<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="🥨 2027 Walt Disney World Vacation Pricing Request 🥨&nbsp;"/> <field type="header" subtype="h1" label="GUEST DETAILS"/> <field type="text" required="true" label="First name of Lead Guest" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name of Lead Guest" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred Email for Contact" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Address Line 1" 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="checkbox-group" label="Are you okay with receiving text updates about your vacation?" inline="true" name="are-you-okay-with-receiving-text-updates-about-your-vacation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Please select any that apply to you:" name="please-select-any-that-apply-to-you"> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option> <option label="Annual Passholder" value="annual-passholder">Annual Passholder</option> <option label="FL Resident" value="fl-resident">FL Resident</option> <option label="Active or Fully Retired Military" value="active-or-fully-retired-military">Active or Fully Retired Military</option> </field> <field type="textarea" required="true" label="Names and Birthdates of ALL GUESTS traveling" name="names-and-birthdates-of-all-guests" className="form-control"/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770217104975" rule="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"/> <field type="radio-group" required="true" label="Do you need more than one room?" name="radio-group-1770217158401"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If you need more than one room, please list how you'd like to break down your group into each room here" placeholder="Example: Room 1 - Mickey Minnie Pluto (age 6) Room 2 - Donald Daisy" name="if-you-need-more-than-one-room-please-list-how-youd-like-to-break-down-your-group-into-each-room-here" className="form-control field-hidden"/> <field type="radio-group" label="Does anyone in your group have allergies, mobility or cognitive concerns?&nbsp;" name="does-anyone-in-your-group-have-allergies-mobility-or-cognitive-concerns-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1773680292125" rule="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"/> <field type="textarea" label="Please specify their requirements or how we can best accommodate your group." name="please-specify-their-requirements-or-how-we-can-best-accommodate-your-group" className="form-control field-hidden"/> <field type="textarea" label="Do you have any special requests or preferences that you would like us to consider while planning your vacation?" name="do-you-have-any-special-requests-or-preferences-that-you-would-like-us-to-consider-while-planning-your-vacation" className="form-control"/> <field type="select" required="true" label="Is there an advisor you'd prefer to work with?&nbsp;" name="is-there-an-advisor-youd-prefer-to-work-with-" className="form-control"> <option label="Please Select One" value="please-select-one">Please Select One</option> <option label="Alisa Claytor" value="alisa-claytor">Alisa Claytor</option> <option label="Alyssa Shoemake" value="alyssa-shoemake">Alyssa Shoemake</option> <option label="Amber Derrick" value="amber-derrick">Amber Derrick</option> <option label="Carolyn Litton" value="carolyn-litton">Carolyn Litton</option> <option label="Georgia Hux" value="georgia-hux">Georgia Hux</option> <option label="Haley Freeman" value="haley-freeman">Haley Freeman</option> <option label="Haley Williams" value="haley-williams">Haley Williams</option> <option label="Kelly Quinlan" value="kelly-quinlan">Kelly Quinlan</option> <option label="Killian Gilvary" value="killian-gilvary">Killian Gilvary</option> <option label="Lisa Newman" value="lisa-newman">Lisa Newman</option> <option label="Mandy Elsten" value="mandy-elsten">Mandy Elsten</option> <option label="Megan Valentin" value="megan-valentin">Megan Valentin</option> <option label="Monica Guajardo" value="monica-guajardo">Monica Guajardo</option> <option label="Nicole Cross" value="nicole-cross">Nicole Cross</option> <option label="Taylor Gray" value="taylor-gray">Taylor Gray</option> </field> <field type="pageBreak" name="pageBreak-1770214533568" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="VACATION DETAILS"/> <field type="date" required="true" label="Arrival Date" description="Please select your preferred arrival and departure date in order to expedite your request!" name="starting-at" className="form-control"/> <field type="date" required="true" label="Departure Date" name="ending-at" className="form-control"/> <field type="radio-group" label="Is this your first time visiting Walt Disney World in Florida?" name="is-this-your-first-time-visiting-this-destination"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your preferred hotel style?" name="destination" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you have specific hotels you are interested in seeing pricing for at Walt Disney World?" name="checkbox-group-1770216546887" other="true"> <option label="Disney's Polynesian Village Resort" value="disneys-polynesian-village-resort">Disney's Polynesian Village Resort</option> <option label="Disney's Contemporary Resort" value="disneys-contemporary-resort">Disney's Contemporary Resort</option> <option label="Disney's Grand Floridian Resort and Spa" value="disneys-grand-floridian-resort-and-spa">Disney's Grand Floridian Resort and Spa</option> <option label="Walt Disney World Four Seasons Orlando Resort" value="walt-disney-world-four-seasons-orlando-resort">Walt Disney World Four Seasons Orlando Resort</option> <option label="Disney's Wilderness Lodge" value="disneys-wilderness-lodge">Disney's Wilderness Lodge</option> <option label="Disney's Boardwalk Inn" value="disneys-boardwalk-inn">Disney's Boardwalk Inn</option> <option label="Disney's Beach Club Resort" value="disneys-beach-club-resort">Disney's Beach Club Resort</option> <option label="Disney's Yacht Club Resort" value="disneys-yacht-club-resort">Disney's Yacht Club Resort</option> <option label="Disney's Riviera Resort" value="disneys-riviera-resort">Disney's Riviera Resort</option> <option label="Disney's Animal Kingdom Lodge" value="disneys-animal-kingdom-lodge">Disney's Animal Kingdom Lodge</option> <option label="Disney's Saratoga Springs Resort" value="disneys-saratoga-springs-resort">Disney's Saratoga Springs Resort</option> <option label="Disney's Old Key West Resort" value="disneys-old-key-west-resort">Disney's Old Key West Resort</option> <option label="Disney's Port Orleans Riverside Resort" value="disneys-port-orleans-riverside-resort">Disney's Port Orleans Riverside Resort</option> <option label="Disney's Port Orleans French Quarter Resort" value="disneys-port-orleans-french-quarter-resort">Disney's Port Orleans French Quarter Resort</option> <option label="Disney's Coronado Springs Resort" value="disneys-coronado-springs-resort">Disney's Coronado Springs Resort</option> <option label="Disney's Caribbean Beach Resort" value="disneys-caribbean-beach-resort">Disney's Caribbean Beach Resort</option> <option label="Disney's Pop Century Resort" value="disneys-pop-century-resort">Disney's Pop Century Resort</option> <option label="Disney's Art of Animation Res" value="disneys-art-of-animation-res">Disney's Art of Animation Res</option> <option label="Disney's All Star Movies Resort" value="disneys-all-star-movies-resort">Disney's All Star Movies Resort</option> <option label="Disney's All Star Music Resort" value="disneys-all-star-music-resort">Disney's All Star Music Resort</option> <option label="Disney's All Star Sports Resort" value="disneys-all-star-sports-resort">Disney's All Star Sports Resort</option> </field> <field type="select" required="true" label="How many park days are you interested in during your stay at Walt Disney World?" name="select-1770216569322" className="form-control"> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10" value="10">10</option> </field> <field type="checkbox-group" label="Which Disney World vacation extras do you want to include, if any?" name="checkbox-group-1770216574237"> <option label="Vacation Insurance" value="vacation-insurance">Vacation Insurance</option> <option label="Photo Package" value="photo-package">Photo Package</option> <option label="Park Hopper" value="park-hopper">Park Hopper</option> <option label="Park Hopper Plus Water Parks" value="park-hopper-plus-water-parks">Park Hopper Plus Water Parks</option> <option label="Water Park Add On (no park hopper)" value="water-park-add-on-no-park-hopper">Water Park Add On (no park hopper)</option> <option label="Disney Dining Plan" value="disney-dining-plan">Disney Dining Plan</option> <option label="Quick Service Dining Plan" value="quick-service-dining-plan">Quick Service Dining Plan</option> </field> <field type="textarea" label="Please let us know your dreams &amp; wishes for this vacation" name="textarea-1770217976159" className="form-control"/> <field type="pageBreak" name="pageBreak-1770215770458" next="Next" previous="Previous"/> <field type="textarea" label="Do you have a maximum dollar amount that you are okay with spending on your vacation, excluding flights and souvenirs?" placeholder="*if you aren't sure of how much you should expect to spend that's okay! Just a "here's what I'm comfortable spending" amount works for getting started." name="do-you-have-a-maximum-dollar-amount-that-you-are-okay-with-spending-on-your-vacation-excluding-flights-and-souvenirs" className="form-control"/> <field type="select" label="How did you hear about our services?" name="how-did-you-hear-about-my-services" className="form-control"> <option label="Word of mouth" value="word-of-mouth">Word of mouth</option> <option label="Return guest (thank you!)" value="return-guest-thank-you">Return guest (thank you!)</option> <option label="Laid Back Magic Way podcast" value="laid-back-magic-way-podcast">Laid Back Magic Way podcast</option> <option label="Social media" value="social-media">Social media</option> <option label="Online Search" value="online-search">Online Search</option> </field> <field type="textarea" label="What else would you like me to know about your upcoming trip?" placeholder="ex: need a pack'n'play" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="The magic is just beginning! I am thrilled that you have entrusted us with your family's memories.&nbsp;"/> <field type="paragraph" subtype="p" label="Kindly expect an email regarding your request within the next 1-2 business days."/> </fields> </form-template> </body> </html>
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