Share your information with Britney Bergeron

Britney Bergeron

Britney with NTA

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		<field type="header" subtype="h3" label="Couples Getaway to Jamaica"/>&#13;
		<field type="paragraph" subtype="p" label="You&#39;re one step closer to turning your dream of visiting one of the Caribbean’s hottest islands into a reality—without breaking the bank! ✨ This exclusive promotion is for travelers departing from New Orleans, June 10 - 14, 2025 but can be customized at your request. Ready to start planning? Fill out the inquiry form below and let’s make it happen!"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" 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" label="Middle name" name="middle-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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="date" required="true" label="Preferred Traveling Dates" name="preferred-traveling-dates" className="form-control"/>&#13;
		<field type="date" required="true" label="Preferred Traveling Dates" name="date-1744303323721" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred Airport" name="text-1744302528171" value="Preferred Airport" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Travel Budget" name="budget" className="form-control">&#13;
			<option label="Under $3,000" value="">Under $3,000</option>&#13;
			<option label="$3,000-$4,500" value="">$3,000-$4,500</option>&#13;
			<option label="$4,500-$7,000" value="">$4,500-$7,000</option>&#13;
			<option label="Sky's the Limit" value="">Sky's the Limit</option>&#13;
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		<field type="text" required="true" label="Anything Else I Should Know?" name="text-1744303113863" subtype="text" className="form-control"/>&#13;
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