Share your information with Lia Nelson

Lia Nelson

On The Brink Of Adventure

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		<field type="paragraph" subtype="p" label="Step 1: Fill out this form (serious inquiries only please).."/>&#13;
		<field type="paragraph" subtype="p" label="Step 2: I&#39;ll send you some vacation options based on the answers you provide.."/>&#13;
		<field type="paragraph" subtype="p" label="Step 3: Review the options and give me your feedback so we can tailor your quotes.."/>&#13;
		<field type="paragraph" subtype="p" label="Step 4: Choose an option that you&#39;re most excited about and we book your next vacation!"/>&#13;
		<field type="checkbox-group" required="true" label="Did you know? Travel Agents like me don’t get paid unless you book through us. That’s why your support means so much—it allows me to keep doing what I love, designing unforgettable trips for you! If you want to make any changes to your trip, just let me know and I will assist you!" name="i-understand-that-jessie-is-not-compensated-by-the-vendor-for-the-work-she-has-done-on-my-trip-until-i-complete-my-travel-on-a-trip-she-has-booked-for-me">&#13;
			<option label="Yes, I understand! Let's start planning!" value="yes-i-understand-lets-start-planning">Yes, I understand! Let's start planning!</option>&#13;
		</field>&#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="Is there anyone else planning this trip with you (spouse, fiancé, family member, friend)? If so, what is their email?&amp;nbsp;" name="is-there-anyone-else-planning-this-trip-with-you-spouse-fianc-family-member-friend-if-so-what-is-their-email-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your cell number?&amp;nbsp;" name="what-is-your-cell-number-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How soon are you wanting to book your trip?&amp;nbsp;" name="how-soon-are-you-wanting-to-book-your-trip-">&#13;
			<option label="Today!" value="today">Today!</option>&#13;
			<option label="This week" value="this-week">This week</option>&#13;
			<option label="This month" value="this-month">This month</option>&#13;
			<option label="Over the next few months" value="over-the-next-few-months">Over the next few months</option>&#13;
			<option label="I'm just getting ideas.." value="im-just-getting-ideas">I'm just getting ideas..</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you working with any other Travel Agents?" name="are-you-working-with-any-other-travel-agents">&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="What is your preferred check in date?&amp;nbsp;" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="What is your preferred check out date?&amp;nbsp;" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="How many adults are in your travel party? Please list all full names:" name="how-many-adults-are-in-your-travel-party-and-what-are-their-birthdates-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many children are in your travel party? Please list all names and DOBs &amp;nbsp;(children&#39;s DOB are required for Universal packages):" name="how-many-children-are-in-your-travel-party-please-list-all-names-and-dobs-childrens-dob-are-required-for-disney-packages" className="form-control"/>&#13;
		<field type="textarea" label="How many rooms do you need? If more than 1, please list who will be in each room:" name="how-many-rooms-do-you-need-if-more-than-1-please-list-who-will-be-in-each-room" className="form-control"/>&#13;
		<field type="checkbox-group" label="Will you be celebrating anything on your trip?&amp;nbsp;" name="will-you-be-celebrating-anything-on-your-trip-">&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Engagement " value="engagement-">Engagement </option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Promotion" value="promotion">Promotion</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="First Visit" value="first-visit">First Visit</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How many park days would you prefer?" name="how-many-park-days-would-you-prefer">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you want 1-park per day or park-to-park tickets? (Hogwarts Express is only available with park-to-park)" name="wold-you-like-to-upgrade-to-park-hopper-tickets">&#13;
			<option label="1 Park per Day " value="1-park-per-day-">1 Park per Day </option>&#13;
			<option label="Park-to-Park" value="parktopark">Park-to-Park</option>&#13;
			<option label="I'm not sure" value="im-not-sure">I'm not sure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Which parks are you interested in visiting?" name="which-parks-are-you-interested-in-visiting">&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Islands of Adventure" value="islands-of-adventure">Islands of Adventure</option>&#13;
			<option label="Epic Universe" value="">Epic Universe</option>&#13;
			<option label="Volcano Bay (water park)" value="volcano-bay-water-park">Volcano Bay (water park)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in adding Express Pass so you can skip the lines?" name="are-you-interested-in-adding-express-pass-so-you-can-skip-the-lines">&#13;
			<option label="Definitely! " value="definitely-">Definitely! </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I'm not sure.." value="im-not-sure">I'm not sure..</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you planning to fly or drive to Orlando?" name="are-you-planning-to-fly-or-drive-to-orlando">&#13;
			<option label="We're flying" value="were-flying">We're flying</option>&#13;
			<option label="We're driving" value="were-driving">We're driving</option>&#13;
			<option label="We're not sure yet" value="were-not-sure-yet">We're not sure yet</option>&#13;
		</field>&#13;
		<field type="text" label="&amp;nbsp;If there is a specific resort you would like for me to quote, please list it here:&amp;nbsp;" name="-if-there-is-a-specific-resort-you-would-like-for-me-to-quote-please-list-it-here-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If you have Facebook and/or Instagram, what is your username?" name="instagram-profile" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything else you &amp;nbsp;would like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me? (Referral, social media, etc)" name="how-did-you-hear-about-me-referral-social-media-etc" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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