Anna Noble

Moms at Sea

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let's Plan a Cruise!"/>&#13;
		<field type="paragraph" subtype="p" label="I am here to support you and alleviate the stress of planning a vacation for your entire family. Your cruise should be fun from the very beginning of planning all the way through your journey home again. Complete the form below, and I will be in touch to answer all of your questions!"/>&#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" required="true" label="Would you like a phone call?" name="would-you-like-a-phone-call" className="form-control">&#13;
			<option label="Yes!  As soon as possible!  I'm ready to cruise!" value="yes-as-soon-as-possible-im-ready-to-cruise">Yes!  As soon as possible!  I'm ready to cruise!</option>&#13;
			<option label="Yes, but I'd like to schedule it." value="yes-but-id-like-to-schedule-it">Yes, but I'd like to schedule it.</option>&#13;
			<option label="Not at this time." value="not-at-this-time">Not at this time.</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Would you like a TEXT when I have sent my initial response?&amp;nbsp; My emails often get lost in spam and I find this helps you know when I have responded to your inquiry." name="would-you-like-a-text-when-i-have-sent-my-initial-response-my-emails-often-get-lost-in-spam-and-i-find-this-helps-you-know-when-i-have-responded-to-your-inquiry" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any thoughts about your experience you'd like to share?&amp;nbsp; Anything on your wish list?&amp;nbsp;" name="do-you-have-any-thoughts-about-your-experience-youd-like-to-share-anything-on-your-wish-list-" className="form-control"/>&#13;
		<field type="text" label="What ship would you like to sail on?" name="what-ship-would-you-like-to-sail-on" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="I don't know what ship we want, but we want these features:" description="check all that apply" name="i-dont-know-what-ship-we-want-but-we-want-these-features">&#13;
			<option label="Florida Port" value="florida-port">Florida Port</option>&#13;
			<option label="New Jersey Port" value="new-jersey-port">New Jersey Port</option>&#13;
			<option label="Galveston Port" value="galveston-port">Galveston Port</option>&#13;
			<option label="Alaska Port" value="alaska-port">Alaska Port</option>&#13;
			<option label="European Port" value="european-port">European Port</option>&#13;
			<option label="Perfect Day at Coco Cay" value="perfect-day-at-coco-cay">Perfect Day at Coco Cay</option>&#13;
			<option label="Waterslides" value="waterslides">Waterslides</option>&#13;
			<option label="Nursery for children ages 6-36 months" value="nursery-for-children-ages-636-months">Nursery for children ages 6-36 months</option>&#13;
			<option label="Adventure Ocean for children over 3" value="adventure-ocean-for-children-over-3">Adventure Ocean for children over 3</option>&#13;
			<option label="Splash pad for kids in diapers" value="splash-pad-for-kids-in-diapers">Splash pad for kids in diapers</option>&#13;
		</field>&#13;
		<field type="text" label="Sail Date" name="sail-date" subtype="text" className="form-control"/>&#13;
		<field type="select" label="How many guests?" name="how-many-guests" className="form-control">&#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;
			<option label="6+" value="6">6+</option>&#13;
		</field>&#13;
		<field type="select" label="How many guests age 12 and under?" name="how-many-guests-age-12-and-under" className="form-control">&#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;
		</field>&#13;
		<field type="checkbox-group" label="What type of cabin?" description="check all that apply" name="what-type-of-cabin">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Connecting Interior" value="connecting-interior">Connecting Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Boardwalk Balcony" value="boardwalk-balcony">Boardwalk Balcony</option>&#13;
			<option label="Central Park Baloncy" value="central-park-baloncy">Central Park Baloncy</option>&#13;
			<option label="Oceanview Balcony" value="oceanview-balcony">Oceanview Balcony</option>&#13;
			<option label="Cabins that hold 5+" value="cabins-that-hold-5">Cabins that hold 5+</option>&#13;
			<option label="Junior Suite" value="junior-suite">Junior Suite</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Star Class" value="star-class">Star Class</option>&#13;
			<option label="Accessible Cabin" value="accessible-cabin">Accessible Cabin</option>&#13;
		</field>&#13;
		<field type="text" label="State of Residency and Crown and Anchor Number (if applicable)" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Eligible Discounts" description="check all that apply" 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 (55+)" value="senior-55">Senior (55+)</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
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