Share your information with Kaitlyn Bajek

Kaitlyn Bajek

A Dream and a Wish Travel Co.

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Ready to plan your dream honeymoon?"/>&#13;
		<field type="paragraph" subtype="p" label="Dreaming of a magical Disney, Universal, all-inclusive, or cruise honeymoon? Let me handle all the details, so you can focus on the romance—all at no extra cost to you!"/>&#13;
		<field type="paragraph" subtype="p" label="Why book with me?"/>&#13;
		<field type="paragraph" subtype="p" label="✅ My services are completely free – Travel agent support is already built into the price, so it makes sense to take advantage of expert help."/>&#13;
		<field type="paragraph" subtype="p" label="✅ Support a small business – Instead of booking directly, you’re helping a real person who truly cares about making your trip amazing."/>&#13;
		<field type="paragraph" subtype="p" label="✅ Personalized planning – I’ll create a customized quote tailored to your needs and budget."/>&#13;
		<field type="paragraph" subtype="p" label="Let’s start planning!"/>&#13;
		<field type="paragraph" subtype="p" label="Fill out the form below, and I’ll be in touch with your perfect honeymoon quote."/>&#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" 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="radio-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" other="true">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Universal " value="universal-">Universal </option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Other Cruise" value="other-cruise">Other Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your honeymoon budget?" name="what-is-your-honeymoon-budget">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,500" value="8500-to-10500">$8,500 to $10,500</option>&#13;
			<option label="$10,500+" value="10500">$10,500+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you eligible for any of the following discounts? I&#39;ll apply the savings if available.&amp;nbsp;" name="are-you-eligible-for-any-of-the-following-discounts-ill-apply-the-savings-if-available-">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="Southern California Resident (zip code must be 90000-93599 or 21000-22999)" value="southern-california-resident-zip-code-must-be-9000093599-or-2100022999">Southern California Resident (zip code must be 90000-93599 or 21000-22999)</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option>&#13;
			<option label="Disney+ Member" value="disney-member">Disney+ Member</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
		<field type="textarea" label="Please let me know if someone referred you to me or if you have a referral code!" name="please-let-me-know-if-someone-referred-you-to-me-or-if-you-have-a-referral-code" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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