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Bekah Rosenbarger
Travelmation LLC
Disney Cruise Inquiries
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Disney Cruise Line Inquiry&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name (As it appears on ID)" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name (As it appears on ID)" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" 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="text" required="true" label="Country" name="address-country" 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="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Let's Cruise!"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" required="true" label="How soon are you looking to book?&nbsp;" name="how-soon-are-you-looking-to-book-"> <option label="ASAP" value="asap">ASAP</option> <option label="Within the week" value="within-the-week">Within the week</option> <option label="Within a couple months" value="within-a-couple-months">Within a couple months</option> <option label="Just considering my options" value="just-considering-my-options">Just considering my options</option> </field> <field type="checkbox-group" required="true" label="How many nights do you want to sail?" name="how-many-nights-do-you-want-to-sail"> <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="text" required="true" label="When would you like to travel? Do you have specific dates in mind?&nbsp;" description="Please put specific dates if you have them time of year and/or calendar year." name="when-are-you-looking-to-travel" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your total budget for per room?" name="what-is-your-total-budget-for-all-travelers" other="true"> <option label="$3,500-$4,500" value="35004500">$3,500-$4,500</option> <option label="$4,500-$6,500" value="45006500">$4,500-$6,500</option> <option label="$6,500-$8,500" value="65008500">$6,500-$8,500</option> <option label="$8,500-$10,500" value="850010500">$8,500-$10,500</option> <option label="$10,500-$12,500" value="1050012500">$10,500-$12,500</option> <option label="$12,500-$15,500" value="1250015500">$12,500-$15,500</option> <option label="$15,500+" value="15500">$15,500+</option> </field> <field type="checkbox-group" required="true" label="Are you military with a valid ID" name="are-you-military-with-a-valid-id"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How Many Adults are Traveling? (18+)" name="how-many-adults-are-traveling" subtype="text" className="form-control"/> <field type="text" required="true" label="How Many Children are Traveling? (0-17)&nbsp; What are the ages at time of travel?" description="Example: 2 kids Bob 3 Joe 7. *If no children are going please put a 0 or N/A." name="how-many-children-are-traveling-and-what-are-the-ages-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="select" required="true" label="Do ALL travelers have a current passport?" name="do-all-travelers-have-a-current-passport" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="Will ANY of the traveler's passports expire in the next 6 months?&nbsp;" name="will-any-of-the-travelers-passports-expire-in-the-next-6-months-" className="form-control"> <option label="NO" value="no">NO</option> <option label="YES" value="yes">YES</option> <option label="YES, but renewal in progress" value="yes-but-renewal-in-progress">YES, but renewal in progress</option> </field> <field type="checkbox-group" required="true" label="Port Preference(s)" description="Please select all of your possible options" name="port-preferences" other="true"> <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="Miami, Florida" value="miami-florida">Miami, Florida</option> <option label="New York, New York" value="new-york-new-york">New York, New York</option> <option label="New Orleans, Louisiana" value="new-orleans-louisiana">New Orleans, Louisiana</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, Hawai'i" value="honolulu-hawaii">Honolulu, Hawai'i</option> </field> <field type="checkbox-group" required="true" label="Cruise Destination" name="cruise-destination"> <option label="Caribbean " value="caribbean-">Caribbean </option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Hawai'i" value="hawaii">Hawai'i</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Europe" value="europe">Europe</option> <option label="Bermuda " value="bermuda-">Bermuda </option> <option label="New Zealand and Australia" value="new-zealand-and-australia">New Zealand and Australia</option> <option label="Pacific Coast " value="pacific-coast-">Pacific Coast </option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Transatlantic " value="transatlantic-">Transatlantic </option> </field> <field type="checkbox-group" label="Would you like to visit one of Disney's Island Destinations?" name="would-you-like-to-visit-one-of-disneys-island-destinations"> <option label="Disney Castaway Cay" value="disney-castaway-cay">Disney Castaway Cay</option> <option label="Lighthouse Point" value="lighthouse-point">Lighthouse Point</option> </field> <field type="select" required="true" label="Number of rooms needed?" name="number-of-rooms-needed" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+ (Group Trip)" value="6-group-trip">6+ (Group Trip)</option> </field> <field type="radio-group" required="true" label="Ship Location Preference&nbsp;" name="seat-preference"> <option label="Forward" value="forward">Forward</option> <option label="Middle " value="middle-">Middle </option> <option label="Aft (back)" value="aft-back">Aft (back)</option> </field> <field type="radio-group" required="true" label="Stateroom Category Preference" name="bed-preference"> <option label="Inside" value="inside">Inside</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Verandah" value="verandah">Verandah</option> <option label="Concierge" value="concierge">Concierge</option> <option label="Undecided " value="undecided-">Undecided </option> </field> <field type="radio-group" required="true" label="Stateroom Location Preference" name="stateroom-location-preference"> <option label="Lower Decks" value="lower-decks">Lower Decks</option> <option label="Middle Decks" value="middle-decks">Middle Decks</option> <option label="Higher Decks" value="higher-decks">Higher Decks</option> <option label="Undecided" value="undecided">Undecided</option> </field> <field type="radio-group" label="Any Special Occasions?" description="Will you be celebrating anything while on the cruise?" name="any-special-occasions" other="true"> <option label="Graduation" value="graduation">Graduation</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Engagement" value="engagement">Engagement</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelorette Party" value="bachelorette-party">Bachelorette Party</option> <option label="Bachelor Party " value="bachelor-party-">Bachelor Party </option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Babymoon" value="babymoon">Babymoon</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="radio-group" required="true" label="Are you currently working with another travel agent?" name="are-you-currently-working-with-another-travel-agent"> <option label="Nope!" value="nope">Nope!</option> <option label="Yes" value="yes">Yes</option> <option label="Yes, but I'd like to work with you instead." value="yes-but-id-like-to-work-with-you-instead">Yes, but I'd like to work with you instead.</option> </field> <field type="checkbox-group" required="true" label="My services are FREE to you! However, prior to researching and/or booking your trip, I require a phone conversation or in-person meeting to better understand your needs." name="my-main-correspondence-with-you-will-be-through-email-this-ensures-all-travel-details-are-organized-and-in-one-convenient-location-"> <option label="I understand and will provide dates and times for our meeting. " value="i-understand-and-will-provide-dates-and-times-for-our-meeting-">I understand and will provide dates and times for our meeting. </option> </field> <field type="header" subtype="h1" label="Phone or In-Person Meeting Times&nbsp;"/> <field type="text" required="true" label="First Available Day and Time" name="first-available-day-and-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Second Available Day and Time" name="second-available-day-and-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Third Available Day and Time" name="third-available-day-and-time" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="After we've chatted on the phone or in person, my main correspondence will be through email. This ensures all travel details are organized and in one convenient location.&nbsp;" name="after-weve-chatted-on-the-phone-or-in-person-my-main-correspondence-will-be-through-email-this-ensures-all-travel-details-are-organized-and-in-one-convenient-location-"> <option label="I understand and will keep an eye on my emails." value="i-understand-and-will-keep-an-eye-on-my-emails">I understand and will keep an eye on my emails.</option> </field> <field type="textarea" label="Anything you'd like me to know?" name="anything-youd-like-me-to-know" className="form-control"/> <field type="checkbox-group" required="true" label="As a travel advisor, I am compensated for my time and expertise when my clients book AND travel with me.&nbsp; &nbsp; I receive no payment for quotes, but am compensated by the resorts, cruise lines, tour providers, and destinations for serving our mutual clients." name="as-a-travel-advisor-i-am-compensated-for-my-time-and-expertise-when-my-clients-book-and-travel-with-me-i-receive-no-payment-for-quotes-but-am-compensated-by-the-resorts-cruise-lines-tour-providers-and-destinations-for-serving-our-mutual-clients"> <option label="I understand that Bekah is not compensated for her time until I complete my travels on a booking executed by her. " value="i-understand-that-bekah-is-not-compensated-for-her-time-until-i-complete-my-travels-on-a-booking-executed-by-her-">I understand that Bekah is not compensated for her time until I complete my travels on a booking executed by her. </option> </field> </fields> </form-template> </body> </html>
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