<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Client Information"/> <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" 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="text" label="Preferred name" 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="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" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Tell Me About Your Disney Dream Vacation"/> <field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If dates are flexible, please provide a date range as pricing availability vary" name="if-dates-are-flexible-please-provide-a-date-range-as-pricing-availability-vary" className="form-control"/> <field type="textarea" required="true" label="Who will be traveling? If there is more than one family, please separate your travel party by rooms. Please list all full names, DOB, and age at time of travel." name="who-will-be-traveling-please-list-all-full-names-dob-and-age-at-time-of-travel" className="form-control"/> <field type="radio-group" required="true" label="What is an ideal budget for your vacation?" description="This just gives me a general starting point and can always be changed later." name="what-is-an-ideal-budget-for-your-vacation"> <option label="$4000 - $6000" value="4000-6000">$4000 - $6000</option> <option label="$6000 - $8000" value="6000-8000">$6000 - $8000</option> <option label="$8000 - $10,000" value="8000-10000">$8000 - $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="textarea" label="Will this be your first visit to Walt Disney World, if NOT at which resort did you stay on previous trips?" name="will-this-be-your-first-visit-to-walt-disney-world-if-not-at-which-resort-did-you-stay-on-previous-trips" className="form-control"/> <field type="checkbox-group" required="true" label="Walt Disney World is comprised of 4 theme parks and 2 water parks. Which parks are you wanting to include in your vacation?" name="walt-disney-world-is-comprised-of-4-theme-parks-and-2-water-parks-which-parks-are-you-wanting-to-include-in-your-vacation"> <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 (water park)" value="typhoon-lagoon-water-park">Typhoon Lagoon (water park)</option> <option label="Blizzard Beach (water park)" value="blizzard-beach-water-park">Blizzard Beach (water park)</option> </field> <field type="checkbox-group" required="true" label="How many days of park tickets would you like?" inline="true" name="how-many-days-of-park-tickets-would-you-like"> <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="checkbox-group" required="true" label="What type of park tickets are you most interested in?" description="Check all that apply" name="what-type-of-park-tickets-are-you-most-interested-in"> <option label="Base Ticket (one park per day)" value="base-ticket-one-park-per-day">Base Ticket (one park per day)</option> <option label="Hopper Option (ability to visit multiple parks in one day)" value="hopper-option-ability-to-visit-multiple-parks-in-one-day">Hopper Option (ability to visit multiple parks in one day)</option> </field> <field type="checkbox-group" label="Would you like to have "rest" day in the middle of your itinerary to take a break from the parks and enjoy your resort?" name="would-you-like-to-have-rest-day-in-the-middle-of-your-itinerary-to-take-a-break-from-the-parks-and-enjoy-your-resort"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Are you interested in me quoting a dining plan as part of your package? A dining plan allows you to pre-purchase your meals." name="are-you-interested-in-me-quoting-a-dining-plan-as-part-of-your-package-a-dining-plan-allows-you-to-prepurchase-your-meals"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="What experiences are you interested in?" inline="true" name="what-experiences-are-you-interested-in"> <option label="Mickey & Friends" value="mickey-friends">Mickey & Friends</option> <option label="Princesses" value="princesses">Princesses</option> <option label="Star Wars" value="star-wars">Star Wars</option> <option label="Thrill Rides" value="thrill-rides">Thrill Rides</option> <option label="Classic Rides" value="classic-rides">Classic Rides</option> <option label="Toy Story" value="toy-story">Toy Story</option> </field> <field type="text" label="Will you be celebrating anything special during your trip?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="text" label="At this time, The Walt Disney Travel Company does not allow travel professionals to bundle flights into vacation packages. Do you plan on booking your own flights or driving to Orlando? Onsite parking fees do apply." name="at-this-time-the-walt-disney-travel-company-does-not-allow-travel-professionals-to-bundle-flights-into-vacation-packages-do-you-plan-on-booking-your-own-flights-or-driving-to-orlando-onsite-parking-fees-do-apply" subtype="text" className="form-control"/> <field type="checkbox-group" label="Walt Disney World offers an array of Magical Extras. Are you interested in any of the following add-on experiences?" name="walt-disney-world-offers-an-array-of-magical-extras-are-you-interested-in-any-of-the-following-addon-experiences"> <option label="Character Dining" value="character-dining">Character Dining</option> <option label="VIP Tour" value="vip-tour">VIP Tour</option> <option label="Dessert Parties" value="dessert-parties">Dessert Parties</option> <option label="Star Wars Droid or Lightsaber Workshops" value="star-wars-droid-or-lightsaber-workshops">Star Wars Droid or Lightsaber Workshops</option> <option label="Private Yacht Firework Viewing" value="private-yacht-firework-viewing">Private Yacht Firework Viewing</option> <option label="Seasonal Party Tickets" value="seasonal-party-tickets">Seasonal Party Tickets</option> <option label="Bibbididi Bobbididi Boutique" value="bibbididi-bobbididi-boutique">Bibbididi Bobbididi Boutique</option> </field> <field type="textarea" required="true" label="What else would you like me to know about your ideal vacation?&nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/> <field type="text" label="Do any travelers have allergies that we should be aware of?" description="I will notate this on your dining reservations" name="do-any-travelers-have-allergies-that-we-should-be-aware-of" subtype="text" className="form-control"/> <field type="text" label="Who can we thank for referring you to me?" name="who-can-we-thank-for-referring-you-to-me" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
SUBMIT
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British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
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National (Emerald Club)
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Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
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TAAG Angola Airlines (Umbi Umbi Club)
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Future Inns (Rewards Club)
Nordavia (Golden Mile)
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