Share your information with Rebecca Gascoigne

Rebecca Gascoigne

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Universal Orlando Resort Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your Universal Orlando Resort dream vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Find me on Social Media here:"/>&#13;
		<field type="paragraph" subtype="p" label="Facebook: https://www.facebook.com/worldtravelerbecca/"/>&#13;
		<field type="paragraph" subtype="p" label="* Instagram: https://www.instagram.com/worldtravelerbecca/"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest First Name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest Last Name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Lead Guest Birthdate (MM/DD/YYYY)" name="lead-guest-birthdate-mmddyyyy" 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="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details"/>&#13;
		<field type="date" required="true" label="Desired Departure Date" 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="Desired Return Date" 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="text" required="true" label="Will you be traveling with other adults? Please list their names AND birthdates below. (Example: Susie Jones, 01/01/1980)&amp;nbsp;" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be traveling with children? Please list their names AND birthdates below. (Example: Susie Jones 1/3/2018)&amp;nbsp;" name="will-you-be-traveling-with-children-please-list-their-names-and-birthdates-below-example-susie-jones-132018-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be celebrating any special occasions?" name="text-1736988255295" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Have you visited Universal before? If so, when?&amp;nbsp;" name="text-1736988301254" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Accommodations"/>&#13;
		<field type="checkbox-group" label="Which of the following Universal resort tiers are you interested in?" name="which-of-the-following-universal-resort-tiers-are-you-interested-in">&#13;
			<option label="Value Property" value="value-property">Value Property</option>&#13;
			<option label="Prime Value Property" value="prime-value-property">Prime Value Property</option>&#13;
			<option label="Preferred Property" value="preferred-property">Preferred Property</option>&#13;
			<option label="Premier Property (includes FREE unlimited Express Pass!)" value="premier-property-includes-free-unlimited-express-pass">Premier Property (includes FREE unlimited Express Pass!)</option>&#13;
			<option label="Other-please call me" value="otherplease-call-me">Other-please call me</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a specific Universal Resort(s) that you are interested in?" name="do-you-have-a-specific-universal-resorts-that-you-are-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Room Preference:&amp;nbsp;" name="checkbox-group-1736988374243">&#13;
			<option label="Standard" value="standard">Standard</option>&#13;
			<option label="View Room" value="view-room">View Room</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Tickets and Experiences"/>&#13;
		<field type="text" label="How many days would you like tickets for?" name="is-there-anything-nonuniversal-youd-like-to-do-or-see-while-youre-on-your-trip-examples-spa-golf-other-amusement-parks-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of tickets are you interested in?&amp;nbsp;" name="will-you-need-the-following-">&#13;
			<option label="Single Park Per Day" value="single-park-per-day">Single Park Per Day</option>&#13;
			<option label="Park-to-park (visit multiple parks in one day)" value="parktopark-visit-multiple-parks-in-one-day">Park-to-park (visit multiple parks in one day)</option>&#13;
			<option label="Express Passes" value="express-passes">Express Passes</option>&#13;
			<option label="The Wizarding World of Harry Potter™ Exclusive Vacation Package" value="the-wizarding-world-of-harry-potter-exclusive-vacation-package">The Wizarding World of Harry Potter™ Exclusive Vacation Package</option>&#13;
			<option label="VIP Tour" value="vip-tour">VIP Tour</option>&#13;
		</field>&#13;
		<field type="text" label="Are there specific rides or attractions you are excited about?&amp;nbsp;" name="text-1736988646237" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="While visiting Universal Orlando Resort, would you like to visit their waterpark, Volcano Bay?&amp;nbsp;" name="while-visiting-universal-orlando-resort-would-you-like-to-visit-their-waterpark-volcano-bay-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do any of the following apply to your travel party?" name="do-any-of-the-following-apply-to-your-travel-party">&#13;
			<option label="An active or retired member of the miliary" value="an-active-or-retired-member-of-the-miliary">An active or retired member of the miliary</option>&#13;
			<option label="A Florida resident" value="a-florida-resident">A Florida resident</option>&#13;
			<option label="A disability or special needs" value="a-disability-or-special-needs">A disability or special needs</option>&#13;
			<option label="A Universal Annual Passholder" value="a-universal-annual-passholder">A Universal Annual Passholder</option>&#13;
			<option label="Other-please call me" value="otherplease-call-me">Other-please call me</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Transportation"/>&#13;
		<field type="text" label="Do you need assistance with flights? If so, what is your departure airport?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="radio-group" required="true" label="What is your Universal Orlando Resort Dream Vacation Burdget" description="This just gives me a general starting point and can always be changed later." name="budget">&#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="textarea" label="Is there anything else I need to know about your vacation needs?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>