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Chelsea Frei
Bright Life Travel Co.
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let’s Plan Your Disneyland Vacation"/> <field type="paragraph" subtype="p" label="Tell me all about your dream Disneyland trip and I'll start putting together ideas that fit your travel style, budget, and goals!"/> <field type="header" subtype="h3" label="Traveler Information"/> <field required="true" type="text" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle Name" name="middle-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Preferred Name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" subtype="email" label="Email" name="email" className="form-control"/> <field type="text" subtype="tel" label="Phone Number" name="phone-number" className="form-control"/> <field type="text" label="City + State" name="address-city" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Tell Me How You Found Me"/> <field type="checkbox-group" label="Tell Me How You Found Me" name="how-you-found-me" other="true" className="checkbox-group"> <option label="Referral" value="referral">Referral</option> <option label="Returning Client" value="returning-client">Returning Client</option> <option label="Instagram / Social Media" value="instagram-social-media">Instagram / Social Media</option> <option label="Website" value="website">Website</option> </field> <field type="checkbox-group" label="How soon are you looking to book your trip? If I have a large load of quotes to get out, this can help me prioritize those that need to move quick." name="checkbox-group-1779423269079" other="true" className="checkbox-group"> <option label="ASAP" value="asap">ASAP</option> <option label="This Month" value="this-month">This Month</option> <option label="This Week" value="this-week">This Week</option> <option label="Just getting pricing" value="just-getting-pricing">Just getting pricing</option> </field> <field type="text" label="If someone referred you, who can I thank?" name="referral-source" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Your Disneyland Vacation"/> <field type="checkbox-group" label="What does your perfect Disney day look like?" name="perfect-disney-day" className="checkbox-group"> <option label="Rope drop + maximize rides" value="rope-drop-maximize-rides">Rope drop + maximize rides</option> <option label="Character experiences" value="character-experiences">Character experiences</option> <option label="Relaxing pace + breaks" value="relaxing-pace-breaks">Relaxing pace + breaks</option> <option label="Food + snacks" value="food-snacks">Food + snacks</option> <option label="Pool time" value="pool-time">Pool time</option> <option label="Entertainment + shows" value="entertainment-shows">Entertainment + shows</option> <option label="Parades + nighttime spectaculars" value="parades-nighttime-spectaculars">Parades + nighttime spectaculars</option> <option label="Mix of everything" value="mix-of-everything">Mix of everything</option> </field> <field type="checkbox-group" label="Hotel experience" name="hotel-experience" other="true" className="checkbox-group"> <option label="Value / Budget-Friendly" value="value-budget-friendly">Value / Budget-Friendly</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Deluxe / Luxury" value="deluxe-luxury">Deluxe / Luxury</option> <option label="Walking distance priority" value="walking-distance-priority">Walking distance priority</option> <option label="Pool + amenities" value="pool-amenities">Pool + amenities</option> </field> <field type="checkbox-group" label="Preferred stay" name="preferred-stay" other="true" className="checkbox-group"> <option label="Disneyland Hotel" value="disneyland-hotel">Disneyland Hotel</option> <option label="Pixar Place Hotel" value="pixar-place-hotel">Pixar Place Hotel</option> <option label="Grand Californian" value="grand-californian">Grand Californian</option> <option label="Good Neighbor Hotel (Close to parks but not Disney owned)" value="good-neighbor-hotel-close-to-parks-but-not-disney-owned">Good Neighbor Hotel (Close to parks but not Disney owned)</option> </field> <field type="checkbox-group" label="If you had to pick Walking Distance or Continental Breakfast what is your first choice?" name="checkbox-group-1779422778484" other="true" className="checkbox-group"> <option label="Continental Breakfast" value="continental-breakfast">Continental Breakfast</option> <option label="Walking Distance" value="walking-distance">Walking Distance</option> <option label="Willing to increase budget a little more to have both" value="willing-to-increase-budget-a-little-more-to-have-both">Willing to increase budget a little more to have both</option> </field> <field type="checkbox-group" label="Will you have a car you need to park at the hotels? If so do I need to highlight what parking fee's will be?" name="checkbox-group-1779422872143" other="true" className="checkbox-group"> <option label="No Car" value="no-car">No Car</option> <option label="Will be parking at the hotel" value="will-be-parking-at-the-hotel">Will be parking at the hotel</option> </field> <field type="header" subtype="h3" label="Park Plans"/> <field type="radio-group" label="Park days" name="park-days" className="radio-group"> <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="5plus">5+</option> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="checkbox-group" label="Priority parks" name="priority-parks" className="checkbox-group"> <option label="Disneyland Park" value="disneyland-park">Disneyland Park</option> <option label="Disney California Adventure" value="disney-california-adventure">Disney California Adventure</option> <option label="Both" value="both">Both</option> </field> <field type="header" subtype="h3" label="Extra Magic Options"/> <field type="checkbox-group" label="Extra Magic Options" name="extra-magic-options" other="true" className="checkbox-group"> <option label="Lightning Lane Multi Pass" value="lightning-lane-multi-pass">Lightning Lane Multi Pass</option> <option label="Lightning Lane Single Pass" value="lightning-lane-single-pass">Lightning Lane Single Pass</option> <option label="Character Dining" value="character-dining">Character Dining</option> <option label="Bibbidi Bobbidi Boutique" value="bibbidi-bobbidi-boutique">Bibbidi Bobbidi Boutique</option> <option label="Park Hopper" value="park-hopper">Park Hopper</option> <option label="Dining Reservation Assistance" value="dining-reservation-assistance">Dining Reservation Assistance</option> <option label="VIP Tour Information" value="vip-tour-information">VIP Tour Information</option> <option label="Rope Drop + Park Strategy Help" value="rope-drop-park-strategy-help">Rope Drop + Park Strategy Help</option> <option label="Not sure yet — I'd love recommendations" value="not-sure-recommendations">Not sure yet — I'd love recommendations</option> </field> <field type="header" subtype="h3" label="Dates + Flexibility"/> <field type="date" label="Departure" name="starting-at" className="form-control"/> <field type="date" label="Return" name="ending-at" className="form-control"/> <field type="radio-group" label="undefined" name="date-flexibility" className="radio-group"> <option label="Flexible Dates" value="flexible-dates">Flexible Dates</option> <option label="Dates are set" value="dates-are-set">Dates are set</option> </field> <field type="header" subtype="h3" label="Travelers"/> <field type="date" label="Date of Birth" name="birthday" className="form-control"/> <field type="textarea" label="Traveler Names + Birthdays" name="traveler-names-birthdays" className="form-control"/> <field type="radio-group" label="Decision Maker" description="I'd love to make sure I am communicating with all the decision makers so nothing gets lost in transit." name="decision-maker" other="true" className="radio-group"> <option label="Me" value="me">Me</option> <option label="Partner" value="partner">Partner</option> <option label="Together" value="together">Together</option> </field> <field type="header" subtype="h3" label="Let’s Talk Budget"/> <field type="paragraph" subtype="p" label="For 2 travelers: $2,500—$6,000+ including hotel + tickets For family of 4: $4,500—$9,000+ including hotel + tickets"/> <field type="radio-group" label="undefined" name="budget" other="true" className="radio-group"> <option label="Under $2,500" value="under-2500">Under $2,500</option> <option label="$2,500—$4,000" value="2500-4000">$2,500—$4,000</option> <option label="$4,000—$6,000" value="4000-6000">$4,000—$6,000</option> <option label="$6,000—$8,000" value="6000-8000">$6,000—$8,000</option> <option label="$8,000+" value="8000plus">$8,000+</option> </field> <field type="text" label="Ideal budget" name="ideal-budget" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Dream Big"/> <field type="textarea" label="Must-do experiences" name="must-do-experiences" className="form-control"/> <field type="textarea" label="Anything you do NOT want included?" name="do-not-include" className="form-control"/> <field type="header" subtype="h3" label="Travel Preferences"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***"/> <field type="header" subtype="h3" label="How Would You Like to Plan?"/> <field type="checkbox-group" label="How Would You Like to Plan?" name="planning-method" className="checkbox-group"> <option label="Discovery Call" value="discovery-call">Discovery Call</option> <option label="Email + Forms" value="email-forms">Email + Forms</option> </field> <field type="header" subtype="h3" label="Final Thoughts"/> <field type="textarea" label="Anything else I should know?" name="final-thoughts" className="form-control"/> <field type="paragraph" subtype="p" label="I typically reach out within 2–3 business days."/> </fields> </form-template> </body> </html>
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