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Leslie Kaczanowski
Leslie Kaczanowski
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Walt Disney World Vacation Request"/> <field type="paragraph" subtype="p" label="Thank you so much for choosing me to help book your Disney vacation!&nbsp; My average proposal turn around is 72 business hours. Please feel free to email me at any time with any questions! lesliekaczanowski@travelmation.net. I cannot wait to start planning your dream Disney vacation! *Filling out this form will automatically include you in my monthly newsletter email, if you wish to opt out, please say so in the comments at the bottom. "/> <field type="header" subtype="h2" label="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="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you have accessibility needs?" name="do-you-have-accessibility-needs"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Accessibility needs information " description="If Yes please give me a little information to help me best serve you If no feel free to skip :)" name="text-area" className="form-control"/> <field type="date" required="true" label="When you would like to depart?" description="This can be changed if needed later." name="what-is-your-departure-date" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="what-is-your-return-date" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If yes, Please tell me what month/time frame you are able to depart and return. " description="I.e. We can travel any 7 nights between Oct 15th and Nov 22nd" name="if-yes-please-tell-me-what-monthtime-frame-you-are-able-to-depart-and-return-" subtype="text" className="form-control"/> <field type="select" required="true" label="Will you require airfare?" name="will-you-require-airfare" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="We are booking our own airfare" value="we-are-booking-our-own-airfare">We are booking our own airfare</option> </field> <field type="text" label="If yes, What airport are you departing from?" name="if-yes-what-airport-are-you-departing-from" subtype="text" className="form-control"/> <field type="text" label="If yes, do you have a preferred airline?" name="if-yes-do-you-have-a-preferred-airline" subtype="text" className="form-control"/> <field type="text" required="true" label="Ages for&nbsp; 3 and under guests?" description="Just put NA if none" name="text-1778939994125" subtype="text" className="form-control"/> <field type="text" required="true" label="Ages for&nbsp;9&nbsp; and under guests?" description="Just put NA if none" name="text-1778940012724" subtype="text" className="form-control"/> <field type="text" required="true" label="Ages for guests under 18?" description="Just put NA if none" name="text-1778940050681" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers in your party ages 18 and up?" name="how-many-travelers-in-your-party-ages-10" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to stay on Disney property?" description="Disney does an amazing job with theming and the accommodations are great on property! Not to mention transportation to and from the parks!" name="would-you-like-to-stay-on-disney-property" 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="checkbox-group" label="If yes, which type of resort best fits your preference? Select all that apply" name="if-yes-which-type-of-resort-best-fits-your-preference-select-all-that-apply"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Deluxe" value="deluxe">Deluxe</option> <option label="Deluxe Villas (Best for larger families)" value="deluxe-villas-best-for-larger-families">Deluxe Villas (Best for larger families)</option> </field> <field type="checkbox-group" required="true" label="Which Resort Amenities are a MUST for your Walt Disney World Trip" description="Select the amenities that your family really enjoys! For example, our family LOVES waterslides and hot tubs. But if you are not sure, select the last option and I will happily help you figure it out! " name="checkbox-group-1778940123109"> <option label="On the Monorail Line" value="on-the-monorail-line">On the Monorail Line</option> <option label="On the Skyliner Route" value="on-the-skyliner-route">On the Skyliner Route</option> <option label="Access to watercraft transportation" value="access-to-watercraft-transportation">Access to watercraft transportation</option> <option label="Close bus transportation " value="close-bus-transportation-">Close bus transportation </option> <option label="Lot's of dining options" value="lots-of-dining-options">Lot's of dining options</option> <option label="Close to the Lobby" value="close-to-the-lobby">Close to the Lobby</option> <option label="Close to the pool" value="close-to-the-pool">Close to the pool</option> <option label="Waterslides" value="waterslides">Waterslides</option> <option label="Hot Tubs" value="hot-tubs">Hot Tubs</option> <option label="Luxury Feel" value="luxury-feel">Luxury Feel</option> <option label="Resort/Rest Days are a must" value="resortrest-days-are-a-must">Resort/Rest Days are a must</option> <option label="Just using the room to sleep and shower" value="just-using-the-room-to-sleep-and-shower">Just using the room to sleep and shower</option> <option label="Not spending much time at the resort" value="not-spending-much-time-at-the-resort">Not spending much time at the resort</option> <option label="Not sure! No problem! That's what I am here for!" value="not-sure-no-problem-thats-what-i-am-here-for">Not sure! No problem! That's what I am here for!</option> </field> <field type="select" required="true" label="Which type of ticket best fits your preference" description="* I always suggest the park hopper or the park hopper + because it gives you the ability to enjoy attractions dining evening shows and more at more than one park a day!" placeholder="Park Hopper" name="which-type-of-ticket-best-fits-your-preference" className="form-control"> <option label="1 Park Per Day" value="1-park-per-day">1 Park Per Day</option> <option label="Water Park and Sports + 1 Park Per Day" value="water-park-and-sports-1-park-per-day">Water Park and Sports + 1 Park Per Day</option> <option label="Park Hopper" value="park-hopper">Park Hopper</option> <option label="Park Hopper +" value="park-hopper-">Park Hopper +</option> <option label="I would like more information on the types of tickets" value="i-would-like-more-information-on-the-types-of-tickets">I would like more information on the types of tickets</option> </field> <field type="checkbox-group" required="true" label="Which Disney parks would you like to visit?" name="which-disney-parks-would-you-like-to-visit"> <option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option> <option label="Epcot" value="epcot">Epcot</option> <option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option> <option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option> <option label="Typhoon Lagoon Waterpark" value="typhoon-lagoon-waterpark">Typhoon Lagoon Waterpark</option> <option label="Blizzard Beach Waterpark" value="blizzard-beach-waterpark">Blizzard Beach Waterpark</option> </field> <field type="select" required="true" label="How many park days would you like?" placeholder="4" name="how-many-park-days-would-you-like" className="form-control"> <option label="1" value="1">1</option> <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> </field> <field type="select" required="true" label="How many resort days/rest days would you like?" description="I HIGHLY recommend adding in rest days! Remember you are walking on average 8-12 miles per park day!" placeholder="3" name="select-1778940461551" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3" selected="selected">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="select" required="true" label="Would you like to add the Memory Maker to your package?" description="The memory maker is an easy way to get all of your vacation photos for memories that will last forever! All of the posed photos are included as well as select ride photos!" name="would-you-like-to-add-the-memory-maker-to-your-package" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Tell Me More" value="tell-me-more">Tell Me More</option> </field> <field type="radio-group" required="true" label="Would you like to add a Dining Plan?" name="would-you-like-to-add-a-dining-plan"> <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> <option label="Tell me more" value="tell-me-more">Tell me more</option> <option label="Undecided at this time " value="undecided-at-this-time-">Undecided at this time </option> <option label="No, Thank you " value="no-thank-you-">No, Thank you </option> </field> <field type="select" required="true" label="Would you like help booking dining options?" description="**PLEASE NOTE I CAN NEVER GUARANTEE DINING BOOKINGS BUT I WILL DO MY BEST!" name="would-you-like-help-booking-dining-options" 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="select" required="true" label="Would you like to add a separately ticketed event to your package? " name="would-you-like-to-add-a-separately-ticketed-event-to-your-package-" className="form-control"> <option label="After Hours Event" value="after-hours-event">After Hours Event</option> <option label="Mickey's Not So Scary Halloween Party" value="mickeys-not-so-scary-halloween-party">Mickey's Not So Scary Halloween Party</option> <option label="Mickey's Very Merry Christmas Party" value="mickeys-very-merry-christmas-party">Mickey's Very Merry Christmas Party</option> <option label="No Thank you" value="no-thank-you">No Thank you</option> </field> <field type="text" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" subtype="text" className="form-control"/> <field type="text" label="Who can I thank for referring you?" name="who-can-i-thank-for-referring-you" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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