Share your information with Paul & Jeannette Sprouse

Paul & Jeannette Sprouse

Travelmation LLC

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="text" label="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" description="ex: example@email.com" name="email" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Resort Request" name="resort-request" className="form-control">&#13;
			<option label="Deluxe $$$" value="deluxe-">Deluxe $$$</option>&#13;
			<option label="Moderate $$" value="moderate-">Moderate $$</option>&#13;
			<option label="Value $" value="value-">Value $</option>&#13;
			<option label="I'm not sure or would like options" value="im-not-sure-or-would-like-options">I'm not sure or would like options</option>&#13;
		</field>&#13;
		<field type="textarea" label="Preferred Travel Dates" name="preferred-travel-dates" className="form-control"/>&#13;
		<field type="select" required="true" label="Required Transportation" name="required-transportation" className="form-control">&#13;
			<option label="Flight" value="flight">Flight</option>&#13;
			<option label="Flight + Rental Car" value="flight-rental-car">Flight + Rental Car</option>&#13;
			<option label="Rental Car only" value="rental-car-only">Rental Car only</option>&#13;
			<option label="No transportation needed" value="no-transportation-needed">No transportation needed</option>&#13;
		</field>&#13;
		<field type="textarea" label="If flights and/or a rental car is needed, which airport / location would you prefer?" name="textarea-1744244274362" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Number of Travelers (please include birthdays for accurate quotes)" description="ex: John Smith 11/16/1999" name="number-of-travelers-please-include-birthdays-for-accurate-quotes" className="form-control"/>&#13;
		<field type="select" required="true" label="Approximate Budget" name="approximate-budget" className="form-control">&#13;
			<option label="Less than $2,000" value="less-than-2000">Less than $2,000</option>&#13;
			<option label="$2,000 - $5,000" value="2000-5000">$2,000 - $5,000</option>&#13;
			<option label="$5,000 - $10,000" value="5000-10000">$5,000 - $10,000</option>&#13;
			<option label="$10,000 +" value="10000-">$10,000 +</option>&#13;
		</field>&#13;
		<field type="select" label="Memory Maker Photo Package (additional costs applies, more information available if needed)" name="memory-maker-photo-package-additional-costs-applies-more-information-available-if-needed" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="More Information Please" value="more-information-please">More Information Please</option>&#13;
		</field>&#13;
		<field type="select" label="Add a Dining Plan (additional costs applies, more information available if needed)" name="add-a-dining-plan-additional-costs-applies-more-information-available-if-needed" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="More Information Please" value="more-information-please">More Information Please</option>&#13;
		</field>&#13;
		<field type="textarea" label="Dietary Concerns?" description="ex: peanut allergy" name="dietary-concerns" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Which Parks are you interested in visiting?" name="which-parks-are-you-interested-in-visiting">&#13;
			<option label="The Magic Kingdom" value="the-magic-kingdom">The Magic Kingdom</option>&#13;
			<option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="Typhoon Lagoon or Blizzard Beach Water Park(s)" value="typhoon-lagoon-or-blizzard-beach-water-parks">Typhoon Lagoon or Blizzard Beach Water Park(s)</option>&#13;
			<option label="I want them all!" value="i-want-them-all">I want them all!</option>&#13;
			<option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Single Park Tickets or Park Hopper Option" name="single-park-tickets-or-park-hopper-option">&#13;
			<option label="Single Park (1 park per day)" value="single-park-1-park-per-day">Single Park (1 park per day)</option>&#13;
			<option label="Park Hopper Option (multiple parks per day, restrictions apply)" value="park-hopper-option-multiple-parks-per-day-restrictions-apply">Park Hopper Option (multiple parks per day, restrictions apply)</option>&#13;
			<option label="Help me decide!" value="help-me-decide">Help me decide!</option>&#13;
		</field>&#13;
		<field type="textarea" label="Celebrating a Special Event?" description="ex: birthday  anniversary, etc." name="celebrating-a-special-event" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you interested in purchasing travel insurance? (recommended, additional fee applies)" name="are-you-interested-in-purchasing-travel-insurance-recommended-additional-fee-applies" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I am not sure" value="i-am-not-sure">I am not sure</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please list any additional details that you would like us to consider when planning your trip" name="please-list-any-additional-details-that-you-would-like-us-to-consider-when-planning-your-trip" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>