<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-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="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Thank you for choosing Priceless Adventures, LLC to help plan your Walt Disney World vacation! To begin working with our agency and travel specialist please complete the small group (1-9 travelers) request form and submit your $30 research fee. If this request is for a group of 10 or more travelers, please complete the group booking form at https://bit.ly/PA_GroupBookingForm. The group research fee is $50.&nbsp; All research fees covers the time, planning, research, negotiations and booking of your travel package. This fee is non-refundable and will not be applied to your booking. This fee does NOT apply to repeat clients. (If you were previously part of a group booking, you are considered a NEW client and are required to pay the research fee unless you were the group lead.)&nbsp; Please allow 3-5 business days for your request to be completed. The fee can be paid via PayPal (Paypal.me/AprilYoung1), Zelle (PricelessAdventures1@Gmail.com) or Cash App: ($PricelessAdventures1)&nbsp; &nbsp;Note: Research will not begin until the appropriate research fee and form is received.&nbsp;"/> <field type="header" subtype="h1" label="What's Included?"/> <field type="paragraph" subtype="p" label="Once the form is submitted and payment is received, you will be contacted for a consultation by phone. Services also include a custom itinerary, flights, hotels, excursions (if requested), and support before and during travel. This quote reflects pricing at the time it was prepared. Prices are subject to change and are not guaranteed until a deposit is paid to lock in pricing. Payment plans are available after initial deposit is paid.&nbsp;"/> <field type="header" subtype="h1" label="Questions for your trip:"/> <field type="text" required="true" label="How many adult (18+) travelers?&nbsp;" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="List full names and date of birth for each adult traveler.&nbsp;" description="ex. John Doe: 4/23/74 Mary Jane: 1/16/80" name="list-full-names-and-date-of-birth-for-each-adult-traveler-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="How many children will be traveling?&nbsp; If traveling with children, please list their age(s) at time of travel to ensure best pricing." name="how-many-children-will-be-traveling-" className="form-control"/> <field type="date" required="true" label="When would you like to check in at the hotel?" description="This just gives me a general idea of when you'd like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to check out of the hotel?" 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" required="true" 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="radio-group" required="true" label="How soon will you be ready to book?" name="how-soon-will-you-be-ready-to-book"> <option label="I am looking to book within the next 7 days." value="i-am-looking-to-book-within-the-next-7-days">I am looking to book within the next 7 days.</option> <option label="I am looking to book within the next 30 days." value="i-am-looking-to-book-within-the-next-30-days">I am looking to book within the next 30 days.</option> <option label="I want to discuss another time frame." value="i-want-to-discuss-another-time-frame">I want to discuss another time frame.</option> </field> <field type="radio-group" required="true" label="What type of accommodations do you require? (Note: We do not offer air/hotel packages.)" name="what-type-of-accommodations-do-you-require-note-we-do-not-offere-aironly-accomodations"> <option label="Hotel/Resort Only" value="hotelresort-only">Hotel/Resort Only</option> <option label="Hotel/Resort & Rental Car Package" value="hotelresort-rental-car-package">Hotel/Resort & Rental Car Package</option> </field> <field type="text" required="true" label="What is your estimated budget (per person)?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-estimated-budget-per-person" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many times have you previously visited Walt Disney World?&nbsp;" name="how-many-times-have-you-previously-visited-walt-disney-world-"> <option label="0" value="0">0</option> <option label="1-2" value="12">1-2</option> <option label="3+" value="3">3+</option> </field> <field type="radio-group" required="true" label="What type of resort options would you like to consider?&nbsp;" description="Check all that apply." name="what-type-of-resort-options-would-you-like-to-consider-"> <option label="Deluxe Villas & Resort Hotels ($$$)" value="deluxe-villas-resort-hotels-">Deluxe Villas & Resort Hotels ($$$)</option> <option label="Moderate Resort Hotels ($$)" value="moderate-resort-hotels-">Moderate Resort Hotels ($$)</option> <option label="Value Resort Hotels ($)" value="value-resort-hotels-">Value Resort Hotels ($)</option> <option label="Off Site Location (We do have access to many nearby condos/villas, however, for liability reasons, we do not book Airbnb.)" value="off-site-location-we-do-have-access-to-many-nearby-condosvillas-however-for-liability-reasons-we-do-not-book-airbnb">Off Site Location (We do have access to many nearby condos/villas, however, for liability reasons, we do not book Airbnb.)</option> </field> <field type="radio-group" required="true" label="How many rooms do you require?&nbsp;" name="how-many-rooms-do-you-require-"> <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> </field> <field type="checkbox-group" required="true" label="Do you qualify for any discounts? Check any and all that apply.&nbsp;" name="do-you-qualify-for-any-discounts-check-any-and-all-that-apply-"> <option label="Walt Disney World Annual Passholder" value="walt-disney-world-annual-passholder">Walt Disney World Annual Passholder</option> <option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option> <option label="Military (Active Duty or Retired)" value="military-active-duty-or-retired">Military (Active Duty or Retired)</option> <option label="None" value="none">None</option> </field> <field type="radio-group" required="true" label="What Disney Dining Plan(s) are you interested in? (Available only with vacation packages that include accommodations at a Disney-owned-and-operated hotel or with a Disney Vacation Club (DVC) reservation.)" name="what-disney-dining-plans-are-you-interested-in-available-only-with-vacation-packages-that-include-accommodations-at-a-disneyownedandoperated-hotel-or-with-a-disney-vacation-club-dvc-reservation"> <option label="Disney Quick-Service Dining Plan (For families on the go all day, this is a fast and easy meal plan option—especially when you have little ones in tow.)" value="disney-quickservice-dining-plan-for-families-on-the-go-all-day-this-is-a-fast-and-easy-meal-plan-optionespecially-when-you-have-little-ones-in-tow">Disney Quick-Service Dining Plan (For families on the go all day, this is a fast and easy meal plan option—especially when you have little ones in tow.)</option> <option label="Disney Dining Plan (Want to slow down a little and savor special family moments over sit-down meals—or watch the kids light up during Character Dining?)" value="disney-dining-plan-want-to-slow-down-a-little-and-savor-special-family-moments-over-sitdown-mealsor-watch-the-kids-light-up-during-character-dining">Disney Dining Plan (Want to slow down a little and savor special family moments over sit-down meals—or watch the kids light up during Character Dining?)</option> <option label="No Dining Plan" value="no-dining-plan">No Dining Plan</option> </field> <field type="radio-group" required="true" label="Park Tickets Desired&nbsp;" name="park-tickets-desired-"> <option label="Base Tickets (1 Park/Day)" value="base-tickets-1-parkday">Base Tickets (1 Park/Day)</option> <option label="Park Hopper Option (Allows Guests to visit more than one theme park per day.)" value="park-hopper-option-allows-guests-to-visit-more-than-one-theme-park-per-day">Park Hopper Option (Allows Guests to visit more than one theme park per day.)</option> <option label="Park Hopper Plus Option (Allows Guests to visit more than one theme park per day. Plus, enjoy a certain number of visits to a water park or other Walt Disney World sports-related fun.)" value="park-hopper-plus-option-allows-guests-to-visit-more-than-one-theme-park-per-day-plus-enjoy-a-certain-number-of-visits-to-a-water-park-or-other-walt-disney-world-sportsrelated-fun">Park Hopper Plus Option (Allows Guests to visit more than one theme park per day. Plus, enjoy a certain number of visits to a water park or other Walt Disney World sports-related fun.)</option> <option label="None, I just want a price quote for a resort stay." value="none-i-just-want-a-price-quote-for-a-resort-stay">None, I just want a price quote for a resort stay.</option> </field> <field type="text" required="true" label="How many days do you plan to visit the theme park during your stay?" description="This will determine how many days of park tickets you will need." name="how-many-days-do-you-plan-to-visit-the-theme-park-during-your-stay" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do any members of your party require a handicapped accessible room?&nbsp;" name="do-any-members-of-your-party-require-a-handicapped-accessible-room-"> <option label="No one in our party requires a handicapped accessible room." value="no-one-in-our-party-requires-a-handicapped-accessible-room">No one in our party requires a handicapped accessible room.</option> <option label="Yes, we require a handicapped accessible room. (Please provide details of the disability in the Additional Notes box below so that we can secure the appropriate accommodations.)" value="yes-we-require-a-handicapped-accessible-room-please-provide-details-of-the-disability-in-the-additional-notes-box-below-so-that-we-can-secure-the-appropriate-accommodations">Yes, we require a handicapped accessible room. (Please provide details of the disability in the Additional Notes box below so that we can secure the appropriate accommodations.)</option> </field> <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-" subtype="text" className="form-control"/> <field type="text" label="Additional Notes (i.e. rental car preferences, room view or bedding preferences, etc.)&nbsp;" name="additional-notes-ie-special-occasion-preferred-airlinehotel-chain-rental-car-preferences-room-view-or-bedding-preferences-etc-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How did you learn about Priceless Adventures, LLC?&nbsp;" name="how-did-you-learn-about-priceless-adventures-" other="true"> <option label="Friend/Family Referral" value="friendfamily-referral">Friend/Family Referral</option> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="Social Media Advertisement" value="social-media-advertisement">Social Media Advertisement</option> </field> <field type="header" subtype="h1" label="Service Agreement"/> <field type="checkbox-group" required="true" label="The client has 15 business days after quotes are sent to retain Priceless Adventures, LLC travel services. If the client fails to secure the quote with a deposit or full payment within 15 business days, an additional non-refundable travel research fee will be required.&nbsp; No exceptions will be made. By checking the box below, I understand &amp; accept the Priceless Adventures service agreement described above." name="the-client-has-15-business-days-after-quotes-are-sent-to-retain-priceless-adventures-travel-services-if-the-client-fails-to-secure-the-quote-with-a-deposit-or-full-payment-within-15-business-days-an-additional-nonrefundable-travel-research-fee-will-be-required-no-exceptions-will-be-made-by-checking-the-box-below-i-understand-accept-the-priceless-adventures-service-agreement-described-above"> <option label="I understand & Agree" value="i-understand-agree">I understand & Agree</option> </field> </fields> </form-template> </body> </html>
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