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Laura Kate Tribble

Pixie Dust & Passports

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Disney Cruise Line Vacation Quote"/>&#13;
		<field type="paragraph" subtype="p" label="Fill out this form to receive your personalized Disney Cruise quote and start planning your magical journey."/>&#13;
		<field type="text" required="true" label="First Name" name="first-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" subtype="tel" required="true" label="Phone Number" description="Please enter a valid phone number." name="phone-number" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email Address" placeholder="example@example.com" name="email" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Travelers" placeholder="e.g.  23" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Any Children Traveling?" name="any-children-traveling" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Children Traveling — Please List Ages at Time of Travel" name="children-traveling-please-list-ages-at-time-of-travel" rows="4" className="form-control"/>&#13;
		<field type="checkbox-group" label="Embarkation Port (Select all that apply)" name="embarkation-port" className="checkbox-group">&#13;
			<option label="Port Canaveral (Orlando, FL)" value="Port Canaveral (Orlando, FL)">Port Canaveral (Orlando, FL)</option>&#13;
			<option label="Miami, FL" value="Miami, FL">Miami, FL</option>&#13;
			<option label="New York, NY" value="New York, NY">New York, NY</option>&#13;
			<option label="Galveston, TX" value="Galveston, TX">Galveston, TX</option>&#13;
			<option label="New Orleans, LA" value="New Orleans, LA">New Orleans, LA</option>&#13;
			<option label="San Diego, CA" value="San Diego, CA">San Diego, CA</option>&#13;
			<option label="Seattle, WA" value="Seattle, WA">Seattle, WA</option>&#13;
			<option label="Barcelona, Spain" value="Barcelona, Spain">Barcelona, Spain</option>&#13;
			<option label="Copenhagen, Denmark" value="Copenhagen, Denmark">Copenhagen, Denmark</option>&#13;
			<option label="Dover (London), England" value="Dover (London), England">Dover (London), England</option>&#13;
			<option label="Sydney, Australia" value="Sydney, Australia">Sydney, Australia</option>&#13;
			<option label="Tokyo, Japan" value="Tokyo, Japan">Tokyo, Japan</option>&#13;
			<option label="Vancouver, Canada" value="Vancouver, Canada">Vancouver, Canada</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Desired Ship" name="desired-ship" className="radio-group">&#13;
			<option label="Disney Magic" value="Disney Magic">Disney Magic</option>&#13;
			<option label="Disney Wonder" value="Disney Wonder">Disney Wonder</option>&#13;
			<option label="Disney Dream" value="Disney Dream">Disney Dream</option>&#13;
			<option label="Disney Fantasy" value="Disney Fantasy">Disney Fantasy</option>&#13;
			<option label="Disney Wish" value="Disney Wish">Disney Wish</option>&#13;
			<option label="Disney Treasure" value="Disney Treasure">Disney Treasure</option>&#13;
			<option label="Disney Adventure" value="Disney Adventure">Disney Adventure</option>&#13;
			<option label="No Preference" value="No Preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Special Events (Select all that apply)" name="special-events" className="checkbox-group">&#13;
			<option label="Mickey's Very Merrytime Cruise (Holiday)" value="Mickey's Very Merrytime Cruise (Holiday)">Mickey's Very Merrytime Cruise (Holiday)</option>&#13;
			<option label="Mickey's Not-So-Scary Halloween at Sea" value="Mickey's Not-So-Scary Halloween at Sea">Mickey's Not-So-Scary Halloween at Sea</option>&#13;
			<option label="Marvel Day at Sea" value="Marvel Day at Sea">Marvel Day at Sea</option>&#13;
			<option label="Pixar Day at Sea" value="Pixar Day at Sea">Pixar Day at Sea</option>&#13;
			<option label="Star Wars Day at Sea" value="Star Wars Day at Sea">Star Wars Day at Sea</option>&#13;
			<option label="No Preference" value="No Preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Choose Destinations (Select all that apply)" name="choose-destinations" className="checkbox-group">&#13;
			<option label="Bahamas (Castaway Cay)" value="Bahamas (Castaway Cay)">Bahamas (Castaway Cay)</option>&#13;
			<option label="Bahamas (Lookout Cay)" value="Bahamas (Lookout Cay)">Bahamas (Lookout Cay)</option>&#13;
			<option label="Caribbean (Castaway Cay)" value="Caribbean (Castaway Cay)">Caribbean (Castaway Cay)</option>&#13;
			<option label="Caribbean (Lookout Cay)" value="Caribbean (Lookout Cay)">Caribbean (Lookout Cay)</option>&#13;
			<option label="Alaska" value="Alaska">Alaska</option>&#13;
			<option label="Europe" value="Europe">Europe</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruise Length (Select all that apply)" name="cruise-length" className="checkbox-group">&#13;
			<option label="2-3 Nights" value="2-3 Nights">2-3 Nights</option>&#13;
			<option label="4-5 Nights" value="4-5 Nights">4-5 Nights</option>&#13;
			<option label="6-7 Nights" value="6-7 Nights">6-7 Nights</option>&#13;
			<option label="8-10 Nights" value="8-10 Nights">8-10 Nights</option>&#13;
			<option label="11-14 Nights" value="11-14 Nights">11-14 Nights</option>&#13;
			<option label="15+ Nights" value="15+ Nights">15+ Nights</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need airfare?" name="do-you-need-airfare" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like to include travel protection?" name="would-you-like-to-include-travel-protection" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Celebrating Anything? (Birthday, Anniversary, etc.)" name="celebrating-anything-birthday-anniversary-etc" rows="4" className="form-control"/>&#13;
		<field type="textarea" label="Additional Comments or Questions" name="additional-comments-or-questions" rows="4" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>