Share your information with Alyssa Wheeler

Alyssa Wheeler

Breakthrough Travel Co.

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		<field type="paragraph" subtype="p" label="I absolutely love helping families plan their Disney trips, cruises, and all kinds of unforgettable vacations. There’s something so special about taking the stress off your plate so you can focus on the fun—and I’m here to make the whole process easy, personalized, and genuinely exciting. I can’t wait to help you create the kind of memories your family talks about for years to come."/>&#13;
		<field type="paragraph" subtype="p" label="I need just a bit of info to get started and I will reach out as soon as possible!"/>&#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="select" label="Preferred Communication" name="preferred-communication" className="form-control">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
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		<field type="radio-group" label="Where would you like to go?" name="where-would-you-like-to-go">&#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="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Other Destination" value="other-destination">Other Destination</option>&#13;
		</field>&#13;
		<field type="select" label="Type of Package" name="type-of-package" className="form-control">&#13;
			<option label="Tickets Only" value="tickets-only">Tickets Only</option>&#13;
			<option label="Room Only" value="room-only">Room Only</option>&#13;
			<option label="Package" value="package">Package</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="text" label="When are you thinking of traveling?&amp;nbsp;" description="If you don&#39;t know exact dates  feel free to give me an estimated time frame and we can chat more!" name="when-are-you-thinking-of-traveling-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How many guests are in your travel party?" description="# of Adults  # of Children (include ages of children at time of travel)" name="who-all-is-traveling-of-adults-of-children-include-ages-of-children-at-time-of-travel" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a budget range for your trip?" name="do-you-have-a-budget-range-for-your-trip">&#13;
			<option label="$2,000 - $3,500" value="2000-3500">$2,000 - $3,500</option>&#13;
			<option label="$3,500 - $5,000" value="3500-5000">$3,500 - $5,000</option>&#13;
			<option label="$5,000 - $6,500" value="5000-6500">$5,000 - $6,500</option>&#13;
			<option label="$6,500 - $8,000" value="6500-8000">$6,500 - $8,000</option>&#13;
			<option label="$8,000 +" value="8000-">$8,000 +</option>&#13;
		</field>&#13;
		<field type="select" label="What kind of vibe are you looking for in a resort?" name="select-1763489496359" className="form-control">&#13;
			<option label="We just need a place to sleep!" value="we-just-need-a-place-to-sleep">We just need a place to sleep!</option>&#13;
			<option label="I'm on a budget, but want a great resort." value="im-on-a-budget-but-want-a-great-resort">I'm on a budget, but want a great resort.</option>&#13;
			<option label="I feel comfortable paying a little bit more for a resort with nicer accomodations." value="i-feel-comfortable-paying-a-little-bit-more-for-a-resort-with-nicer-accomodations">I feel comfortable paying a little bit more for a resort with nicer accomodations.</option>&#13;
			<option label="Give me all the luxuries!" value="give-me-all-the-luxuries">Give me all the luxuries!</option>&#13;
			<option label="I don't need to be in the Disney &quot;bubble&quot;." value="i-dont-need-to-be-in-the-disney-bubble">I don't need to be in the Disney "bubble".</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do any of these discounts apply?" name="do-any-of-these-discounts-apply">&#13;
			<option label="Active, Retired, or 100% disabled military" value="active-retired-or-100-disabled-military">Active, Retired, or 100% disabled military</option>&#13;
			<option label="Disney Chase Visa Card holder" value="disney-chase-visa-card-holder">Disney Chase Visa Card holder</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Annual Pass Holder" value="annual-pass-holder">Annual Pass Holder</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="Disney + Member" value="disney-member">Disney + Member</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else you would like me to know? Be sure to list celebrations (first visit, birthday, anniversaries, or special occasions), resort requests, food allergies, etc." name="is-there-anything-else-you-would-like-me-to-know" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Thank you!"/>&#13;
		<field type="paragraph" subtype="p" label="I look forward to working with you! Please allow 24-48 hours for a response from me."/>&#13;
	</fields>&#13;
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