<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Travel Quote Questionnaire for 45 Minute Luxury Travel Consulation"/> <field type="header" subtype="h1" label="Please fill out as much as possible to help us plan you magical adventure"/> <field type="text" required="true" label="How did you hear about Trip a Little Light Travel, LLC" name="how-did-you-hear-about-trip-a-little-light-travel-llc" subtype="text" className="form-control"/> <field type="text" label="Referral Code/Group" name="text-1675916185934" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Where are you interested in traveling?" name="where-are-you-interested-in-traveling"> <option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option> <option label="Disney Land" value="disney-land">Disney Land</option> <option label="Disney Cruise Line (List the itinerary, ports etc. you are interested in, if you know, in other below)" value="disney-cruise-line-list-the-itinerary-ports-etc-you-are-interested-in-if-you-know-in-other-below">Disney Cruise Line (List the itinerary, ports etc. you are interested in, if you know, in other below)</option> <option label="Adventures by Disney (liest the destination you would most like to travel, if you know, in other below)" value="adventures-by-disney-liest-the-destination-you-would-most-like-to-travel-if-you-know-in-other-below">Adventures by Disney (liest the destination you would most like to travel, if you know, in other below)</option> <option label="Aulani, A Disney Resort and Spa" value="aulani-a-disney-resort-and-spa">Aulani, A Disney Resort and Spa</option> <option label="Disney's Vero Beach Resort" value="disneys-vero-beach-resort">Disney's Vero Beach Resort</option> <option label="Disney's Hilton Head Resort" value="disneys-hilton-head-resort">Disney's Hilton Head Resort</option> <option label="Other Disney (list location in other section below)" value="other-disney-list-location-in-other-section-below">Other Disney (list location in other section below)</option> <option label="Other Non-Disney Cruise (list location and/or preferred cruise line, if you know, in other section below)" value="other-nondisney-cruise-list-location-andor-preferred-cruise-line-if-you-know-in-other-section-below">Other Non-Disney Cruise (list location and/or preferred cruise line, if you know, in other section below)</option> <option label="All-Inclusive Resort (list location and/or Resort if you know other section below)" value="allinclusive-resort-list-location-andor-resort-if-you-know-other-section-below">All-Inclusive Resort (list location and/or Resort if you know other section below)</option> <option label="Other Destination not specified (tell us more in the other section below)" value="other-destination-not-specified-tell-us-more-in-the-other-section-below">Other Destination not specified (tell us more in the other section below)</option> </field> <field type="header" subtype="h2" label="Your Full Name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="You Cell Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How would you like our agent to respond to your quote questionnaire? If by phone, please make sure to list the best time of day and days of the week to call below the selection box." name="how-would-you-like-our-agent-to-respond-to-your-quote-questionnaire-if-by-phone-please-make-sure-to-list-the-best-time-of-day-and-days-of-the-week-to-call-below-the-selection-box"> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Text" value="text">Text</option> <option label="Email" value="email">Email</option> </field> <field type="text" label="Best Days of the Week and Time of Day to Call?" name="best-days-of-the-week-and-time-of-day-to-call" 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" required="true" 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="Country" name="address-country" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Reason for the Trio" name="reason-for-the-trio"> <option label="Business" value="business">Business</option> <option label="Solo Trip for Pleasure" value="solo-trip-for-pleasure">Solo Trip for Pleasure</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Disney Wedding" value="disney-wedding">Disney Wedding</option> <option label="Destination Wedding" value="">Destination Wedding</option> <option label="Birthday Trip" value="birthday-trip">Birthday Trip</option> <option label="Graduation Trip" value="graduation-trip">Graduation Trip</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Babymoon" value="babymoon">Babymoon</option> <option label="Anniversary Trip" value="anniversary-trip">Anniversary Trip</option> <option label="Couples Trip" value="couples-trip">Couples Trip</option> <option label="Girls/Guys Trip" value="girlsguys-trip">Girls/Guys Trip</option> <option label="Other " value="other-">Other </option> </field> <field type="textarea" label="If you checked other above, please list reason below." name="if-you-checked-other-above-please-list-reason-below" className="form-control"/> <field type="textarea" label="Are you celebrating any special occasions during this trip? Would you like anything special included as part of the celebration? Please be as specific as possible so that we can make it amazing!!" name="are-you-celebrating-any-special-occasions-during-this-trip-would-you-like-anything-special-included-as-part-of-the-celebration-please-be-as-specific-as-possible-so-that-we-can-make-it-amazing" className="form-control"/> <field type="text" required="true" label="How many adults are traveling?" name="text-1675916141634" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Adult Names names ages at the time of travel?" name="adult-names" className="form-control"/> <field type="text" required="true" label="How many children are traveling?" name="text-1675916107201" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What are the names of the children and their ages at the time of travel?" name="what-are-the-names-of-the-children-and-their-ages-at-the-time-of-travel" className="form-control"/> <field type="text" label="Will you need multiple rooms/cabins for the trip? If so how many?" name="text-1675916060068" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to travel? Please list the number of days/nights. Are your dates flexible?" name="text-1675916037552" subtype="text" className="form-control"/> <field type="text" label="Do you have a specific resort/property you are interested in staying at? Would you like to do a split stay? Please list all that apply." name="text-1675916001702" subtype="text" className="form-control"/> <field type="radio-group" label="For Walt Disney World and Disneyland vacation packages with theme park admission, are you interested in the flexibility to hop between parks in a single day?" name="radio-group-1676406916929"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="For Walt Disney World &nbsp;vacation packages with theme park admission, are you interested in admission to the waterparks?" name="for-walt-disney-world-vacation-packages-with-theme-park-admission-are-you-interested-in-admission-to-the-waterparks"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If looking to book a Disney destination, would you like to add on any additional Non-Disney Destination/activity such as Universal or SeaWorld to this trip? Please list any other activities you would like to include." name="if-looking-to-book-a-disney-destination-would-you-like-to-add-on-any-additional-nondisney-destinationactivity-such-as-universal-or-seaworld-to-this-trip-please-list-any-other-activities-you-would-like-to-include" className="form-control"/> <field type="checkbox-group" required="true" label="What is your budget for this trip?" name="what-is-your-budget-for-this-trip"> <option label="$2500 or less" value="2500-or-less">$2500 or less</option> <option label="$2501-$5000" value="25015000">$2501-$5000</option> <option label="$5001-$7500" value="50017500">$5001-$7500</option> <option label="$7501-$10,000" value="750110000">$7501-$10,000</option> <option label="$10,001-$15,000" value="1000115000">$10,001-$15,000</option> <option label="$15,001-20,000" value="1500120000">$15,001-20,000</option> <option label="Greater than $20,000" value="greater-than-20000">Greater than $20,000</option> <option label="Flexible-We want to make sure we have the most magical vacation!" value="flexiblewe-want-to-make-sure-we-have-the-most-magical-vacation">Flexible-We want to make sure we have the most magical vacation!</option> <option label="Unlimited- This is a once in a lifetime trip!" value="unlimited-this-is-a-once-in-a-lifetime-trip">Unlimited- This is a once in a lifetime trip!</option> </field> <field type="checkbox-group" required="true" label="What type of vacation are you interested in?" name="what-type-of-vacation-are-you-interested-in"> <option label="Land Only" value="land-only">Land Only</option> <option label="Land and Air" value="land-and-air">Land and Air</option> <option label="Cruise (Sea)" value="cruise-sea">Cruise (Sea)</option> <option label="Cruise (River)" value="cruise-river">Cruise (River)</option> <option label="Sea and Air" value="sea-and-air">Sea and Air</option> <option label="Land and Sea" value="land-and-sea">Land and Sea</option> <option label="Land, Sea and Air" value="land-sea-and-air">Land, Sea and Air</option> <option label="Other (please specify in other section below)" value="other-please-specify-in-other-section-below">Other (please specify in other section below)</option> </field> <field type="textarea" label="If interested in a sea or river cruise, are you interested in a specific ship or itinerary? Please provide as much detail as possible." name="please-explain-other-here" className="form-control"/> <field type="checkbox-group" label="What type of accommodations are you interested in?" name="what-type-of-accommodations-are-you-interested-in"> <option label="Value " value="value-">Value </option> <option label="Moderate " value="moderate-">Moderate </option> <option label="Deluxe" value="deluxe">Deluxe</option> </field> <field type="checkbox-group" label="What are the most important aspects to you when planning this trip?" name="what-are-the-most-important-aspects-to-you-when-planning-this-trip"> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Thrills and Adventure" value="thrills-and-adventure">Thrills and Adventure</option> <option label="Activities for Everyone in the Travel Party" value="activities-for-everyone-in-the-travel-party">Activities for Everyone in the Travel Party</option> <option label="Fabulous Food" value="fabulous-food">Fabulous Food</option> <option label="Location, Location, Location" value="location-location-location">Location, Location, Location</option> <option label="Multigeneration Friendly" value="multigeneration-friendly">Multigeneration Friendly</option> <option label="Budget Friendly" value="budget-friendly">Budget Friendly</option> <option label="Disability Accessible" value="disability-accessible">Disability Accessible</option> </field> <field type="text" label="If you would like to book a Disney Cruise, are you a Castaway Cay member? If so what level?" name="text-1675915935819" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="select" label="Are You a Disney Annual Pass Holder" name="select-1675915620969" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Are you a Disney Visa Card Holder?" name="are-you-a-disney-visa-card-holder" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Are you a Disney+ Subscriber?" name="are-you-a-disney-subscriber" className="form-control"> <option label="Yes" value="yes" selected="selected">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Are You a Universal Annual Pass Holder" name="are-you-a-universal-annual-pass-holder" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Please share any additional information about your family or trip that will help make the planning experience more magical. Area" name="please-share-any-additional-information-about-your-family-or-trip-that-will-help-make-the-planning-experience-more-magical-area" className="form-control"/> </fields> </form-template> </body> </html>
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