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<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Let's plan a trip to Disney!"/> <field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your dream Disney vacation! My goal is to send you some options within 48-72 hours. Please contact me at erincarson@travelmation.net with any questions."/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="header" subtype="h2" label="Name"/> <field type="text" required="true" label="Lead Client First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Lead Client Last name" name="last-name" subtype="text" className="form-control"/> <field type="date" label="Lead Clients Birthdate" name="lead-clients-birthdate" className="form-control"/> <field type="text" label="Other travelers? Please list full names and birthdates. (Example: Jane Doe 1/2/2000)" name="other-travelers-please-list-full-names-and-birthdates-example-jane-doe-122000" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Which Disney Park are you planning on going to?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" 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"/> <field type="date" 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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="Would you like me to plan flights?" name="would-you-like-me-to-plan-flights" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="radio-group" label="Which of the following Disney resort tiers are you interested in? (If applicable)&nbsp;" name="hotel-preference" other="true"> <option label="Value Properties (WDW)" value="value-properties-wdw">Value Properties (WDW)</option> <option label="Moderate Properties (WDW)" value="moderate-properties-wdw">Moderate Properties (WDW)</option> <option label="Deluxe Properties (WDW)" value="deluxe-properties-wdw">Deluxe Properties (WDW)</option> <option label="Deluxe Villas (WDW)" value="deluxe-villas-wdw">Deluxe Villas (WDW)</option> <option label="Disneyland - on property" value="disneyland-on-property">Disneyland - on property</option> <option label="Disneyland- off property" value="disneyland-off-property">Disneyland- off property</option> </field> <field type="text" label="Do you have a specific Disney Resort you are interested in?" name="do-you-have-a-specific-disney-resort-you-are-interested-in" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you need the following?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Park tickets: one park each day" value="park-tickets-one-park-each-day">Park tickets: one park each day</option> <option label="Park Hopper tickets" value="park-hopper-tickets">Park Hopper tickets</option> <option label="Park Hopper Plus tickets (Includes water parks and more)" value="park-hopper-plus-tickets-includes-water-parks-and-more">Park Hopper Plus tickets (Includes water parks and more)</option> <option label="Dining Plan" value="dining-plan">Dining Plan</option> <option label="Special Event Tickets (Example: Mickey's Not So Scary Halloween Party, Firework Dessert Party, Bippity Boppity Boutique, etc.)" value="special-event-tickets-example-mickeys-not-so-scary-halloween-party-firework-dessert-party-bippity-boppity-boutique-etc">Special Event Tickets (Example: Mickey's Not So Scary Halloween Party, Firework Dessert Party, Bippity Boppity Boutique, etc.)</option> <option label="Magic bands" value="magic-bands">Magic bands</option> <option label="Genie+" value="genie">Genie+</option> <option label="Travel Protection" value="travel-protection">Travel Protection</option> <option label="Memory Maker" value="memory-maker">Memory Maker</option> <option label="Airport Transfer" value="airport-transfer">Airport Transfer</option> <option label="VIP Tour" value="vip-tour">VIP Tour</option> </field> <field type="checkbox-group" label="Do any of the following apply to your travel party?" description="Check all that apply" name="activity-preferences" other="true"> <option label="An active or retired member of the military?" value="an-active-or-retired-member-of-the-military">An active or retired member of the military?</option> <option label="A Florida resident" value="a-florida-resident">A Florida resident</option> <option label="A disability or special needs" value="a-disability-or-special-needs">A disability or special needs</option> <option label="A DVC member" value="a-dvc-member">A DVC member</option> <option label="A Disney Annual Passholder" value="a-disney-annual-passholder">A Disney Annual Passholder</option> </field> <field type="text" label="Is there anything non-Disney you'd like to do or see? (Example: Spa, Golf, other amusement parks, etc.)" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Any "must haves?"" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="Any "don't wants?"" name="any-dont-wants" subtype="text" className="form-control"/> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="text" label="Is there anything else I need to know about your vacation needs?" name="text-1704483646439" subtype="text" className="form-control"/> <field type="text" label="Will you be celebrating anything during your vacation? (Example: First Trip Birthday, Anniversary, Honeymoon, Girl's Trip, etc.)" name="text-1704483687703" subtype="text" className="form-control"/> <field type="text" label="Did someone refer you? If so please enter their name below." name="text-1704483719523" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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