Share your information with Kelly Van Eerden

Kelly Van Eerden

Haven Coast Travel

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	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Cruise Post-Booking Form"/>&#13;
		<field type="paragraph" subtype="p" label="Congratulations again on booking your all inclusive vacation! Every trip is different, so I like to check in with each client to make sure I have every detail covered, especially the little things that don&#39;t always come up in our first conversations. Just a few quick questions below."/>&#13;
		<field type="checkbox-group" required="true" label="You&#39;ll receive a free vacation guide with tips for your trip. Would you like a paper copy or a digital copy?" name="checkbox-group-1783368185403">&#13;
			<option label="Digital" value="digital">Digital</option>&#13;
			<option label="Paper Copy" value="paper-copy">Paper Copy</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you need a wheelchair, scooter, or other accessibility accommodation for your stateroom or during boarding?&amp;nbsp; If you select yes, please enter accommodations needed below in the text box." name="checkbox-group-1783368292202">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Accommodations Needed:" name="text-1783368798835" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do you have any food allergies, celiac disease, or food intolerances I should note for the dining team?&amp;nbsp; If yes, please enter below so I can alert the cruise line.&amp;nbsp;" name="checkbox-group-1783368663250">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
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		<field type="text" label="Please list food allergies/intolerances, or celiac disease below:" name="text-1783368730090" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you like information on expedited arrival, VIP airport service, or resort fast-track check-in if it&#39;s offered at your destination?" name="checkbox-group-1783369277350">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Is anyone traveling with medication needing refrigeration, or any medical equipment I should note?" name="checkbox-group-1783369331230">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Paragraph"/>&#13;
		<field type="checkbox-group" label="Are you celebrating a special occasion (anniversary, honeymoon, birthday)?&amp;nbsp;" name="checkbox-group-1783369779497">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Please list celebration below:" name="text-1783369870730" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Is there anything else about your trip I should know, big or small?" name="checkbox-group-1783369784997">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Please share any additional details below:" name="text-1783370027178" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for taking the time to fill this out! You&#39;ll be receiving your free vacation guide soon. Keep an eye on your inbox (or mailbox if you chose paper copy), as you&#39;ll be getting emails from me along the way with helpful information leading up to your trip. If you have any questions in the meantime, please don&#39;t hesitate to reach out."/>&#13;
	</fields>&#13;
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