TravelJoy

Gayle Stoffel

Travelmation

Disney Quote Request

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Client Information"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" 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="select" required="true" label="Are You Working With Another Travel Agent?" name="are-you-working-with-another-travel-agent" 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" required="true" label="Are you a member of the US Military?" name="select-1726427852477" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Retired" value="retired">Retired</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="select" label="Interested in" name="interested-in" multiple="multiple" className="form-control">&#13;
			<option label="Walt Disney World" value="walt-disney-world" selected="selected">Walt Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Disney Cruises" value="disney-cruises">Disney Cruises</option>&#13;
			<option label="Adventures By Disney" value="adventures-by-disney">Adventures By Disney</option>&#13;
			<option label="Aulani, A Disney Resort" value="aulani-a-disney-resort">Aulani, A Disney Resort</option>&#13;
			<option label="Other Disney Experience or Unsure" value="other-disney-experience-or-unsure">Other Disney Experience or Unsure</option>&#13;
		</field>&#13;
		<field type="text" label="If applicable, how many days of your trip would you like to visit a theme park?" name="if-applicable-how-many-days-of-your-trip-would-you-like-to-visit-a-theme-park" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Would you like to add a dining package to your trip (Walt Disney World Only)" name="would-you-like-to-add-a-dining-package-to-your-trip-walt-disney-world-only" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Walt Disney World Only - Where do you want to stay?" name="walt-disney-world-only-where-do-you-want-to-stay" multiple="multiple" className="form-control">&#13;
			<option label="Value Resort (All Star Resorts, Pop Century, Art of Animation)" value="value-resort-all-star-resorts-pop-century-art-of-animation" selected="selected">Value Resort (All Star Resorts, Pop Century, Art of Animation)</option>&#13;
			<option label="Moderate Resort ( Caribbean Beach, Port Orleans French Quarter or Riverside, Coronado Springs)" value="moderate-resort-caribbean-beach-port-orleans-french-quarter-or-riverside-coronado-springs">Moderate Resort ( Caribbean Beach, Port Orleans French Quarter or Riverside, Coronado Springs)</option>&#13;
			<option label="Deluxe Resort (Animal Kingdom Lodge, Polynesian, Beach or Yacht Club, Boardwalk, etc...)" value="deluxe-resort-animal-kingdom-lodge-polynesian-beach-or-yacht-club-boardwalk-etc">Deluxe Resort (Animal Kingdom Lodge, Polynesian, Beach or Yacht Club, Boardwalk, etc...)</option>&#13;
			<option label="Delux Villa Resort (-, 2- and 3-bedroom units if available or if you are a DVC owner)" value="delux-villa-resort-2-and-3bedroom-units-if-available-or-if-you-are-a-dvc-owner">Delux Villa Resort (-, 2- and 3-bedroom units if available or if you are a DVC owner)</option>&#13;
			<option label="Off Disney Property" value="off-disney-property">Off Disney Property</option>&#13;
			<option label="Disney Campground" value="disney-campground">Disney Campground</option>&#13;
			<option label="Unsure yet! Help me pick!" value="unsure-yet-help-me-pick">Unsure yet! Help me pick!</option>&#13;
		</field>&#13;
		<field type="date" label="Preferred Check-in Date" name="preferred-checkin-date" className="form-control"/>&#13;
		<field type="date" label="Preferred Check-out Date" name="preferred-checkout-date" className="form-control"/>&#13;
		<field type="select" label="What is your budget for this trip?" name="what-is-your-budget-for-this-trip" className="form-control">&#13;
			<option label="Under $1,000" value="under-1000" selected="selected">Under $1,000</option>&#13;
			<option label="$1,000-$3,000" value="10003000">$1,000-$3,000</option>&#13;
			<option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option>&#13;
			<option label="$5,000-$7,000" value="50007000">$5,000-$7,000</option>&#13;
			<option label="$7,000-$10,000" value="700010000">$7,000-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please share what is most important to you on this trip (Stay on the Monorail, Character dining, etc.)" name="please-share-what-is-most-important-to-you-on-this-trip-" className="form-control"/>&#13;
		<field type="radio-group" label="When Do You Want To Book Your Trip?" name="when-do-you-want-to-book-your-trip">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="In the next few weeks" value="in-the-next-few-weeks">In the next few weeks</option>&#13;
			<option label="In the next few months" value="in-the-next-few-months">In the next few months</option>&#13;
			<option label="Unsure, just looking at this time" value="unsure-just-looking-at-this-time">Unsure, just looking at this time</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How Many Adults (age 18+) Will Be Travelling In Your Party?" name="how-many-adults-age-18-will-be-travelling-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Children (age 17 and under) Will Be Travelling In Your Party?" name="how-many-children-age-17-and-under-will-be-travelling-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please provide the full legal name and date of birth for each person travelling in your party." description="Example - First Name  Middle Name, Last Name MM/DD/YYYY" name="please-provide-the-full-legal-name-and-date-of-birth-for-each-person-travelling-in-your-party" className="form-control"/>&#13;
		<field type="select" label="FOR INTERNATIONAL TRAVEL - Will each member of your party have active passports that expire no less than six (6) months from the date of return?" name="for-international-travel-will-each-member-of-your-party-have-active-passports-that-expire-no-less-than-six-6-months-from-the-date-of-return" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>