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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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Method of Contact" inline="true" name="preferred-method-of-contact"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h1" label="Trip Information"/> <field type="checkbox-group" label="Are you celebrating a special occasion on this trip?" name="are-you-celebrating-a-special-occasion-on-this-trip" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="checkbox-group" required="true" label="Where would you like to visit?" name="where-would-you-like-to-visit" other="true"> <option label="Walt Disney World (Orlando, Florida)" value="walt-disney-world-orlando-florida">Walt Disney World (Orlando, Florida)</option> <option label="Disneyland (Anaheim, California)" value="disneyland-anaheim-california">Disneyland (Anaheim, California)</option> <option label="Disneyland Paris (Paris, France)" value="disneyland-paris-paris-france">Disneyland Paris (Paris, France)</option> <option label="Tokyo Disney (Tokyo, Japan)" value="tokyo-disney-tokyo-japan">Tokyo Disney (Tokyo, Japan)</option> <option label="Hong Kong Disney (Hong Kong)" value="hong-kong-disney-hong-kong">Hong Kong Disney (Hong Kong)</option> <option label="Shanghai Disney (China)" value="shanghai-disney-china">Shanghai Disney (China)</option> <option label="Universal Orlando (Orlando, Florida)" value="universal-orlando-orlando-florida">Universal Orlando (Orlando, Florida)</option> <option label="Universal Studios Hollywood (Universal City, California)" value="universal-studios-hollywood-universal-city-california">Universal Studios Hollywood (Universal City, California)</option> <option label="Universal Studios Japan (Osaka, Japan)" value="universal-studios-japan-osaka-japan">Universal Studios Japan (Osaka, Japan)</option> <option label="Universal Studios Singapore (Sentosa, Singapore)" value="universal-studios-singapore-sentosa-singapore">Universal Studios Singapore (Sentosa, Singapore)</option> <option label="Universal Beijing (Beijing, China)" value="universal-beijing-beijing-china">Universal Beijing (Beijing, China)</option> </field> <field type="select" required="true" label="Have you visited this park before?" placeholder="Select One" name="have-you-visited-this-park-before" className="form-control"> <option label="1st Trip" value="1st-trip">1st Trip</option> <option label="2nd or 3rd Trip" value="2nd-or-3rd-trip">2nd or 3rd Trip</option> <option label="4th or 5th Trip" value="4th-or-5th-trip">4th or 5th Trip</option> <option label="6th Trip or More" value="6th-trip-or-more">6th Trip or More</option> </field> <field type="checkbox-group" required="true" label="What would you like to book?" name="what-would-you-like-to-book" other="true"> <option label="Resort/Hotel" value="resorthotel">Resort/Hotel</option> <option label="Tickets" value="tickets">Tickets</option> <option label="VIP Experiences" value="vip-experiences">VIP Experiences</option> <option label="Flights" value="flights">Flights</option> <option label="Airport Transfer" value="airport-transfer">Airport Transfer</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="text" label="Departure Airport" name="departure-airport" subtype="text" className="form-control"/> <field type="select" required="true" label="How many guests ages 18 or older?" placeholder="Select One" name="how-many-guests-ages-18-or-older" 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" label="How many guests ages 10-17?" placeholder="Select One" name="how-many-guests-ages-1017" className="form-control"> <option label="0" value="0">0</option> <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" label="How many guests ages 3-9?" placeholder="Select One" name="how-many-guests-ages-39" className="form-control"> <option label="0" value="0">0</option> <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" label="How many guests ages 0-2?" placeholder="Select One" name="how-many-guests-ages-02" className="form-control"> <option label="0" value="0">0</option> <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="textarea" required="true" label="First &amp; Last Names of all Guests - For Guests Under 18 Include Ages at Time of Travel&nbsp;" name="first-last-names-for-all-guests-and-birthdates-for-all-guests-under-18" className="form-control"/> <field type="text" required="true" label="Estimated Budget Without Airfare" name="estimated-budget-without-airfare" subtype="text" className="form-control"/> <field type="select" required="true" label="Will anyone in your travel party require accessibility accommodations?" placeholder="Select One" name="will-anyone-in-your-travel-party-require-handicap-accessible-accommodations" 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="Are you eligible for any of the following possible discounts?" name="are-you-eligible-for-any-of-the-following-possible-discounts" other="true"> <option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Annual Passholder" value="annual-passholder">Annual Passholder</option> <option label="Military - Active Duty or Retired US Military ID required" value="military-active-duty-or-retired-us-military-id-required">Military - Active Duty or Retired US Military ID required</option> <option label="Florida Resident Discount" value="florida-resident-discount">Florida Resident Discount</option> <option label="Canadian Resident Discount" value="canadian-resident-discount">Canadian Resident Discount</option> <option label="Southern California Resident Discount" value="southern-california-resident-discount">Southern California Resident Discount</option> </field> <field type="header" subtype="h1" label="Resort/Hotel Information"/> <field type="select" label="How many rooms would you like to book?" placeholder="Select One" name="how-many-rooms-would-you-like-to-book" 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> </field> <field type="date" label="Preferred Check-In Date" name="preferred-checkin-date" className="form-control"/> <field type="date" label="Preferred Check-Out Date" name="preferred-checkout-date" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Preferred Resort/Hotel" name="preferred-resorthotel" subtype="text" className="form-control"/> <field type="text" label="Preferred Room Type" name="preferred-room-type" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Ticket Information"/> <field type="select" label="How many days of tickets would you like?" placeholder="Select One" name="how-many-days-of-tickets-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> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10+" value="10">10+</option> </field> <field type="select" label="Disney Ticket Type" placeholder="Select One" name="disney-ticket-type" className="form-control"> <option label="Base Ticket (1 park per day)" value="base-ticket-1-park-per-day">Base Ticket (1 park per day)</option> <option label="Park Hopper Ticket (visit multiple parks in 1 day)" value="park-hopper-ticket-visit-multiple-parks-in-1-day">Park Hopper Ticket (visit multiple parks in 1 day)</option> </field> <field type="select" label="Universal Ticket Type" placeholder="Select One" name="universal-ticket-type" className="form-control"> <option label="One Park Per Day" value="one-park-per-day">One Park Per Day</option> <option label="Park-to-Park (visit multiple parks in 1 day)" value="parktopark-visit-multiple-parks-in-1-day">Park-to-Park (visit multiple parks in 1 day)</option> </field> <field type="date" label="If purchasing tickets only, what is the first day you would like the tickets to start on?" name="if-purchasing-tickets-only-what-is-the-first-day-you-would-like-the-tickets-to-start-on" className="form-control"/> <field type="header" subtype="h1" label="Additional Information"/> <field type="textarea" label="Anything additional you would like to include in your vacation package?" placeholder="i.e. Special Event Tickets VIP Experiences Split Stay etc." name="anything-additional-you-would-like-to-include-in-your-vacation-package" className="form-control"/> <field type="textarea" label="Please provide any additional information I need to know about this trip" name="please-provide-any-additional-information-i-need-to-know-about-this-trip" className="form-control"/> <field type="text" label="Who may I thank for referring you?" name="referred-by" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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