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Disney Cruise!
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Your Name&nbsp;"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="Are you U.S. Military Active Duty/Retired/Reserves/Guard/Military ID Holder (spouse) ?" description="Military Rate are Applicable at many on and off site resorts" name="are-you-us-military-active-dutyretiredreservesguardmilitary-id-holder-spouse-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" label="Travel Dates" name="preferred-check-in-date" className="form-control"/> <field type="date" label="Travel Dates" name="preferred-check-out-date" className="form-control"/> <field type="checkbox-group" label="How many nights?" description="Check all that apply" name="where-would-you-like-the-adventure-to-begin-"> <option label="1-3" value="13">1-3</option> <option label="4" value="4">4</option> <option label="5-6" value="56">5-6</option> <option label="7" value="7">7</option> <option label="8-13" value="813">8-13</option> <option label="14+" value="14">14+</option> </field> <field type="radio-group" required="true" label="Are your dates Flexible?" name="are-your-dates-flexible"> <option label="Yes" value="">Yes</option> <option label="No" value="">No</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="ASAP!" value="">ASAP!</option> <option label="Within 1 month" value="within-1-month">Within 1 month</option> <option label="Within a 3-6 months" value="within-a-36-months">Within a 3-6 months</option> <option label="Within 7-12 months" value="within-712-months">Within 7-12 months</option> <option label="Unsure, still deciding" value="unsure-still-deciding">Unsure, still deciding</option> </field> <field type="radio-group" label="Do you have a budget in mind?" name="do-you-have-a-budget-in-mind" other="true"> <option label="$3000-$5000" value="30005000">$3000-$5000</option> <option label="$5,000-10,000" value="500010000">$5,000-10,000</option> <option label="$10,000+" value="10000">$10,000+</option> <option label="No Budget! All the Bells and Whistles" value="no-budget-all-the-bells-and-whistles">No Budget! All the Bells and Whistles</option> <option label="Not Sure?" value="not-sure">Not Sure?</option> <option label="Group Contract" value="group-contract">Group Contract</option> </field> <field type="text" label="Where are you travelling from?" description="Where are you flying or driving from?" name="text-1682735763870" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adults are traveling?&nbsp;" name="how-many-adult-are-traveling-" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children are traveling&nbsp; and their ages?&nbsp; (Ages are needed to get accurate pricing on cruises)" name="how-many-children-are-traveling-" subtype="text" className="form-control"/> <field type="textarea" label="Travel Party Information:&nbsp; &nbsp;Names of Everyone in Travel Party + Kid's Ages" description="This info is needed in order for me to put a hold on a Disney Cruise reservation." name="travel-party-information-namebirthdaygender" className="form-control"/> <field type="radio-group" label="Have you ever been on a Disney Cruise or Other Cruise line before?" name="have-you-ever-been-on-a-disney-cruise-or-other-cruise-line-before"> <option label="Yes!" value="yes">Yes!</option> <option label="No, this will be our First Time!" value="no-this-will-be-our-first-time">No, this will be our First Time!</option> </field> <field type="text" label="If yes, what ship and where did you go?" name="if-yes-what-ship-and-where-did-you-go" subtype="text" className="form-control"/> <field type="checkbox-group" label="Would you like to experience a Themed or Holiday Cruise? (choose all that apply)" name="where-would-you-like-the-magic-to-begin-"> <option label="Marvel Day At Sea" value="marvel-day-at-sea">Marvel Day At Sea</option> <option label="Very Merrytime (Christmas)" value="very-merrytime-christmas">Very Merrytime (Christmas)</option> <option label="Halloween on the High Seas" value="halloween-on-the-high-seas">Halloween on the High Seas</option> <option label="Pixar Day at Sea" value="pixar-day-at-sea">Pixar Day at Sea</option> </field> <field type="checkbox-group" label="Which Ship would you like to sail on? (check all that apply)" name="checkbox-group-1682738042901" other="true"> <option label="Disney Treasure" value="disney-treasure">Disney Treasure</option> <option label="Disney Wish" value="disney-wish">Disney Wish</option> <option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option> <option label="Disney Dream" value="disney-dream">Disney Dream</option> <option label="Disney Magic" value="disney-magic">Disney Magic</option> <option label="Disney Wonder" value="disney-wonder">Disney Wonder</option> <option label="Disney Destiny (Nov 2025)" value="disney-destiny-nov-2025">Disney Destiny (Nov 2025)</option> </field> <field type="checkbox-group" label="Where would you like to sail to? (check all that apply)" name="checkbox-group-1705341683475"> <option label="Alaska" value="alaska">Alaska</option> <option label="Bahamas " value="bahamas-">Bahamas </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="New Zealand and Austrailia" value="new-zealand-and-austrailia">New Zealand and Austrailia</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="South Pacific Cruises" value="south-pacific-cruises">South Pacific Cruises</option> <option label="Transatlantic Cruises" value="transatlantic-cruises">Transatlantic Cruises</option> </field> <field type="checkbox-group" label="Do have a Port Preference? (check any that apply)" name="do-have-a-port-preference-check-any-that-apply"> <option label="Port Canaveral, Florida " value="port-canaveral-florida-">Port Canaveral, Florida </option> <option label="Fort Lauderdale, Florida" value="fort-lauderdale-florida">Fort Lauderdale, Florida</option> <option label="Galveston, Texas" value="galveston-texas">Galveston, Texas</option> <option label="San Diego, California" value="san-diego-california">San Diego, California</option> <option label="Honolulu, Hawaii" value="honolulu-hawaii">Honolulu, Hawaii</option> <option label="Vancouver, Canada" value="vancouver-canada">Vancouver, Canada</option> <option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option> <option label="Civitavecchia (Rome), Italy" value="civitavecchia-rome-italy">Civitavecchia (Rome), Italy</option> <option label="New Orleans, Louisana" value="new-orleans-louisana">New Orleans, Louisana</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Auckland, New Zealand" value="auckland-new-zealand">Auckland, New Zealand</option> <option label="Australia" value="australia">Australia</option> <option label="Southhampton, England" value="southhampton-england">Southhampton, England</option> </field> <field type="checkbox-group" label="Do you have a Cabin Preference?" name="any-resort-amenity-must-haves" other="true"> <option label="Inside " value="inside-">Inside </option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Verandah" value="verandah">Verandah</option> <option label="Conceirge" value="conceirge">Conceirge</option> <option label="Not sure, Help Me Decide" value="not-sure-help-me-decide">Not sure, Help Me Decide</option> </field> <field type="select" label="Is anyone prone to motion sickness in your party?" name="is-anyone-prone-to-motion-sickness-in-your-party" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Possibly, not sure" value="possibly-not-sure">Possibly, not sure</option> </field> <field type="textarea" label="Any other info you'd like to me know to make your cruise better?" name="any-other-amenity-must-haves" rows="2" className="form-control"/> <field type="textarea" label="Food Allergies/Medical Conditions/Other Accommodations Needed?" description="Allergies Medical Handicap Special Needs Wheelchair Scooter" name="food-allergiesmedical-conditionsother-accommodations-needed" rows="4" className="form-control"/> <field type="text" label="Did someone refer me?&nbsp; Let me know!" name="did-someone-refer-me-let-me-know" subtype="text" className="form-control"/> <field type="select" label="Did you find me on Social Media? Which One?" placeholder="This one was helpful!" name="did-you-find-me-on-social-media-which-one" className="form-control"> <option label="Instagram" value="instagram">Instagram</option> <option label="Tiktok " value="tiktok-">Tiktok </option> <option label="Facebook" value="facebook">Facebook</option> <option label="Travel Leaders Network" value="travel-leaders-network">Travel Leaders Network</option> </field> <field type="select" label="How long until you hear from me?&nbsp; I try to be as fast as possible but it may take a teeny bit longer.&nbsp;" placeholder="I'm good with..." name="how-long-until-you-hear-from-me-i-try-to-be-as-fast-as-possible-but-it-may-take-a-teeny-bit-longer-" className="form-control"> <option label="Hakuna Matata, 2-3 Business Days is Ok!" value="hakuna-matata-23-business-days-is-ok">Hakuna Matata, 2-3 Business Days is Ok!</option> <option label="I need help ASAP" value="i-need-help-asap">I need help ASAP</option> </field> <field type="checkbox-group" label="As travel advisors, we are compensated for our time and expertise when our clients book AND travel with us.&nbsp; We receive no payment for quotes or any concierge service/information we provide but are compensated by the resorts, theme parks, tour providers, and destinations for serving our mutual clients, only after a vacation is completed.&nbsp;&nbsp;" inline="true" name="as-travel-advisors-we-are-compensated-for-our-time-and-expertise-when-our-clients-book-and-travel-with-us-we-receive-no-payment-for-quotes-but-are-compensated-by-the-resorts-tour-providers-and-destinations-for-serving-our-mutual-clients-"> <option label="I understand that Isabel Ryan/Izzy Peasy Travel is not compensated for their time until I complete my travels on a booking executed by them" value="i-understand-that-isabel-ryanizzy-peasy-travel-is-not-compensated-for-their-time-until-i-complete-my-travels-on-a-booking-executed-by-them">I understand that Isabel Ryan/Izzy Peasy Travel is not compensated for their time until I complete my travels on a booking executed by them</option> </field> </fields> </form-template> </body> </html>
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