Share your information with Camile Lofters

Camile Lofters

In Literal Magic Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="In Literal Magic - Trip Planning Form"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" description="(By providing your phone number  you agree to receive text messages from In Literal Magic)." name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Do you know when you want to travel?" name="do-you-know-when-you-want-to-travel" className="form-control">&#13;
			<option label="Yes, I know my dates and I will enter them below." value="yes-i-know-my-dates-and-i-will-enter-them-below">Yes, I know my dates and I will enter them below.</option>&#13;
			<option label="No, I need help deciding when to go." value="no-i-need-help-deciding-when-to-go">No, I need help deciding when to go.</option>&#13;
		</field>&#13;
		<field type="textarea" label="Enter your dates or month of travel here if you know them! Feel free to include as much detail as you know." name="enter-your-dates-or-month-of-travel-here-if-you-know-them-feel-free-to-include-as-much-detail-as-you-know" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where do you want to travel?&amp;nbsp;" name="where-do-you-want-to-travel-" other="true">&#13;
			<option label="Walt Disney World in Florida" value="walt-disney-world-in-florida">Walt Disney World in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Aulani" value="aulani">Aulani</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Domestic (US) Travel Destination" value="domestic-us-travel-destination">Domestic (US) Travel Destination</option>&#13;
			<option label="International Travel Destination" value="international-travel-destination">International Travel Destination</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Who will be joining you on this trip? (please include ages for children)" name="text-1765143239240" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your ideal budget?" name="what-is-your-ideal-budget" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="If planning a Disney vacation - There are special discounts for certain groups. Are you any of the below? Choose all that apply:" name="if-planning-a-disney-vacation-there-are-special-discounts-for-certain-groups-are-you-any-of-the-below-choose-all-that-apply">&#13;
			<option label="Active, Retired or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired or 100% Disabled Military</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="DVC Member" value="dvc-member">DVC Member</option>&#13;
			<option label="Florida Resident (Walt Disney World)" value="florida-resident-walt-disney-world">Florida Resident (Walt Disney World)</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="California Resident (Disneyland)" value="california-resident-disneyland">California Resident (Disneyland)</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where did you hear about me?" name="where-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Any other details I should know about your trip?" name="any-other-details-i-should-know-about-your-trip" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>