,000 or more</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you currently working with another travel advisor or agency on this cruise?" name="working-with-other-disney-agent" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Where did you find Travel by Paw-some Stay?" name="how-did-you-find" other="true" className="radio-group">&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Family or friend referral" value="family-friend-referral">Family or friend referral</option>&#13;
			<option label="Past client" value="past-client">Past client</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else I should know about your cruise request?" name="additional-cruise-request-info" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you like help booking or information about any of these extras? Select all that apply." description="I can help arrange available supplier options or provide reservation information. Availability and booking options vary by destination." name="checkbox-group-1792907873073">&#13;
			<option label="Flights" value="flightsextra-1">Flights</option>&#13;
			<option label="Airport or cruise-port transfers" value="airport-or-cruiseport-transfersextra-2">Airport or cruise-port transfers</option>&#13;
			<option label="Hotel stay before or after the cruise" value="hotel-stay-before-or-after-the-cruiseextra-3">Hotel stay before or after the cruise</option>&#13;
			<option label="Rental car before or after the cruise" value="rental-car-before-or-after-the-cruiseextra-4">Rental car before or after the cruise</option>&#13;
			<option label="Stroller rental for time on land" value="stroller-rental-for-time-on-landextra-5">Stroller rental for time on land</option>&#13;
			<option label="Mobility scooter / ECV or wheelchair rental" value="mobility-scooter-ecv-or-wheelchair-rentalextra-6">Mobility scooter / ECV or wheelchair rental</option>&#13;
			<option label="Shore excursions or other activities" value="shore-excursions-or-other-activitiesextra-7">Shore excursions or other activities</option>&#13;
			<option label="Travel protection information" value="travel-protection-informationextra-8">Travel protection information</option>&#13;
			<option label="Not sure, please explain my options" value="not-sure-please-explain-my-optionsextra-9">Not sure, please explain my options</option>&#13;
			<option label="No extras needed" value="no-extras-neededextra-10">No extras needed</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any details or other extras you would like help with?" name="textarea-1792907879547" className="form-control"/>&#13;
		<field type="textarea" label="Which cruise lines or ships interest you? List any preferences, or tell me you would like recommendations." name="textarea-1792911228537" className="form-control"/>&#13;
		<field type="textarea" label="Any accessibility, mobility, dietary, or other planning needs? Please share only what is helpful for arranging your trip." name="textarea-1792911231344" className="form-control"/>&#13;
	</fields>&#13;
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