Share your information with Kelsey Meehan

Kelsey Meehan

Adventure By KM

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		<field type="paragraph" subtype="p" label="🚢 Thinking about a cruise? Book with me—your trusted travel agent! I’ll find you the best deals, perks, and cabins, and handle all the details so you can relax and enjoy the journey. Most people don&#39;t realize that when you book direct, a travel agent fee is already built into the price, so when you let me plan your cruise, that travel agent fee is already built into the pricing which means you get all my expertise and services for free! Plus you get to support my small business! Please give me up to 48 hours to send over a customized itinerary to your email. If you do not see it, please check your spam/junk folder or reach out to me at kelsey@adventurebykm.com . I look forward to working with you! 😊"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="date" label="Date you want to depart" name="date-you-want-to-depart" className="form-control"/>&#13;
		<field type="text" label="If you are unsure what date, please list the month and year you are thinking of" name="if-you-are-unsure-what-date-please-list-the-month-and-year-you-are-thinking-of" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers in your party?" name="how-many-travelers-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list everyones names and their age AT TIME OF TRAVEL" name="please-list-everyones-names-and-their-age-at-time-of-travel" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms do you need?" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you want connecting rooms? **Only answer if you need more than 1 room**" name="do-you-want-connecting-rooms-only-answer-if-you-need-more-than-1-room">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="We'll just take rooms close to each other" value="well-just-take-rooms-close-to-each-other">We'll just take rooms close to each other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What type of room are you looking for?" name="what-type-of-room-are-you-looking-for" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option>&#13;
			<option label="Neighborhood Balcony" value="neighborhood-balcony">Neighborhood Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you have a travel budget?" name="do-you-have-a-travel-budget">&#13;
			<option label="$0-$1,500" value="01500">$0-$1,500</option>&#13;
			<option label="$1,500-$3,000" value="15003000">$1,500-$3,000</option>&#13;
			<option label="$3,000-$6,000" value="30006000">$3,000-$6,000</option>&#13;
			<option label="$6,000-$10,000" value="600010000">$6,000-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you have a specific cruise line in mind?" name="do-you-have-a-specific-cruise-line-in-mind" other="true">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Norweigan" value="norweigan">Norweigan</option>&#13;
			<option label="Disney" value="disney">Disney</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected other, please name the cruise line you&#39;re interested in" name="if-you-selected-other-please-name-the-cruise-line-youre-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Is there a specific port you&#39;d like to sail out of? If not, please list the state you live in and I will chose the closest port and give you options" name="is-there-a-specific-port-youd-like-to-sail-out-of-if-not-please-list-the-state-you-live-in-and-i-will-chose-the-closest-port-and-give-you-options" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there an island or destination you MUST visit?" name="is-there-an-island-or-destination-you-must-visit" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Anything else I should know?" name="anything-else-i-should-know" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How did you find me?" name="how-did-you-find-me" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Adventurebykm.com" value="adventurebykmcom">Adventurebykm.com</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Vendor Fair" value="vendor-fair">Vendor Fair</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you working with another travel agent for pricing?" name="are-you-working-with-another-travel-agent-for-pricing">&#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="Promotional Qualifiers&amp;nbsp;"/>&#13;
		<field type="text" label="State of residence" name="state-of-residence" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Anyone in your party 55+?" name="anyone-in-your-party-55">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Does any of the following apply to you?" name="does-any-of-the-following-apply-to-you">&#13;
			<option label="Active Duty / Retired Military" value="active-duty-retired-military">Active Duty / Retired Military</option>&#13;
			<option label="U.S. Or Canadian Law Enforcement" value="us-or-canadian-law-enforcement">U.S. Or Canadian Law Enforcement</option>&#13;
			<option label="Fire Department / EMT" value="fire-department-emt">Fire Department / EMT</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
		</field>&#13;
		<field type="text" label="Loyalty Number" name="loyalty-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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