Share your information with Nicole Maddalone

Nicole Maddalone

Travelmation, LLC

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		<field type="header" subtype="h2" label="Disney Cruise Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form with as much information as possible, so Nicole can provide you a quote as close to your desires as she can."/>&#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" subtype="email" required="true" label="Email" placeholder="Your answer" name="email" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have preferred cruising dates or a general month you&#39;d like to cruise?" placeholder="Your answer" name="preferred-cruising-dates-or-month" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How many days would you prefer in a cruise?" name="preferred-cruise-length" className="radio-group">&#13;
			<option label="Short, 3-4 days." value="Short, 3-4 days.">Short, 3-4 days.</option>&#13;
			<option label="Med, 5-7 days." value="Med, 5-7 days.">Med, 5-7 days.</option>&#13;
			<option label="Long, 7-12 days." value="Long, 7-12 days.">Long, 7-12 days.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What Cruise Location(s) Are You Interested In?" name="cruise-locations" className="checkbox-group">&#13;
			<option label="Eastern Caribbean (US &amp; British Virgin Islands, St. Maarten, Dominican, Disney Castayway Cay, etc)" value="Eastern Caribbean (US &amp; British Virgin Islands, St. Maarten, Dominican, Disney Castayway Cay, etc)">Eastern Caribbean (US &amp; British Virgin Islands, St. Maarten, Dominican, Disney Castayway Cay, etc)</option>&#13;
			<option label="Western Caribbean (Mexico, Jamaica, Grand Caymen, Disney Castaway Cay, etc)" value="Western Caribbean (Mexico, Jamaica, Grand Caymen, Disney Castaway Cay, etc)">Western Caribbean (Mexico, Jamaica, Grand Caymen, Disney Castaway Cay, etc)</option>&#13;
			<option label="Southern Caribbean (Barbados, St Lucia, Aruba, Antigua, Disney Lighthouse Point, Disney Castaway Cay, etc)" value="Southern Caribbean (Barbados, St Lucia, Aruba, Antigua, Disney Lighthouse Point, Disney Castaway Cay, etc)">Southern Caribbean (Barbados, St Lucia, Aruba, Antigua, Disney Lighthouse Point, Disney Castaway Cay, etc)</option>&#13;
			<option label="South Pacific (Hawai'i, Fiji, American, Samoa, New Caledonia)" value="South Pacific (Hawai'i, Fiji, American, Samoa, New Caledonia)">South Pacific (Hawai'i, Fiji, American, Samoa, New Caledonia)</option>&#13;
			<option label="Alaska" value="Alaska">Alaska</option>&#13;
			<option label="North America (Canada, New England)" value="North America (Canada, New England)">North America (Canada, New England)</option>&#13;
			<option label="Europe (France, England, Germany, Norway, Denmark, Ireland, etc)" value="Europe (France, England, Germany, Norway, Denmark, Ireland, etc)">Europe (France, England, Germany, Norway, Denmark, Ireland, etc)</option>&#13;
			<option label="Mediterranean (Spain, Italy, Greece, Turkey, Croatia, Portugal, etc)" value="Mediterranean (Spain, Italy, Greece, Turkey, Croatia, Portugal, etc)">Mediterranean (Spain, Italy, Greece, Turkey, Croatia, Portugal, etc)</option>&#13;
			<option label="Australia / New Zealand" value="Australia / New Zealand">Australia / New Zealand</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Is there a specific Ship you&#39;d prefer?" name="preferred-ship" className="checkbox-group">&#13;
			<option label="Disney Magic" value="disney-magic">Disney Magic</option>&#13;
			<option label="Disney Wonder " value="disney-wonder-">Disney Wonder </option>&#13;
			<option label="Disney Dream " value="disney-dream-">Disney Dream </option>&#13;
			<option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option>&#13;
			<option label="Disney Wish (launched 2022; doing 3-5 night cruises from various ports in US but will head to Europe in 2027!))" value="disney-wish-launched-2022-doing-35-night-cruises-from-various-ports-in-us-but-will-head-to-europe-in-2027">Disney Wish (launched 2022; doing 3-5 night cruises from various ports in US but will head to Europe in 2027!))</option>&#13;
			<option label="Disney Treasure (launched 2024; mostly 7-night Eastern &amp; Western Caribbean itineraries)" value="disney-treasure-launched-2024-mostly-7night-eastern-western-caribbean-itineraries">Disney Treasure (launched 2024; mostly 7-night Eastern &amp; Western Caribbean itineraries)</option>&#13;
			<option label="Disney Destiny ( launched 2025; primarily 4 &amp; 5 night Bahamas/Caribbean sailings from Fort Lauderdale )" value="disney-destiny-launched-2025-primarily-4-5-night-bahamascaribbean-sailings-from-fort-lauderdale-">Disney Destiny ( launched 2025; primarily 4 &amp; 5 night Bahamas/Caribbean sailings from Fort Lauderdale )</option>&#13;
			<option label="Disney Adventure (launched 2026;     3 &amp; 4 night sailings only from Singapore)" value="disney-adventure-launched-2026-3-4-night-sailings-only-from-singapore">Disney Adventure (launched 2026;     3 &amp; 4 night sailings only from Singapore)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults are cruising? (18+)" placeholder="Your answer" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children are cruising &amp;amp; ages at time of cruise?" placeholder="Your answer" name="number-of-children-and-ages" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of Stateroom(s) do you prefer?" name="preferred-stateroom-types" className="checkbox-group">&#13;
			<option label="Interior (no windows, no balcony, basic low cost rooms)" value="Interior (no windows, no balcony, basic low cost rooms)">Interior (no windows, no balcony, basic low cost rooms)</option>&#13;
			<option label="Ocean View (at least 1 porthole for views)" value="Ocean View (at least 1 porthole for views)">Ocean View (at least 1 porthole for views)</option>&#13;
			<option label="Ocean View Family (typically 2 portholes, and a litle larger cabin, split bathroom)" value="Ocean View Family (typically 2 portholes, and a litle larger cabin, split bathroom)">Ocean View Family (typically 2 portholes, and a litle larger cabin, split bathroom)</option>&#13;
			<option label="Verrandah (a balcony to enjoy the breeze and views)" value="Verrandah (a balcony to enjoy the breeze and views)">Verrandah (a balcony to enjoy the breeze and views)</option>&#13;
			<option label="Verrandah Family (a larger balcony and room, split bathroom)" value="Verrandah Family (a larger balcony and room, split bathroom)">Verrandah Family (a larger balcony and room, split bathroom)</option>&#13;
			<option label="Suite (these rooms are large and have multiple rooms but each cruise ship is different in how many people can fit in them)" value="Suite (these rooms are large and have multiple rooms but each cruise ship is different in how many people can fit in them)">Suite (these rooms are large and have multiple rooms but each cruise ship is different in how many people can fit in them)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you considering a Concierge room?   Disney Cruise Line&#39;s concierge level is similar in some ways to a club-level room at a Disney World or Disneyland resort hotel. You pay more for this type of accommodation in exchange for access to exclusive check-in area on embarkation and disembarktion day, a lounge, more attentive service and additional benefits." description="Disney Cruise Line&#39;s concierge level is similar in some ways to a club-level room at a Disney World or Disneyland resort hotel. You pay more for this type of accommodation in exchange for access to exclusive check-in area on embarkation and disembarktion day  a lounge  more attentive service and additional benefits." name="considering-concierge-room" className="radio-group">&#13;
			<option label="Yes, please!" value="Yes, please!">Yes, please!</option>&#13;
			<option label="Not sure" value="Not sure">Not sure</option>&#13;
			<option label="No, thank you." value="No, thank you.">No, thank you.</option>&#13;
			<option label="Quote me an option alongside a regular one, please." value="Quote me an option alongside a regular one, please.">Quote me an option alongside a regular one, please.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many staterooms will you be needing? (Up to 5 people per room unless you want a suite and in most cases a max of 7-8 can fit in a suite)" placeholder="Your answer" name="number-of-staterooms-needed" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please break down by rooms needed who is in which room. List full names, birthdays and age at time of cruise for each room  ex: Room 1 Balcony - John Smith age 33 10/16/89 &amp;amp; Sally Smith age 34 08/28/88 Room 2 Interior - Jenn Smith age 21 07/14/01 &amp;amp; Michael Smith age 10 01/23/2013" placeholder="Your answer" name="room-breakdown-details" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your ideal budget for your Disney Cruise vacation? DCL is a premium cruise experience, and pricing is typically higher than many other cruise lines. Most sailings for a family can easily start around $4,000–$5,000+ depending on the ship, itinerary, travel dates, and stateroom category. Sharing a realistic budget helps me recommend options that are the best fit for your family." placeholder="Your answer" name="text-1788032339657" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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