Share your information with Catherine Noelle Jajo

Catherine Noelle Jajo

Adventure Awaits Travel Co.

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    <form-template>&#13;
	<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="h2" label="Questions for your trip"/>&#13;
		<field type="checkbox-group" label="What type of vacation are you hoping to plan?" name="what-type-of-vacation-are-you-hoping-to-plan">&#13;
			<option label="All Inclusive Sandals Resort  " value="all-inclusive-sandals-resort-">All Inclusive Sandals Resort  </option>&#13;
			<option label="All Inclusive Beaches Resort " value="all-inclusive-beaches-resort-">All Inclusive Beaches Resort </option>&#13;
			<option label="Universal Studios Florida " value="universal-studios-florida-">Universal Studios Florida </option>&#13;
			<option label="Universal Studios Hollywood " value="universal-studios-hollywood-">Universal Studios Hollywood </option>&#13;
			<option label="Disney World - Florida " value="disney-world-florida-">Disney World - Florida </option>&#13;
			<option label="Disneyland - California " value="disneyland-california-">Disneyland - California </option>&#13;
			<option label="Mexico/The Caribbean " value="mexicothe-caribbean-">Mexico/The Caribbean </option>&#13;
			<option label="Disney Cruise Line " value="disney-cruise-line-">Disney Cruise Line </option>&#13;
			<option label="Norwegian Cruise Line " value="norwegian-cruise-line-">Norwegian Cruise Line </option>&#13;
			<option label="Princess Cruise " value="princess-cruise-">Princess Cruise </option>&#13;
			<option label="Virgin Voyages " value="virgin-voyages-">Virgin Voyages </option>&#13;
			<option label="Royal Caribbean International " value="royal-caribbean-international-">Royal Caribbean International </option>&#13;
			<option label="Carnival Cruise Line " value="carnival-cruise-line-">Carnival Cruise Line </option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children travelers?&amp;nbsp;" name="text-1740773894004" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Ages of children travelers?" name="text-1740774039688" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for this vacation?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="Best priced option " value="best-priced-option-">Best priced option </option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Is anyone in your party Active Duty Military or a fully retired (20 years of service) Veteran?" name="is-anyone-in-your-party-active-duty-military-or-a-fully-retired-20-years-of-service-veteran">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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