Share your information with Kacie Melo

Kacie Melo

<html>
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Walt Disney World Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your Walt Disney World dream vacation!"/>&#13;
		<field type="text" required="true" label="Email" name="email" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest First name" name="first-name" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest Last name" name="last-name" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be traveling with other adults? Please list their names below. (Example: Susie Jones)" name="will-you-be-traveling-with-other-adults-list-their-names-and-birthdates-below-example-susie-jones-131985" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be traveling with children? Please list their names and birthdates below. (Example: Susie Jones 1/3/2018)" name="will-you-be-traveling-with-children-list-their-names-and-birthdates-below-example-susie-jones-132018" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Desired Departure Date&amp;nbsp;" 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="Desired Return Date&amp;nbsp;" 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" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Which of the following Disney resort tiers are you interested in?" name="which-of-the-following-disney-resort-tiers-are-you-interested-in">&#13;
			<option label="Value Property" value="value-property">Value Property</option>&#13;
			<option label="Moderate Property" value="moderate-property">Moderate Property</option>&#13;
			<option label="Deluxe Property" value="deluxe-property">Deluxe Property</option>&#13;
			<option label="Deluxe Villas" value="deluxe-villas">Deluxe Villas</option>&#13;
			<option label="Other-please call me" value="otherplease-call-me">Other-please call me</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a specific Disney Resort or Resorts that you are interested in?&amp;nbsp;" name="do-you-have-a-hotel-preference-please-list-" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Will you need the following:&amp;nbsp;" name="will-you-need-the-following-">&#13;
			<option label="Park tickets: one park each day" value="park-tickets-one-park-each-day">Park tickets: one park each day</option>&#13;
			<option label="Park Hopper Tickets" value="park-hopper-tickets">Park Hopper Tickets</option>&#13;
			<option label="Park Hopper Plus Tickets (Including Water Parks &amp; More)" value="park-hopper-plus-tickets-including-water-parks-more">Park Hopper Plus Tickets (Including Water Parks &amp; More)</option>&#13;
			<option label="Dining Plan (currently not available)" value="dining-plan-currently-not-available">Dining Plan (currently not available)</option>&#13;
			<option label="Special Event Tickets (Example: Mickey's Not So Scary Halloween Party, Firework Dessert Party, Bippity Boppity Boutique, etc.)" value="special-event-tickets-example-mickeys-not-so-scary-halloween-party-firework-dessert-party-bippity-boppity-boutique-etc">Special Event Tickets (Example: Mickey's Not So Scary Halloween Party, Firework Dessert Party, Bippity Boppity Boutique, etc.)</option>&#13;
			<option label="Magicbands" value="magicbands">Magicbands</option>&#13;
			<option label="Genie+" value="genie">Genie+</option>&#13;
			<option label="Travel Protection" value="travel-protection">Travel Protection</option>&#13;
			<option label="Memory Maker" value="memory-maker">Memory Maker</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="VIP Tour" value="vip-tour">VIP Tour</option>&#13;
			<option label="Other-please call me" value="otherplease-call-me">Other-please call me</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do any of the following apply to your travel party?" name="do-any-of-the-following-apply-to-your-travel-party">&#13;
			<option label="An active or retired member of the military" value="an-active-or-retired-member-of-the-military">An active or retired member of the military</option>&#13;
			<option label="A Florida resident" value="a-florida-resident">A Florida resident</option>&#13;
			<option label="A disability or special needs" value="a-disability-or-special-needs">A disability or special needs</option>&#13;
			<option label="A DVC member" value="a-dvc-member">A DVC member</option>&#13;
			<option label="A Disney Annual Passholder" value="a-disney-annual-passholder">A Disney Annual Passholder</option>&#13;
			<option label="Other-please call me" value="otherplease-call-me">Other-please call me</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything non-Disney you&#39;d like to do or see while you&#39;re on your trip? (Example: spa, golf, other amusement parks, etc.)" name="is-there-anything-nondisney-youd-like-to-do-or-see-while-youre-on-your-trip-example-spa-golf-other-amusement-parks-etc" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any &quot;must haves&quot;?" name="any-must-haves" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any &quot;don&#39;t wants&quot;?" name="any-dont-wants" value="Your answer" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your Walt Disney World dream vacation budget?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else I need to know about your vacation needs?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" value="Your answer" className="form-control"/>&#13;
		<field type="text" label="Will you be celebrating anything during your vacation? (Example: First Trip, Birthday, Anniversary, Honeymoon, Girl&#39;s Trip, etc.)&amp;nbsp;" name="will-you-be-celebrating-anything-during-your-vacation-example-first-trip-birthday-anniversary-honeymoon-girls-trip-etc-" value="Your answer" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>