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Castaway Dream Travel

<html>
  <body>
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	<fields>&#13;
		<field type="header" subtype="h2" label="Plan an Unforgettable Escape With Kara"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out your information below, and Kara will be in touch soon. If you&#39;re in a rush, you can email Kara directly at kara@castawaydreamtravel.com or text her at 772-475-9639."/>&#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 type="text" required="true" label="Email Address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of trip are you planning? Check all that interest you." name="what-type-of-trip-are-you-planning-check-all-that-interest-you" other="true">&#13;
			<option label="Luxury Escape" value="luxury-escape">Luxury Escape</option>&#13;
			<option label="Family Adventure" value="family-adventure">Family Adventure</option>&#13;
			<option label="Group Travel" value="group-travel">Group Travel</option>&#13;
			<option label="Expedition Experience" value="expedition-experience">Expedition Experience</option>&#13;
			<option label="Land-Based Exploration" value="landbased-exploration">Land-Based Exploration</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="textarea" label="Optional - Please include any relevant planning details below." name="optional-please-include-any-relevant-planning-details-below" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>