Share your information with Stephanie Holbrook

Stephanie Holbrook

Stephanie Holbrook with 1923 Travel

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What state do you live in?" name="what-state-do-you-live-in" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you give me permission to contact you via email or text message to plan your trip?" name="do-you-give-me-permission-to-contact-you-via-email-or-text-message-to-plan-your-trip">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1768323053652" next="Next" previous="Previous"/>&#13;
		<field type="radio-group" required="true" label="Where would you like to travel on vacation?" name="where-would-you-like-to-travel-on-vacation" other="true">&#13;
			<option label="Disney World (Florida)" value="disney-world-florida">Disney World (Florida)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Universal Studios Florida" value="universal-studios-florida">Universal Studios Florida</option>&#13;
			<option label="Universal Studios California" value="universal-studios-california">Universal Studios California</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768320574651" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770301210189" rule="eyJ3aGVuRmllbGQiOiJ3aGVyZS13b3VsZC15b3UtbGlrZS10by10cmF2ZWwtb24tdmFjYXRpb24iLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiY3J1aXNlIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbIndoYXQtdHlwZS1vZi1zdGF0ZXJvb20tYXJlLXlvdS1pbnRlcmVzdGVkLWluIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoid2hhdC10eXBlLW9mLXN0YXRlcm9vbS1hcmUteW91LWludGVyZXN0ZWQtaW4iLCJsYWJlbCI6IldoYXQgdHlwZSBvZiBzdGF0ZXJvb20gYXJlIHlvdSBpbnRlcmVzdGVkIGluPyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770301499938" rule="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"/>&#13;
		<field type="textarea" label="Please list all traveler first and last names with their date of birth. This is needed for quotes." placeholder="Stephanie Holbrook 1/11/11" name="please-list-all-traveler-first-and-last-names-with-their-date-of-birth-this-is-needed-for-cruise-quotes" className="form-control field-hidden"/>&#13;
		<field type="radio-group" label="What type of stateroom are you interested in?" name="what-type-of-stateroom-are-you-interested-in" other="true" className="field-hidden">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony/Verandah" value="balconyverandah">Balcony/Verandah</option>&#13;
			<option label="Concierge/Club Level" value="conciergeclub-level">Concierge/Club Level</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768320317661" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770302789870" rule="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"/>&#13;
		<field type="textarea" label="Please list the first and last names of all people traveling and their ages AT THE TIME OF TRAVEL" placeholder="Example: Stephanie Holbrook age 8" name="please-list-kids-names-and-ages-they-will-be-at-the-time-when-you-travel" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" 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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will you be driving or flying?" name="will-you-be-driving-or-flying">&#13;
			<option label="Driving" value="driving">Driving</option>&#13;
			<option label="Flying" value="flying">Flying</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768320851621" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLXlvdS1iZS1kcml2aW5nLW9yLWZseWluZyIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJmbHlpbmciLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsiaWYtZmx5aW5nLXdoaWNoLWNpdHktZG8teW91LXR5cGljYWxseS1mbHktb3V0LW9mIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiaWYtZmx5aW5nLXdoaWNoLWNpdHktZG8teW91LXR5cGljYWxseS1mbHktb3V0LW9mIiwibGFiZWwiOiJJZiBmbHlpbmcsIHdoaWNoIGNpdHkgZG8geW91IHR5cGljYWxseSBmbHkgb3V0IG9mPyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770302853145" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLXlvdS1iZS1kcml2aW5nLW9yLWZseWluZyIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJ1bnN1cmUiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsiaWYtZmx5aW5nLXdoaWNoLWNpdHktZG8teW91LXR5cGljYWxseS1mbHktb3V0LW9mIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiaWYtZmx5aW5nLXdoaWNoLWNpdHktZG8teW91LXR5cGljYWxseS1mbHktb3V0LW9mIiwibGFiZWwiOiJJZiBmbHlpbmcsIHdoaWNoIGNpdHkgZG8geW91IHR5cGljYWxseSBmbHkgb3V0IG9mPyJ9XX0="/>&#13;
		<field type="text" label="If flying, which city do you typically fly out of?" name="if-flying-which-city-do-you-typically-fly-out-of" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="pageBreak" name="pageBreak-1768323148947" next="Next" previous="Previous"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers NOT including airfare? (I don&#39;t typically book airfare unless it is bundled.)" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$2,000-4,000" value="2000-4000">$2,000-4,000</option>&#13;
			<option label="$3,000-6,000" value="3000-6000">$3,000-6,000</option>&#13;
			<option label="$5,000-7,500" value="5000-7500">$5,000-7,500</option>&#13;
			<option label="$7,500-$10,000" value="7500-10000">$7,500-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770302957563" rule="eyJ3aGVuRmllbGQiOiJ3aGVyZS13b3VsZC15b3UtbGlrZS10by10cmF2ZWwtb24tdmFjYXRpb24iLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiYWxsLWluY2x1c2l2ZSIsInRoZW5BY3Rpb24iOiJoaWRlIiwidGhlbkZpZWxkcyI6WyJob3RlbC1wcmVmZXJlbmNlIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiaG90ZWwtcHJlZmVyZW5jZSIsImxhYmVsIjoiV2hhdCBiZXN0IGRlc2NyaWJlcyB5b3VyIHJlc29ydC9ob3RlbCBwcmVmZXJlbmNlPyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770303000840" rule="eyJ3aGVuRmllbGQiOiJ3aGVyZS13b3VsZC15b3UtbGlrZS10by10cmF2ZWwtb24tdmFjYXRpb24iLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiY3J1aXNlIiwidGhlbkFjdGlvbiI6ImhpZGUiLCJ0aGVuRmllbGRzIjpbImhvdGVsLXByZWZlcmVuY2UiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJob3RlbC1wcmVmZXJlbmNlIiwibGFiZWwiOiJXaGF0IGJlc3QgZGVzY3JpYmVzIHlvdXIgcmVzb3J0L2hvdGVsIHByZWZlcmVuY2U/In1dfQ=="/>&#13;
		<field type="radio-group" label="What best describes your resort/hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe/Premium" value="deluxepremium">Deluxe/Premium</option>&#13;
			<option label="Club Level/Luxury" value="club-levelluxury">Club Level/Luxury</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in travel protection? This is something we have to offer with all trips." name="are-you-interested-in-travel-protection-this-is-something-we-have-to-offer-with-all-trips">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Possibly/Let's discuss!" value="possiblylets-discuss">Possibly/Let's discuss!</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have any affiliations that might get you discounts? Disney+ subscriber, AAA, annual passholder, DVC, Florida resident discount, etc. Please list them below." name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Where did you hear about me? What else would you like me to know to help you plan this vacation?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>