<html> <body> <form-template> <fields> <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="header" subtype="h1" label="Travel Dates"/> <field type="checkbox-group" required="true" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If your dates are flexible, list your options below." name="if-your-dates-are-flexible-list-a-few-options-below" subtype="text" className="form-control"/> <field type="date" required="true" label="Check In Date" name="check-in-date" className="form-control"/> <field type="date" label="Check Out Date" name="check-out-date" className="form-control"/> <field type="header" subtype="h1" label="Your Trip and Accommodations&nbsp;"/> <field type="checkbox-group" required="true" label="Which destination are you interested in?" name="which-destination-are-you-interested-in"> <option label="Walt Disney World Resort in Florida" value="walt-disney-world-resort-in-florida">Walt Disney World Resort in Florida</option> <option label="Disneyland Resort in California" value="disneyland-resort-in-california">Disneyland Resort in California</option> </field> <field type="radio-group" required="true" label="Do you have a set budget not including flight?&nbsp; *This budget is for room and ticket packages *This budget is per room if you are requested more than one room." name="do-you-have-a-set-budget-not-including-flight-this-budget-is-for-room-and-ticket-packages-this-budget-is-per-room-if-you-are-requested-more-than-one-room"> <option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option> <option label="$5,000-$7,000" value="50007000">$5,000-$7,000</option> <option label="$7,000+" value="7000" selected="selected">$7,000+</option> <option label="I am not worried about budget." value="i-am-not-worried-about-budget">I am not worried about budget.</option> <option label="I don't know what my budget should be." value="i-dont-know-what-my-budget-should-be">I don't know what my budget should be.</option> </field> <field type="text" label="Do you have a specific resort in mind?&nbsp;" description="If Disney Cruise Line or Adventures by Disney list Sailing or Tour you're interested in." name="do-you-have-a-specific-resort-in-mind" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Resort Type" name="resort-type"> <option label="Value Pricing (lower tier)" value="value-pricing-lower-tier">Value Pricing (lower tier)</option> <option label="Moderate Pricing " value="moderate-pricing-">Moderate Pricing </option> <option label="Deluxe Pricing" value="deluxe-pricing">Deluxe Pricing</option> <option label="Deluxe Studio Pricing " value="deluxe-studio-pricing-">Deluxe Studio Pricing </option> <option label="Villas (1, 2, 3 bedroom options) Premier Pricing " value="villas-1-2-3-bedroom-options-premier-pricing-">Villas (1, 2, 3 bedroom options) Premier Pricing </option> <option label="Accessible room (Mobility or Hearing)" value="accessible-room-mobility-or-hearing">Accessible room (Mobility or Hearing)</option> </field> <field type="checkbox-group" label="When choosing a resort, what is most important to you?&nbsp;" name="when-choosing-a-resort-what-is-most-important-to-you-" other="true"> <option label="Cost/Value" value="costvalue">Cost/Value</option> <option label="Convenience and Location " value="convenience-and-location-">Convenience and Location </option> <option label="Amenities (Pool, Restaurants, etc)" value="amenities-pool-restaurants-etc">Amenities (Pool, Restaurants, etc)</option> <option label="Transportation Options" value="transportation-options">Transportation Options</option> </field> <field type="checkbox-group" label="Do any of these apply to you?" name="do-any-of-these-apply-to-you"> <option label="Annual Pass Holder" value="annual-pass-holder">Annual Pass Holder</option> <option label="Disney Visa Card Holder" value="disney-visa-card-holder">Disney Visa Card Holder</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident" value="california-resident">California Resident</option> <option label="Disney + Subscriber" value="disney-subscriber">Disney + Subscriber</option> <option label="Military" value="military">Military</option> </field> <field type="checkbox-group" label="Are you celebrating while on vacation?" name="are-you-celebrating-while-on-vacation"> <option label="Birthday" value="birthday">Birthday</option> <option label="First Visit" value="first-visit">First Visit</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Personal Triumph" value="personal-triumph">Personal Triumph</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Reunion" value="reunion">Reunion</option> <option label="Graduation" value="graduation">Graduation</option> </field> <field type="header" subtype="h3" label="Which attractions are you interested in visiting? (check all)"/> <field type="checkbox-group" label="If you're visiting the Orlando area" name="check-all-the-parks-and-attractions-below-that-you-wish-to-visit" other="true"> <option label="Magic Kingdom " value="magic-kingdom-">Magic Kingdom </option> <option label="Epcot " value="epcot-">Epcot </option> <option label="Hollywood Studios " value="hollywood-studios-">Hollywood Studios </option> <option label="Animal Kingdom " value="animal-kingdom-">Animal Kingdom </option> <option label="Typhoon Lagoon or Blizzard Beach " value="typhoon-lagoon-or-blizzard-beach-">Typhoon Lagoon or Blizzard Beach </option> <option label="Universal Studios" value="universal-studios">Universal Studios</option> <option label="Universal Islands of Adventure " value="universal-islands-of-adventure-">Universal Islands of Adventure </option> <option label="Universal Volcano Bay (water park)" value="universal-volcano-bay-water-park">Universal Volcano Bay (water park)</option> <option label="Sea World " value="sea-world-">Sea World </option> <option label="Discovery Cove" value="discovery-cove">Discovery Cove</option> <option label="Legoland" value="legoland">Legoland</option> </field> <field type="checkbox-group" label="If you're visiting the Los Angeles and San Diego area" name="if-youre-visiting-the-los-angeles-and-san-diego-area"> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="California Adventure" value="california-adventure">California Adventure</option> <option label="Universal Hollywood " value="universal-hollywood-">Universal Hollywood </option> <option label="San Diego Zoo" value="san-diego-zoo">San Diego Zoo</option> <option label="Legoland California" value="legoland-california">Legoland California</option> <option label="Sea World" value="sea-world">Sea World</option> </field> <field type="header" subtype="h1" label="Guest Information"/> <field type="text" required="true" label="Total number of adults traveling" name="total-number-of-adults-traveling" subtype="text" className="form-control"/> <field type="text" required="true" label="Total number of children traveling" name="total-number-of-kids-traveling" subtype="text" className="form-control"/> <field type="text" label="What ages will each child be at time of travel?" name="ages-of-kids-at-time-of-travel" subtype="text" className="form-control"/> <field type="textarea" label="If you anticipate needing more than one room, please specify how you would like the rooms to be divided." placeholder="Example: Room 1: 2 adults 2 kids (12 15) Room 2: 1 adult 3 kids (4 6 9)" name="if-you-will-need-more-than-one-room-list-how-the-rooms-will-be-split" className="form-control"/> <field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true"> <option label="Friend or Family" value="friend-or-family">Friend or Family</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Google" value="google">Google</option> </field> <field type="text" label="If you chose family or friend, who can we thank?" name="if-you-chose-familyfriend-who-can-we-thank" subtype="text" className="form-control"/> <field type="radio-group" label="When are you planning to book?" name="when-are-you-planning-to-book"> <option label="Ready to book" value="ready-to-book">Ready to book</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Reasearching" value="reasearching">Reasearching</option> </field> <field type="radio-group" label="How would you like to be contacted?" name="how-would-you-like-to-be-contacted"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> </fields> </form-template> </body> </html>
Submit Request
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways