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Kylie Sweet

A Pair of Ears

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Walt Disney World Vacation Quote"/>&#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" label="Preferred name" name="preferred-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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" 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="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="date" required="true" label="Check In Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Check Out Date" name="check-out-date" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults Traveling" description="18+" name="number-of-adults-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Children Traveling" description="Infant - 17" name="number-of-children-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Ages of Children in Party (At the Time of Travel)" description="Infant - 17" name="ages-of-children-in-party-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Resort Preference" name="resort-preference">&#13;
			<option label="Value Resort" value="value-resort">Value Resort</option>&#13;
			<option label="Moderate Resort" value="moderate-resort">Moderate Resort</option>&#13;
			<option label="Deluxe Resort" value="deluxe-resort">Deluxe Resort</option>&#13;
			<option label="Good Neighbor Hotel (Partner Hotels &amp; Motels of the Disney Resort Operated by 3rd Parties)" value="good-neighbor-hotel-partner-hotels-motels-of-the-disney-resort-operated-by-3rd-parties" selected="selected">Good Neighbor Hotel (Partner Hotels &amp; Motels of the Disney Resort Operated by 3rd Parties)</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Number of Days of Park Tickets" name="number-of-days-of-park-tickets" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Would you like to include Park Hopper?" description="Allows entry to multiple parks per day." name="would-you-like-to-include-park-hopper">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, one park per day is fine." value="no-one-park-per-day-is-fine">No, one park per day is fine.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Would you like to include Disney Dining Plan?" name="checkbox-group-1729916294898">&#13;
			<option label="Yes, Quick Service Dining - Includes 2 counter service meals and snack per day plus resort mug per person" value="yes-quick-service-dining-includes-2-counter-service-meals-and-snack-per-day-plus-resort-mug-per-person">Yes, Quick Service Dining - Includes 2 counter service meals and snack per day plus resort mug per person</option>&#13;
			<option label="Yes, Disney Dining Plan - Includes 1 counter service meal, 1 table service meal, and 1 snack plus resort refillable mug per person" value="yes-disney-dining-plan-includes-1-counter-service-meal-1-table-service-meal-and-1-snack-plus-resort-refillable-mug-per-person">Yes, Disney Dining Plan - Includes 1 counter service meal, 1 table service meal, and 1 snack plus resort refillable mug per person</option>&#13;
			<option label="No, I'll pay as I go" value="no-ill-pay-as-i-go">No, I'll pay as I go</option>&#13;
		</field>&#13;
		<field type="text" label="Desired Budget for Travel" name="desired-budget-for-travel" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Will this be your first trip to Walt Disney World Resort?" name="will-this-be-your-first-trip-to-disneyland-resort" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any special requests or special celebrations?" name="do-you-have-any-special-requests-or-special-celebrations" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>