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Mollie Potier
Travel with the Magic
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Disney Quote Form"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="select" required="true" label="Where would you like to vacation?" name="select-1769038444259" className="form-control"> <option label="Disney World" value="disney-world" selected="selected">Disney World</option> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> </field> <field type="text" required="true" label="When would you like to check in?" name="when-would-you-like-to-check-in" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to check out?" name="when-would-you-like-to-check-out" subtype="text" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?" name="are-your-travel-dates-flexible" className="form-control"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="text" required="true" label="How many adults are in your travel party?" name="how-many-adults-are-in-your-travel-party" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children are in your travel party? Please list their ages at time of travel." name="how-many-children-are-in-your-travel-party-please-list-their-ages-at-time-of-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="Do you have a preferred resort hotel?" name="do-you-have-a-preferred-resort-hotel" subtype="text" className="form-control"/> <field type="text" label="What is important to you?" name="what-is-important-to-you" subtype="text" className="form-control"/> <field type="text" required="true" label="How many days in the park would you like?" name="how-many-days-in-the-park-would-you-like" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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