TravelJoy

Joy Williams

Travelmation

Let's Plan a Trip to Disney

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	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" 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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Flexible Dates?" name="flexible-dates" className="form-control">&#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="What is your budget for this trip?" name="what-is-your-budget-for-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How many ADULTS 18+ will be traveling with you?" name="how-many-adults-18-will-be-traveling-with-you" 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;
			<option label="5 or more" value="5-or-more">5 or more</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Birthdates for ADULT travelers" name="birthdates-for-adult-travelers" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How man CHILDREN will be traveling with you?" name="how-man-children-will-be-traveling-with-you" className="form-control">&#13;
			<option label="0" value="0">0</option>&#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;
			<option label="5" value="5">5</option>&#13;
			<option label="6 or more" value="6-or-more">6 or more</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Birthdates for CHILD&amp;nbsp; travelers" name="birthdates-for-child-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Ages of CHILDREN at time of TRAVEL" name="ages-of-children-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Is this your FIRST time to Walt Disney World?" name="is-this-your-first-time-to-a-disney-destination" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Are you any of the following?" name="are-you-any-of-the-following" multiple="multiple" className="form-control">&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="Active Military" value="active-military">Active Military</option>&#13;
			<option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option>&#13;
			<option label="Annual Passholder " value="annual-passholder-">Annual Passholder </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Resort Category Preference" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Deluxe Villas" value="deluxe-villas">Deluxe Villas</option>&#13;
			<option label="Campgrounds" value="campgrounds">Campgrounds</option>&#13;
		</field>&#13;
		<field type="text" label="I would like to stay at the following resort:" name="i-would-like-to-stay-at-the-following-resort" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Which Parks are you interested in visiting?" description="NOTE:  Harry Potter is part of Universal Studios and NOT Disney" name="which-parks-are-you-interested-in-visiting">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="Animal Kingdom " value="animal-kingdom-">Animal Kingdom </option>&#13;
			<option label="Water Parks" value="water-parks">Water Parks</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many days do you want to spend in the parks?" name="how-many-days-do-you-want-to-spend-in-the-parks" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What are you hoping to see/do while at Walt Disney World?&amp;nbsp; Any special activities or anything else that would be helpful to know as we plan?" name="what-are-you-hoping-to-seedo-while-at-walt-disney-world-any-special-activities-or-anything-else-that-would-be-helpful-to-know-as-we-plan" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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