<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Client Information"/> <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="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="date" label="Birthday" name="birthday" className="form-control"/> <field type="text" required="true" label="Mailing Address" name="address-line-1" 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="header" subtype="h1" label="Trip Information"/> <field type="textarea" required="true" label="Please tell me a little about the trip you're planning.&nbsp;" name="please-tell-me-a-little-about-the-trip-youre-planning-" className="form-control"/> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" other="true"> <option label="Just started looking at prices, not ready to book." value="just-started-looking-at-prices-not-ready-to-book">Just started looking at prices, not ready to book.</option> <option label="I've done some research" value="ive-done-some-research">I've done some research</option> <option label="I'm ready to book my package and pay a $200 deposit once I find what I am looking for" value="im-ready-to-book-my-package-and-pay-a-200-deposit-once-i-find-what-i-am-looking-for">I'm ready to book my package and pay a $200 deposit once I find what I am looking for</option> </field> <field type="date" required="true" label="What date do you want to start your trip?" name="what-date-do-you-want-to-start-your-trip" className="form-control"/> <field type="date" required="true" label="What date do you want to end your trip?" name="what-date-do-you-want-to-end-your-trip" className="form-control"/> <field type="radio-group" 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="textarea" required="true" label="Please list the names of each person in your travel party, grouped by room assignment. If any travelers are under the age of 18, please list their age next to their name." name="full-legal-names-of-each-person-in-your-travel-party-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-room-please-group-everyone-by-room-assignment" className="form-control"/> <field type="checkbox-group" required="true" label="Trip Components Requested" name="trip-components-requested"> <option label="Disney Vacation Package (Hotel + Theme Park Tickets)" value="disney-vacation-package-hotel-theme-park-tickets">Disney Vacation Package (Hotel + Theme Park Tickets)</option> <option label="Theme Park Tickets Only" value="theme-park-tickets-only">Theme Park Tickets Only</option> </field> <field type="header" subtype="h1" label="Theme Park Tickets &amp; Magical Add-Ons"/> <field type="paragraph" subtype="p" label="Note: At least a 2-day or 3-day ticket is recommended in order to ensure the best experience.&nbsp;"/> <field type="textarea" required="true" label="How many days would you like to have included on your theme park tickets? Would you like to include a "rest day" as part of your trip?" name="how-many-days-would-you-like-to-have-included-on-your-theme-park-tickets-would-you-like-to-include-a-rest-day-as-part-of-your-trip" className="form-control"/> <field type="checkbox-group" label="Would you like me to include any of the following in your quote?" name="would-you-like-me-to-include-any-of-the-following-optional-addons-in-your-quote"> <option label="Disney Genie+ (Recommended)" value="disney-genie-recommended">Disney Genie+ (Recommended)</option> <option label="Park Hopper " value="park-hopper-">Park Hopper </option> <option label="Disney Travel Protection" value="disney-travel-protection">Disney Travel Protection</option> </field> <field type="checkbox-group" label="Should I include any of the following special event tickets in your quote?" name="should-i-include-any-of-the-following-special-event-tickets-in-your-quote"> <option label="Disneyland After Dark: Star Wars Nite (April/May 2024)" value="disneyland-after-dark-star-wars-nite-aprilmay-2024">Disneyland After Dark: Star Wars Nite (April/May 2024)</option> <option label="Disneyland After Dark: Pride Nite (June 2024)" value="disneyland-after-dark-pride-nite-june-2024">Disneyland After Dark: Pride Nite (June 2024)</option> <option label="Oogie Boogie Bash (Sept/Oct 2024) - NOT YET AVAILABLE" value="oogie-boogie-bash-septoct-2024-not-yet-available">Oogie Boogie Bash (Sept/Oct 2024) - NOT YET AVAILABLE</option> </field> <field type="checkbox-group" label="Would you like information on any of the following?" name="would-you-like-information-on-any-of-the-following"> <option label="Walt's Main Street Story Tour" value="walts-main-street-story-tour">Walt's Main Street Story Tour</option> <option label="Bibbidi Bobbidi Boutique" value="bibbidi-bobbidi-boutique">Bibbidi Bobbidi Boutique</option> <option label="Disneyland Resort VIP Tours" value="disneyland-resort-vip-tours">Disneyland Resort VIP Tours</option> <option label="World of Color Dessert Party" value="world-of-color-dessert-party">World of Color Dessert Party</option> </field> <field type="header" subtype="h1" label="Resort Preferences"/> <field type="checkbox-group" label="What are the top 3 things you are looking for in a resort?" name="what-are-the-top-3-things-you-are-looking-for-in-a-resort" other="true"> <option label="Early entry to theme parks" value="early-entry-to-theme-parks">Early entry to theme parks</option> <option label="Great pool and activities" value="great-pool-and-activities">Great pool and activities</option> <option label="Close proximity to parks" value="close-proximity-to-parks">Close proximity to parks</option> <option label="Disney theming" value="disney-theming">Disney theming</option> <option label="Dining options" value="dining-options">Dining options</option> <option label="Transportation available" value="transportation-available">Transportation available</option> <option label="I just need a place to sleep!" value="i-just-need-a-place-to-sleep">I just need a place to sleep!</option> </field> <field type="checkbox-group" label="Preferred Resort(s)" name="preferred-resorts"> <option label="Disney's Pixar Pier ($)" value="disneys-pixar-pier-">Disney's Pixar Pier ($)</option> <option label="Disneyland Hotel ($$)" value="disneyland-hotel-">Disneyland Hotel ($$)</option> <option label="The Villas at the Disneyland Hotel ($$$)" value="the-villas-at-the-disneyland-hotel-">The Villas at the Disneyland Hotel ($$$)</option> <option label="Disney's The Grand Californian Hotel ($$$)" value="disneys-the-grand-californian-hotel-">Disney's The Grand Californian Hotel ($$$)</option> <option label="Good Neighbor Hotels (Disney-selected quality hotels located near Disneyland Resort)" value="good-neighbor-hotels-disneyselected-quality-hotels-located-near-disneyland-resort">Good Neighbor Hotels (Disney-selected quality hotels located near Disneyland Resort)</option> </field> <field type="checkbox-group" label="Room Preferences" name="room-preferences" other="true"> <option label="1 King Bed" value="1-king-bed">1 King Bed</option> <option label="2 Double/Queen Beds" value="2-doublequeen-beds">2 Double/Queen Beds</option> <option label="Sofa Bed or Bunk Beds available" value="sofa-bed-or-bunk-beds-available">Sofa Bed or Bunk Beds available</option> <option label="Kitchenette (small fridge/microwave)" value="kitchenette-small-fridgemicrowave">Kitchenette (small fridge/microwave)</option> <option label="Sleeps 5+ Guests" value="sleeps-5-guests">Sleeps 5+ Guests</option> </field> <field type="checkbox-group" label="View Preferences" name="view-preferences"> <option label="Standard View (Street, Rooftop, Parking Lot)" value="standard-view-street-rooftop-parking-lot">Standard View (Street, Rooftop, Parking Lot)</option> <option label="Water View" value="water-view">Water View</option> <option label="Woods-Courtyard View" value="woodscourtyard-view">Woods-Courtyard View</option> </field> <field type="header" subtype="h1" label="Disney Account"/> <field type="text" label="If the email address associated with your Disney account is different than the one you listed above, please enter it here. I will need this to link the package to your Disney account at the time of booking." name="if-the-email-address-associated-with-your-disney-account-is-different-than-the-one-you-listed-above-please-enter-it-here-i-will-need-this-to-link-the-package-to-your-disney-account-at-the-time-of-booking" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Miscellaneous Information"/> <field type="textarea" label="Will you be celebrating anything special on your trip? (Birthday, Honeymoon, Anniversary, Family Reunion, New Job, etc)" name="will-you-be-celebrating-anything-special-on-your-trip-birthday-honeymoon-anniversary-family-reunion-new-job-etc" className="form-control"/> <field type="textarea" label="Are there any special needs I should be aware of as I plan your trip? For example: mobility issues, social/behavioral/emotional concerns, dietary restrictions, etc" name="do-you-or-any-members-of-your-travel-party-have-special-needs-or-disabilities-i-need-to-be-made-aware-of-please-include-any-needs-regarding-mobility-and-accessible-rooms" className="form-control"/> <field type="textarea" label="Is there anything else you would like me to know?" name="what-else-would-you-like-me-to-know-please-note-any-additional-information-regarding-you-or-members-of-your-travel-party-that-i-may-need-to-be-made-aware-of-in-order-to-make-your-trip-a-successful-one" className="form-control"/> </fields> </form-template> </body> </html>
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