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<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Disney Quote Request"/> <field type="text" required="true" label="Lead Guest First name" name="first-name" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Lead Guest Last name" name="last-name" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" value="Your answer" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Will you be traveling with other adults? Please list their names and date of birth below. (Example: Stacey Smith 1-1-1977)" name="will-you-be-traveling-with-other-adults-list-their-names-and-birthdates-below-example-susie-jones-131985" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Will you be traveling with children? Please list their names and birthdates below. (Example: Stacey Smith 1/3/2018)" name="will-you-be-traveling-with-children-list-their-names-and-birthdates-below-example-susie-jones-132018" value="Your answer" subtype="text" className="form-control"/> <field type="date" required="true" label="Desired Departure Date&nbsp;" 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" required="true" label="Desired Return Date&nbsp;" 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="Which of the following Disney resort tiers are you interested in?" name="which-of-the-following-disney-resort-tiers-are-you-interested-in" other="true"> <option label="Value Property" value="value-property">Value Property</option> <option label="Moderate Property" value="moderate-property">Moderate Property</option> <option label="Deluxe Property" value="deluxe-property">Deluxe Property</option> <option label="Deluxe Villas" value="deluxe-villas">Deluxe Villas</option> <option label="Other-please call me" value="otherplease-call-me">Other-please call me</option> <option label="Unsure" value="unsure">Unsure</option> <option label="None" value="none">None</option> </field> <field type="checkbox-group" label="Value Resort View" name="checkbox-group-1753197837148"> <option label="Standard Room– View of parking or service area" value="standard-room-view-of-parking-or-service-area">Standard Room– View of parking or service area</option> <option label="Preferred Room-Closer to dining, buses, and amenities." value="preferred-roomcloser-to-dining-buses-and-amenities">Preferred Room-Closer to dining, buses, and amenities.</option> <option label="Pool View-Faces the main themed pools." value="pool-viewfaces-the-main-themed-pools">Pool View-Faces the main themed pools.</option> </field> <field type="checkbox-group" label="Moderate Resort View" name="checkbox-group-1753198169780"> <option label="Standard View – Parking or service areas." value="standard-view-parking-or-service-areas">Standard View – Parking or service areas.</option> <option label="Preferred Room– Standard view but close to lobby, transportation, and dining." value="preferred-room-standard-view-but-close-to-lobby-transportation-and-dining">Preferred Room– Standard view but close to lobby, transportation, and dining.</option> <option label="Pool View-Faces a themed pool." value="pool-viewfaces-a-themed-pool">Pool View-Faces a themed pool.</option> <option label="Water View – Overlooks lake or river." value="water-view-overlooks-lake-or-river">Water View – Overlooks lake or river.</option> <option label="King Bed Room – Can be combined with the views above." value="king-bed-room-can-be-combined-with-the-views-above">King Bed Room – Can be combined with the views above.</option> </field> <field type="checkbox-group" label="Deluxe Resort View" name="checkbox-group-1753198465963"> <option label="Standard View / Garden View – Parking or interior landscaping" value="standard-view-garden-view-parking-or-interior-landscaping">Standard View / Garden View – Parking or interior landscaping</option> <option label="Theme Park View – Offers views of Magic Kingdom, EPCOT, or other icons (often premium-priced)" value="theme-park-view-offers-views-of-magic-kingdom-epcot-or-other-icons-often-premiumpriced">Theme Park View – Offers views of Magic Kingdom, EPCOT, or other icons (often premium-priced)</option> <option label="Water View / Lagoon View – Faces Seven Seas Lagoon, Crescent Lake, or Bay Lake." value="water-view-lagoon-view-faces-seven-seas-lagoon-crescent-lake-or-bay-lake">Water View / Lagoon View – Faces Seven Seas Lagoon, Crescent Lake, or Bay Lake.</option> <option label="Woods View – Available at Wilderness Lodge or Animal Kingdom Lodge" value="woods-view-available-at-wilderness-lodge-or-animal-kingdom-lodge">Woods View – Available at Wilderness Lodge or Animal Kingdom Lodge</option> <option label="Savanna View (Animal Kingdom Lodge only) – Views of animals like giraffes and zebras." value="savanna-view-animal-kingdom-lodge-only-views-of-animals-like-giraffes-and-zebras">Savanna View (Animal Kingdom Lodge only) – Views of animals like giraffes and zebras.</option> <option label="Marina View – At resorts like Yacht & Beach Club or Grand Floridian." value="marina-view-at-resorts-like-yacht-beach-club-or-grand-floridian">Marina View – At resorts like Yacht & Beach Club or Grand Floridian.</option> <option label="Fireworks View – Not available at Animal Kingdom Lodge" value="fireworks-view-not-available-at-animal-kingdom-lodge">Fireworks View – Not available at Animal Kingdom Lodge</option> <option label="Club Level Rooms- Premium price" value="club-level-rooms-premium-price">Club Level Rooms- Premium price</option> </field> <field type="text" label="Do you have a specific Disney Resort or Resorts that you are interested in?&nbsp;" name="do-you-have-a-hotel-preference-please-list-" value="Your answer" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Will you need the following:&nbsp;" name="will-you-need-the-following-"> <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:mutliple parks each day" value="park-hopper-ticketsmutliple-parks-each-day">Park Hopper Tickets:mutliple parks each day</option> <option label="Park Hopper Plus Tickets (Including Water Parks & More)" value="park-hopper-plus-tickets-including-water-parks-more">Park Hopper Plus Tickets (Including Water Parks & More)</option> <option label="Quick Service Dining Plan" value="quick-service-dining-plan">Quick Service Dining Plan</option> <option label="Table Service Dining Plan(Character Dining)" value="table-service-dining-plancharacter-dining">Table Service Dining Plan(Character Dining)</option> <option label="Other-please call me" value="otherplease-call-me">Other-please call me</option> </field> <field type="checkbox-group" required="true" label="Will you need the following:&nbsp;" name="checkbox-group-1765410110684"> <option label="Fireworks Cruise" value="fireworks-cruise">Fireworks Cruise</option> <option label="Bippity Boppity Boutique" value="bippity-boppity-boutique">Bippity Boppity Boutique</option> <option label="Magicbands" value="magicbands">Magicbands</option> <option label="Lightning Lane" value="lightning-lane">Lightning Lane</option> <option label="Memory Maker" value="memory-maker">Memory Maker</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="VIP Tour" value="vip-tour">VIP Tour</option> <option label="Fireworks Dessert Party" value="fireworks-dessert-party">Fireworks Dessert Party</option> <option label="Special Event Party (Christmas Party)" value="special-event-party-christmas-party">Special Event Party (Christmas Party)</option> <option label="Special Event Party(Halloween Party)" value="special-event-partyhalloween-party">Special Event Party(Halloween Party)</option> <option label="Other-Please Call" value="otherplease-call">Other-Please Call</option> <option label="None of the above" value="none-of-the-above">None of the above</option> </field> <field type="text" label="How &nbsp;many days do you need park tickets for?" name="how-many-days-do-you-need-park-tickets-for" subtype="text" className="form-control"/> <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"> <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 that could benefit from accommodations" value="a-disability-or-special-needs-that-could-benefit-from-accommodations">A disability or special needs that could benefit from accommodations</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> <option label="Other-please call me" value="otherplease-call-me">Other-please call me</option> </field> <field type="radio-group" label="Will you need an accessible room?" name="will-you-need-an-accessible-room"> <option label="No" value="no">No</option> <option label="Yes, hearing accessible" value="yes-hearing-accessible">Yes, hearing accessible</option> <option label="Yes, mobility accessible" value="yes-mobility-accessible">Yes, mobility accessible</option> </field> <field type="text" label="Is there anything non-Disney you'd like to do or see while you're on your trip? (Example: spa, golf, other amusement parks, etc.)" name="is-there-anything-nondisney-youd-like-to-do-or-see-while-youre-on-your-trip-example-spa-golf-other-amusement-parks-etc" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Any "must haves"?" name="any-must-haves" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Any "don't wants"?" name="any-dont-wants" value="Your answer" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your &nbsp;dream vacation budget?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="Under $3,000" value="under-3000">Under $3,000</option> <option label="$3,000 to $4,500" value="3000-to-4500">$3,000 to $4,500</option> <option label="$4,500 to $6,500" value="4500-to-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+" value="10000">$10,000+</option> </field> <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" value="Your answer" 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.)&nbsp;" name="will-you-be-celebrating-anything-during-your-vacation-example-first-trip-birthday-anniversary-honeymoon-girls-trip-etc-" value="Your answer" subtype="text" className="form-control"/> <field type="text" required="true" label="Are you driving or flying?" name="text-1779628274304" subtype="text" className="form-control"/> <field type="radio-group" label="Do you need travel insurance" name="do-you-need-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Are you working with any other Travel Agents besides me?" name="are-you-working-with-any-other-travel-agents"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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