Thais Acquafreda Lakind

Moms at Sea Travel, a Dream Vacations Franchise

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let's plan a cruise!"/>&#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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you like a call right away?" name="would-you-like-a-call-right-away">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like me to TEXT you when I have sent my initial response? Sometimes emails often get lost in spam and I find this helps you know I have responded to your inquiry." name="would-you-like-me-to-text-you-when-i-have-sent-my-initial-response-sometimes-emails-often-get-lost-in-spam-and-i-find-this-helps-you-know-i-have-responded-to-your-inquiry">&#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 guests in total will be sailing?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any children? If so, how old are they?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What cruise lines are you interested in?" name="what-cruise-lines-are-you-interested-in">&#13;
			<option label="Royal Caribbean " value="royal-caribbean-">Royal Caribbean </option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
		</field>&#13;
		<field type="text" label="When would you like to sail?" name="when-would-you-like-to-sail" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your preferred departure port?" name="what-is-your-preferred-departure-port" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="I don't know the details yet, but I would like these features" name="i-dont-know-the-details-yet-but-i-would-like-these-features">&#13;
			<option label="Perfect Day at Cococay" value="perfect-day-at-cococay">Perfect Day at Cococay</option>&#13;
			<option label="Labadee" value="labadee">Labadee</option>&#13;
			<option label="Waterslides" value="waterslides">Waterslides</option>&#13;
			<option label="Splash Pad for diapered kids" value="splash-pad-for-diapered-kids">Splash Pad for diapered kids</option>&#13;
			<option label="Splash Pad for potty trained kids" value="splash-pad-for-potty-trained-kids">Splash Pad for potty trained kids</option>&#13;
			<option label="Nursery for 6M-36M" value="nursery-for-6m36m">Nursery for 6M-36M</option>&#13;
		</field>&#13;
		<field type="text" label="Are there any ports that dreaming to visit?" name="are-there-any-ports-that-dreaming-to-visit" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there a ship that you would like to sail on?" name="is-there-a-ship-that-you-would-like-to-sail-on" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of cabin/suite are you most interested in?" name="what-type-of-cabinsuite-are-you-most-interested-in">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View Window" value="ocean-view-window">Ocean View Window</option>&#13;
			<option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option>&#13;
			<option label="Boardwalk or Central Park Balcony (Oasis and Icon classes)" value="boardwalk-or-central-park-balcony-oasis-and-icon-classes">Boardwalk or Central Park Balcony (Oasis and Icon classes)</option>&#13;
			<option label="Suite (Royal Caribbean), Haven (NCL), The Retreat (Celebrity)" value="suite-royal-caribbean-haven-ncl-the-retreat-celebrity">Suite (Royal Caribbean), Haven (NCL), The Retreat (Celebrity)</option>&#13;
			<option label="Star Class (Caribbean)" value="star-class-caribbean">Star Class (Caribbean)</option>&#13;
			<option label="Cabins that accommodate 5+" value="cabins-that-accommodate-5">Cabins that accommodate 5+</option>&#13;
			<option label="Connecting cabins" value="connecting-cabins">Connecting cabins</option>&#13;
		</field>&#13;
		<field type="text" label="State of Residency and any appropriate cruise loyalty numbers." name="state-of-residency-and-any-appropriate-cruise-loyalty-numbers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Eligible discounts" name="eligible-discounts">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>&#13;
			<option label="EMT/First Responder" value="emtfirst-responder">EMT/First Responder</option>&#13;
			<option label="Senior" value="senior">Senior</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any other details that you and your family are dreaming about your next cruise?" name="any-other-details-that-you-and-your-family-are-dreaming-about-your-next-cruise" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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