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Kristen Volz
Travelmation
Disney Cruise Inquiry
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Let's plan your magical cruise and get you ready to set on a DISNEY CRUISE! I am so excited you are here! Please fill out the form below to help me customize your magical vacation at sea! -Kristen"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the best way to contact you?" name="what-is-the-best-way-to-contact-you"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="radio-group" required="true" label="When are you interested in cruising?" name="when-are-you-interested-in-cruising"> <option label="2026" value="2026">2026</option> <option label="2027" value="2027">2027</option> </field> <field type="radio-group" required="true" label="Have you every cruise with Disney Cruise Line before?" name="have-you-every-cruise-with-disney-cruise-line-before"> <option label="Yes" value="yes">Yes</option> <option label="Not a Disney Cruise but other cruise lines" value="not-a-disney-cruise-but-other-cruise-lines">Not a Disney Cruise but other cruise lines</option> <option label="FIRST Cruise EVER!" value="first-cruise-ever">FIRST Cruise EVER!</option> </field> <field type="text" required="true" label="If you have cruised with DCL before, please give a brief summary of your experiences/ships" name="if-you-have-cruised-with-dcl-before-please-give-a-brief-summary-of-your-experiencesships" subtype="text" className="form-control"/> <field type="text" required="true" label="Please describe your trip.." placeholder="Friends getaway family vacation honeymoon wedding, solo, ETC.." name="please-describe-your-trip" subtype="text" className="form-control"/> <field type="text" label="Are you celebrating any special occasions?" placeholder="Honeymoon Birthday Anniversary Retirement, Graduation, ETC.." name="are-you-celebrating-any-special-occasions" subtype="text" className="form-control"/> <field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/> <field type="date" required="true" label="Return Date" name="return-date" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Possibly" value="possibly">Possibly</option> </field> <field type="radio-group" required="true" label="What is your total budget for all travelers?" name="what-is-your-total-budget-for-all-travelers"> <option label="$2,000 & under" value="2000-under">$2,000 & under</option> <option label="$2,000 - $3,000" value="2000-3000">$2,000 - $3,000</option> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,000" value="5000-7000">$5,000 - $7,000</option> <option label="$7,000 - $9,000" value="7000-9000">$7,000 - $9,000</option> <option label="$10,000+" value="10000">$10,000+</option> <option label="$15,000+" value="15000">$15,000+</option> <option label="NO BUDGET" value="no-budget">NO BUDGET</option> </field> <field type="text" required="true" label="How many adults (over 18) are in your travel party?&nbsp;" name="how-many-will-your-travel-party-consist-of" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children (under 18) are in your travel party &amp; what will their ages be at time of travel? *If none, please answer N/A" placeholder="example: 2 children Ages 4 &amp; 8" name="if-children-under-17-are-traveling-please-list-how-many-and-ages-if-none-answer-0" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is your desired departure port?" name="what-is-your-desired-departure-port"> <option label="Port Canaveral, FL" value="port-canaveral-fl">Port Canaveral, FL</option> <option label="Miami, FL" value="miami-fl">Miami, FL</option> <option label="Galveston, TX" value="galveston-tx">Galveston, TX</option> <option label="New Orleans, LA" value="new-orleans-la">New Orleans, LA</option> <option label="San Diego, CA" value="san-diego-ca">San Diego, CA</option> <option label="New York, NY" value="new-york-ny">New York, NY</option> <option label="San Juan, Mexico" value="san-juan-mexico">San Juan, Mexico</option> <option label="Vancouver, British Columbia" value="vancouver-british-columbia">Vancouver, British Columbia</option> <option label="Overseas" value="overseas">Overseas</option> <option label="Fort Lauderdale" value="fort-lauderdale">Fort Lauderdale</option> </field> <field type="checkbox-group" required="true" label="What ship are you interested in sailing on?" name="checkbox-group-1737688425680"> <option label="Disney Wonder" value="disney-wonder">Disney Wonder</option> <option label="Disney Magic" value="disney-magic">Disney Magic</option> <option label="Disney Dream" value="disney-dream">Disney Dream</option> <option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option> <option label="Disney Wish" value="disney-wish">Disney Wish</option> <option label="Disney Treasure" value="disney-treasure">Disney Treasure</option> <option label="Disney Destiny" value="disney-destiny">Disney Destiny</option> <option label="Disney Adventure" value="disney-adventure">Disney Adventure</option> <option label="Any Ship" value="any-ship">Any Ship</option> </field> <field type="checkbox-group" required="true" label="Where are you interested in sailing? Select all that apply" name="checkbox-group-1712784792220"> <option label="Alaska" value="alaska">Alaska</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="Castaway Cay" value="castaway-cay">Castaway Cay</option> <option label="Lookout Cay" value="lookout-cay">Lookout Cay</option> <option label="Transatlantic Cruise" value="transatlantic-cruise">Transatlantic Cruise</option> </field> <field type="checkbox-group" required="true" label="How will you be arriving to your port? Select all that apply" name="checkbox-group-1737688669654"> <option label="Flying " value="flying-">Flying </option> <option label="Driving" value="driving">Driving</option> <option label="I will need a hotel night prior to sailing" value="i-will-need-a-hotel-night-prior-to-sailing">I will need a hotel night prior to sailing</option> <option label="I will need transportation to the cruise terminal" value="i-will-need-transportation-to-the-cruise-terminal">I will need transportation to the cruise terminal</option> </field> <field type="radio-group" label="What is your desired stateroom type?" name="vibe-preferences"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book"> <option label="Today" value="today">Today</option> <option label="Within the next 7 to10 days" value="within-the-next-7-to10-days">Within the next 7 to10 days</option> <option label="In a few months" value="in-a-few-months">In a few months</option> <option label="Just considering options" value="just-considering-options">Just considering options</option> </field> <field type="radio-group" required="true" label="Are you interested in travel insurance/protection?" name="are-you-interested-in-travel-insuranceprotection"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="radio-group" label="Are you interested in excursions?" name="if-traveling-all-inclusive-or-cruise-are-you-interested-in-excursions"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> <option label="Already have excursions in mind" value="already-have-excursions-in-mind">Already have excursions in mind</option> </field> <field type="radio-group" label="Have you received your Covid-19 vaccine?" name="have-you-received-your-covid19-vaccine"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Will receive" value="will-receive">Will receive</option> <option label="Will NOT receive" value="will-not-receive">Will NOT receive</option> </field> <field type="radio-group" required="true" label="Do you have a passport?" name="radio-group-1737688759111"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Working on it" value="working-on-it">Working on it</option> <option label="Won't get one" value="wont-get-one">Won't get one</option> </field> <field type="textarea" label="Are you interested in more than one stateroom? If so, please list the number of rooms and break downs per each room.&nbsp;" description="(Example: room 1 - 2 adults 1 child age 4; room 2 - 3 adults; room 3- 1 adult 2 children ages 7 &amp; 10)" name="are-you-interested-in-more-than-one-stateroom-if-so-please-list-the-number-of-rooms-and-break-downs-per-each-room-" className="form-control"/> <field type="textarea" label="Are there any food allergies and/or medical conditions I need to be made aware of? **I understand if you wish to not disclose this information with me, but as someone who was employed in the medical field, I am a firm believer of HIPPA and will keep any and all private information you share with me protected." name="comments" className="form-control"/> <field type="textarea" label="Did someone refer me to you? If so, who - so I can thank them properly!" name="did-someone-refer-me-to-you-if-so-who-so-i-can-thank-them-properly" className="form-control"/> <field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/> <field type="paragraph" subtype="p" label="Than you for considering me to assist in your travel planning of your Disney Cruise! Please let me know if there is any other information I need to know or if you have any questions. My services are 100% complimentary to you. **Please know, there isn't an up-charge or fees associated with planning your travel with me. I am paid by the vendor ONLY at completion of your vacation.&nbsp;"/> <field type="text" required="true" label="Type your name below to acknowledge the above statement has been read" name="type-your-name-below-to-acknowledge-the-above-statement-has-been-read" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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