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Maria Akey
Magic Mom Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Basic Information&nbsp;"/> <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="Preferred name" name="preferred-name" 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="textarea" required="true" label="Please list the full legal names for each person in your travel party as they appear on passport, driver's license, or birth certificate AND age at time of travel. If booking more than 1 stateroom, please group everyone by stateroom.&nbsp;" description="Example: Stateroom 1- Rob Roy (42) Robin Roy (38) Richie Roy (7) Stateroom 2 - John Smith (39), Jane Smith (40), Johnny Smith (6), Joanna Smith (4)" name="please-list-the-full-legal-names-for-each-person-in-your-travel-party-as-they-appear-on-passport-drivers-license-or-birth-certificate-and-age-at-time-of-travel-if-booking-more-than-1-stateroom-please-group-everyone-by-stateroom-" className="form-control"/> <field type="radio-group" required="true" label="If you are a current Castaway Club Member, what level are you?" name="if-you-are-a-current-castaway-club-member-what-level-are-you"> <option label="We are new to Disney Cruise Line vacations!" value="we-are-new-to-disney-cruise-line-vacations">We are new to Disney Cruise Line vacations!</option> <option label="Silver (1-4 Disney cruises completed)" value="silver-14-disney-cruises-completed">Silver (1-4 Disney cruises completed)</option> <option label="Gold (5-9 Disney cruises completed)" value="gold-59-disney-cruises-completed">Gold (5-9 Disney cruises completed)</option> <option label="Platinum (10+ Disney cruises completed)" value="platinum-10-disney-cruises-completed">Platinum (10+ Disney cruises completed)</option> </field> <field type="radio-group" required="true" label="When was the last time you took a Disney Cruise Line Vacation?" name="when-was-the-last-time-you-took-a-disney-cruise-line-vacation"> <option label="In the last 3 years" value="in-the-last-3-years">In the last 3 years</option> <option label="3-5 years ago " value="35-years-ago-">3-5 years ago </option> <option label="5-10 years ago " value="510-years-ago-">5-10 years ago </option> <option label="10+ years ago " value="10-years-ago-">10+ years ago </option> <option label="This is my first!!!" value="this-is-my-first">This is my first!!!</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers NOT including flights?" description="This gives a starting point and can always be changed later" name="what-is-your-budget-for-all-travelers-not-including-flights" other="true"> <option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option> <option label="$5,000 to $7,500 " value="5000-to-7500-">$5,000 to $7,500 </option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="Is you budget flexible if it means taking the kind of vacation you prefer?" name="is-you-budget-flexible-if-it-means-taking-the-kind-of-vacation-you-prefer"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="text" required="true" label="When would you like to travel?" name="when-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes " value="Yes ">Yes </option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="What destinations are you interested in sailing to? (Select up to three)" name="what-destinations-are-you-interested-in-sailing-to-select-up-to-three"> <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="Hawai'i " value="hawaii-">Hawai'i </option> <option label="Mexico " value="mexico-">Mexico </option> <option label="New Zealand and Australia " value="new-zealand-and-australia-">New Zealand and Australia </option> <option label="Pacific " value="pacific-">Pacific </option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Transatlantic " value="transatlantic-">Transatlantic </option> <option label="Disney's Castaway Cay " value="disneys-castaway-cay-">Disney's Castaway Cay </option> <option label="Disney's Lookout Cay at Lighthouse Point " value="disneys-lookout-cay-at-lighthouse-point-">Disney's Lookout Cay at Lighthouse Point </option> </field> <field type="checkbox-group" required="true" label="What is your ideal cruise length&nbsp;" name="what-is-your-ideal-cruise-length-"> <option label="3 nights" value="3-nights">3 nights</option> <option label="4 nights (recommended minimum)" value="4-nights-recommended-minimum">4 nights (recommended minimum)</option> <option label="5 to 6 nights " value="5-to-6-nights-">5 to 6 nights </option> <option label="7 nights " value="7-nights-">7 nights </option> <option label="8 to 13 nights " value="8-to-13-nights-">8 to 13 nights </option> <option label="14 nights or more" value="14-nights-or-more">14 nights or more</option> </field> <field type="radio-group" required="true" label="What is your preferred departure port?" description="Most itineraries only depart from a specific port so depending on what is most important to you some aspects of your trip might change." name="what-is-your-preferred-departure-port"> <option label="Auckland, New Zealand" value="auckland-new-zealand">Auckland, New Zealand</option> <option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option> <option label="Brisbane, Australia " value="brisbane-australia-">Brisbane, Australia </option> <option label="Civitavecchia (Rome), Italy" value="civitavecchia-rome-italy">Civitavecchia (Rome), Italy</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="Honolulu, Hawaii " value="honolulu-hawaii-">Honolulu, Hawaii </option> <option label="Melbourne, Australia " value="melbourne-australia-">Melbourne, Australia </option> <option label="New Orleans, Louisiana" value="new-orleans-louisiana">New Orleans, Louisiana</option> <option label="Port Canaveral, Florida " value="port-canaveral-florida-">Port Canaveral, Florida </option> <option label="San Diego, California" value="san-diego-california">San Diego, California</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Southampton, England" value="southampton-england">Southampton, England</option> <option label="Vancouver (British Columbia), Canada" value="vancouver-british-columbia-canada">Vancouver (British Columbia), Canada</option> <option label="Sydney, Australia " value="sydney-australia-">Sydney, Australia </option> </field> <field type="radio-group" required="true" label="What best describes your stateroom preference?" name="what-best-describes-your-stateroom-preference"> <option label="Inside Stateroom (no windows) ($)" value="inside-stateroom-no-windows-">Inside Stateroom (no windows) ($)</option> <option label="Oceanview Stateroom (window with view of the ocean) ($$)" value="oceanview-stateroom-window-with-view-of-the-ocean-">Oceanview Stateroom (window with view of the ocean) ($$)</option> <option label="Stateroom with Verandah (balcony overlooking the ocean) ($$$)" value="stateroom-with-verandah-balcony-overlooking-the-ocean-">Stateroom with Verandah (balcony overlooking the ocean) ($$$)</option> <option label="Concierge Stateroom (specialty category with enhanced services and benefits) ($$$$)" value="concierge-stateroom-specialty-category-with-enhanced-services-and-benefits-">Concierge Stateroom (specialty category with enhanced services and benefits) ($$$$)</option> <option label="Concierge Suite (offers multiple bedroom options and specialty services) ($$$$$)" value="concierge-suite-offers-multiple-bedroom-options-and-specialty-services-">Concierge Suite (offers multiple bedroom options and specialty services) ($$$$$)</option> </field> <field type="textarea" required="true" label="What is important to you in your accommodations?" description="If you have preferences for the deck location such as aft midship or forward etc. leave those here." name="what-is-important-to-you-in-your-accommodations" className="form-control"/> <field type="radio-group" required="true" label="Do you have a ship you prefer?" name="do-you-have-a-ship-you-prefer"> <option label="No preference" value="no-preference">No preference</option> <option label="Disney Dream " value="disney-dream-">Disney Dream </option> <option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option> <option label="Disney Magic" value="disney-magic">Disney Magic</option> <option label="Disney Wish" value="disney-wish">Disney Wish</option> <option label="Disney Wonder " value="disney-wonder-">Disney Wonder </option> <option label="Disney Treasure (Travel dates 12/21/24 forward)" value="disney-treasure-travel-dates-122124-forward">Disney Treasure (Travel dates 12/21/24 forward)</option> </field> <field type="checkbox-group" required="true" label="Are you interested in any of these themed cruises?" name="are-you-interested-in-any-of-these-themed-cruises"> <option label="Marvel Day at Sea" value="marvel-day-at-sea">Marvel Day at Sea</option> <option label="Pixar Day at Sea" value="pixar-day-at-sea">Pixar Day at Sea</option> <option label="Halloween on the High Seas" value="halloween-on-the-high-seas">Halloween on the High Seas</option> <option label="Very Merrytime" value="very-merrytime">Very Merrytime</option> <option label="We prefer a "normal" sailing " value="we-prefer-a-normal-sailing-">We prefer a "normal" sailing </option> <option label="No preference " value="no-preference-">No preference </option> </field> <field type="radio-group" required="true" label="What is MOST important to you when considering your cruise options?" name="what-is-most-important-to-you-when-considering-your-cruise-options"> <option label="Sailing within our preferred dates " value="sailing-within-our-preferred-dates-">Sailing within our preferred dates </option> <option label="Sailing on our preferred ship" value="sailing-on-our-preferred-ship">Sailing on our preferred ship</option> <option label="Sailing from our preferred port " value="sailing-from-our-preferred-port-">Sailing from our preferred port </option> <option label="Sailing for our preferred cruise length" value="sailing-for-our-preferred-cruise-length">Sailing for our preferred cruise length</option> <option label="Staying within our budget" value="staying-within-our-budget">Staying within our budget</option> <option label="Sailing on a themed sailing" value="sailing-on-a-themed-sailing">Sailing on a themed sailing</option> </field> <field type="text" label="Will you be celebrating anything this trip?" name="will-you-be-celebrating-anything-this-trip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation?" description="Information on the policy can be provided upon request." name="would-you-like-travel-insurance-included-in-your-vacation"> <option label="Yes, Please include it in my quotes" value="yes-please-include-it-in-my-quotes">Yes, Please include it in my quotes</option> <option label="No, I do not wish to purchase travel insurance and assume all the risk of this decision" value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-the-risk-of-this-decision">No, I do not wish to purchase travel insurance and assume all the risk of this decision</option> </field> <field type="radio-group" required="true" label="Have you ever worked with a travel agent before?" name="have-you-ever-worked-with-a-travel-agent-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What can I do to help make your vacation planning a great experience? Is there anything else you would like me to know?" description="Food allergies accessible room etc." name="what-can-i-do-to-help-make-your-vacation-planning-a-great-experience-is-there-anything-else-you-would-like-me-to-know" className="form-control"/> <field type="radio-group" required="true" label="Which best describes your booking timeline?" name="which-best-describes-your-booking-timeline"> <option label="I am ready to place a 20% deposit per stateroom " value="i-am-ready-to-place-a-20-deposit-per-stateroom-">I am ready to place a 20% deposit per stateroom </option> <option label="I will be ready to make a deposit within the next 2 weeks?" value="i-will-be-ready-to-make-a-deposit-within-the-next-2-weeks">I will be ready to make a deposit within the next 2 weeks?</option> <option label="I won't be ready for another month or longer" value="i-wont-be-ready-for-another-month-or-longer">I won't be ready for another month or longer</option> <option label="I am currently just browsing " value="i-am-currently-just-browsing-">I am currently just browsing </option> </field> <field type="radio-group" required="true" label="How did you hear about our agency?" name="how-did-you-hear-about-our-agency" other="true"> <option label="Facebook " value="facebook-">Facebook </option> <option label="Instagram" value="instagram">Instagram</option> <option label="LinkedIn" value="linkedin">LinkedIn</option> <option label="Google " value="google-">Google </option> <option label="Travel Leaders" value="travel-leaders">Travel Leaders</option> <option label="Personal Reference " value="personal-reference-">Personal Reference </option> </field> <field type="radio-group" label="Do you belong to any of the following groups?" name="do-you-belong-to-any-of-the-following-groups"> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="United States Armed Forces (Active Duty and Retired Veteran Only)" value="united-states-armed-forces-active-duty-and-retired-veteran-only">United States Armed Forces (Active Duty and Retired Veteran Only)</option> <option label="Disney Visa Rewards Cardholder" value="disney-visa-rewards-cardholder">Disney Visa Rewards Cardholder</option> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident " value="california-resident-">California Resident </option> <option label="Hawaiian Resident" value="hawaiian-resident">Hawaiian Resident</option> <option label="Canadian Resident" value="canadian-resident">Canadian Resident</option> <option label="UK Resident " value="uk-resident-">UK Resident </option> </field> </fields> </form-template> </body> </html>
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