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Christina Fox

Christina Fox | Take More Vacations Travel

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		<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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Mailing Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
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		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="date" required="true" label="Check In Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Check Out Date" name="check-out-date" className="form-control"/>&#13;
		<field type="textarea" required="true" label="List All Guests with Ages at Time of Travel" name="list-all-guests-with-ages-at-time-of-travel" className="form-control"/>&#13;
		<field type="select" required="true" label="Resort Preference" name="resort-preference" multiple="multiple" className="form-control">&#13;
			<option label="Universal Helios Grand Hotel - Premier Resort, Dedicated Entrance to Universal Epic Universe" value="universal-helios-grand-hotel-premier-resort-dedicated-entrance-to-universal-epic-universe">Universal Helios Grand Hotel - Premier Resort, Dedicated Entrance to Universal Epic Universe</option>&#13;
			<option label="Loews Portofino - Premier Resort, Free Express Unlimited Pass" value="loews-portofino-premier-resort-free-express-unlimited-pass">Loews Portofino - Premier Resort, Free Express Unlimited Pass</option>&#13;
			<option label="Hard Rock Hotel - Premier Resort, Free Express Unlimited Pass" value="hard-rock-hotel-premier-resort-free-express-unlimited-pass">Hard Rock Hotel - Premier Resort, Free Express Unlimited Pass</option>&#13;
			<option label="Loews Royal Pacific - Premier Resort, Free Express Universal Pass" value="loews-royal-pacific-premier-resort-free-express-universal-pass">Loews Royal Pacific - Premier Resort, Free Express Universal Pass</option>&#13;
			<option label="Loews Sapphire Falls Resort" value="loews-sapphire-falls-resort">Loews Sapphire Falls Resort</option>&#13;
			<option label="Universal Aventura Hotel" value="universal-aventura-hotel">Universal Aventura Hotel</option>&#13;
			<option label="Universal Stella Nova Resort *New*" value="universal-stella-nova-resort-new">Universal Stella Nova Resort *New*</option>&#13;
			<option label="Universal Terra Luna Resort *New*" value="universal-terra-luna-resort-new">Universal Terra Luna Resort *New*</option>&#13;
			<option label="Universal Cabana Bay Beach Resort" value="universal-cabana-bay-beach-resort">Universal Cabana Bay Beach Resort</option>&#13;
			<option label="Universal Surfside Inn and Suites" value="universal-surfside-inn-and-suites">Universal Surfside Inn and Suites</option>&#13;
			<option label="Universal Dockside Inn and Suites" value="universal-dockside-inn-and-suites">Universal Dockside Inn and Suites</option>&#13;
			<option label="Ticket Only Request" value="ticket-only-request">Ticket Only Request</option>&#13;
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		<field type="text" required="true" label="How many days of tickets would you like?" name="how-many-days-of-tickets-would-you-like" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Type of Ticket" name="type-of-ticket">&#13;
			<option label="Base - 1 Park Per Day" value="base-1-park-per-day">Base - 1 Park Per Day</option>&#13;
			<option label="Park to Park (Required for Hogwarts Express)" value="park-to-park-required-for-hogwarts-express">Park to Park (Required for Hogwarts Express)</option>&#13;
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		<field type="text" label="Budget" name="budget" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Extras and Add Ons" name="extras-and-add-ons">&#13;
			<option label="Universal Express Pass Unlimited" value="universal-express-pass-unlimited">Universal Express Pass Unlimited</option>&#13;
			<option label="Include Volcano Bay Waterpark" value="include-volcano-bay-waterpark">Include Volcano Bay Waterpark</option>&#13;
			<option label="Include Halloween Horror Nights" value="include-halloween-horror-nights">Include Halloween Horror Nights</option>&#13;
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		<field type="header" subtype="h2" label="Additional Info"/>&#13;
		<field type="checkbox-group" label="Newsletter Subscription" name="newsletter-subscription">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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