Share your information with Chloe Huber

Chloe Huber

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		<field type="header" subtype="h1" label="Your next adventure is just around the corner! Before we dive into the fun stuff, please share a few quick details. This information is key: it helps me learn about you and what you are looking for so I can best help in planning the perfect, personalized vacation! When you book your trip with me, my services are free. Travel providers pay me, after you travel, for my help in planning your vacation. You pay the exact same amount for your vacation either way, so let&#39;s get started on planning your perfect trip!&amp;nbsp;"/>&#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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is your vacation destination?" name="what-is-your-vacation-destination">&#13;
			<option label="Walt Disney World in Florida" value="walt-disney-world-in-florida">Walt Disney World in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Royal Caribbean Cruise" value="royal-caribbean-cruise">Royal Caribbean Cruise</option>&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Hotel Room (Hyatt, Hilton, Marriott, Expedia, Etc.)" value="hotel-room-hyatt-hilton-marriott-expedia-etc">Hotel Room (Hyatt, Hilton, Marriott, Expedia, Etc.)</option>&#13;
			<option label="Theme Park Tickets Only" value="theme-park-tickets-only">Theme Park Tickets Only</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What are your anticipated travel dates?" description="Pricing fluctuates by date. Please include dates as specific as possible. If your dates are flexible, you can indicate that as well." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults (18 and over) are in your party?" name="text-1764620996617" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children (0-17) are in your party?" name="text-1764621268623" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list the children&#39;s ages (at the time of travel) below." name="text-1764621308096" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?&amp;nbsp;" description="Include the budget for resort and park tickets if applicable. Do not include budget for transportation (flights, etc). 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="text" label="How did you hear about me?" name="text-1764621578286" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? If you have a specific resort in mind, please let me 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;
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