Share your information with Allison Eggelton

Allison Eggelton

Travelmation LLC

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		<field type="header" subtype="h2" label="Your Trip Starts Here!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for considering Adventures by Allison for your trip. Share the details below and I’ll take it from there."/>&#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="Cell Phone" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which Disney experience are you interested in? (Select all that apply)" name="which-disney-experience-are-you-interested-in-select-all-that-apply" other="true">&#13;
			<option label="Walt Disney World (Florida)" value="walt-disney-world-florida">Walt Disney World (Florida)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Disneyland Paris" value="disneyland-paris">Disneyland Paris</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Aulani (Hawaii)" value="aulani-hawaii">Aulani (Hawaii)</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you traveled to this destination before?" name="tell-me-about-your-previous-disney-experience">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Please type your state of residence." name="please-type-your-state-of-residence" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are you celebrating a special occasion?" name="are-you-celebrating-a-special-occasion" other="true">&#13;
			<option label="None" value="none">None</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="First Visit" value="first-visit">First Visit</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="You may qualify for certain promotional offers. Do any of the following apply to you? (Select all that apply)" name="there-are-special-discounts-for-certain-groups-are-you-any-of-the-below-choose-all-that-apply" other="true">&#13;
			<option label="None" value="none">None</option>&#13;
			<option label="Active, Retired, or 100% Disabled Military (Military ID Required)" value="active-retired-or-100-disabled-military-military-id-required">Active, Retired, or 100% Disabled Military (Military ID Required)</option>&#13;
			<option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Disney Plus Subscriber" value="disney-plus-subscriber">Disney Plus Subscriber</option>&#13;
			<option label="Southern California Resident (zip code 9000-96199)" value="southern-california-resident-zip-code-900096199">Southern California Resident (zip code 9000-96199)</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Total number of people in your party:" name="total-number-of-people-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Full legal name and birthdate for each traveler, please. If you need multiple rooms, note who’s in each. For children, please include the age they will be at the time of travel. Disney requires this information to secure reservations." placeholder="ex: Room 1 - Allison Eggelton (10/10/1992)   Jeffrey Eggelton (11/22/1997), Scarlett Eggelton (7/25/2024) will be age 2 at time of travel" name="please-list-the-full-name-of-each-person-in-your-party-and-birthdate-if-you-need-multiple-rooms-please-note-who-will-be-in-each-room" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your approximate budget for all travelers? (WITHOUT airfare)" description="This just gives me a general starting point and can always be changed later. Please note: Regardless of your budget  I will make sure you receive the best vacation promotion available." name="budget" other="true">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What kind of trip are you hoping for?" name="what-kind-of-trip-are-you-hoping-for" other="true">&#13;
			<option label="Relaxed and flexible" value="relaxed-and-flexible">Relaxed and flexible</option>&#13;
			<option label="See and do as much as possible" value="see-and-do-as-much-as-possible">See and do as much as possible</option>&#13;
			<option label="A mix of both" value="a-mix-of-both">A mix of both</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have a preference for accommodations?&amp;nbsp;" name="if-you-have-a-specific-hotel-in-mind-please-list-it-below" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to include travel insurance?" name="would-you-like-to-include-vacation-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Where are you in the planning process?" name="which-best-describes-your-situation-currently">&#13;
			<option label="I’m ready to book and have a deposit ready" value="im-ready-to-book-and-have-a-deposit-ready">I’m ready to book and have a deposit ready</option>&#13;
			<option label="I know I want to go, I just have a few questions" value="i-know-i-want-to-go-i-just-have-a-few-questions">I know I want to go, I just have a few questions</option>&#13;
			<option label="I have a general timeframe but need help narrowing it down" value="i-have-a-general-timeframe-but-need-help-narrowing-it-down">I have a general timeframe but need help narrowing it down</option>&#13;
			<option label="I’m exploring options right now" value="im-exploring-options-right-now">I’m exploring options right now</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else I should know about this trip?" name="notes" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me? If someone referred you, I’d love to thank them." name="how-did-you-hear-about-me-id-love-to-thank-someone-if-you-were-referred-by-a-friend" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to fill this out. I’ll respond within 2–3 business days. Weekends are reserved for clients currently traveling. If you haven’t heard from me after four business days, please check your spam folder."/>&#13;
	</fields>&#13;
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