<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Client Information"/> <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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Address 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" 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="About your trip"/> <field type="checkbox-group" required="true" label="What vacation type are you looking to plan?&nbsp;" name="what-vacation-type-are-you-looking-to-plan-"> <option label="Walt Disney World (Orlando)" value="walt-disney-world-orlando">Walt Disney World (Orlando)</option> <option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option> <option label="Disneyland (Paris)" value="disneyland-paris">Disneyland (Paris)</option> <option label="Universal Studios/ Harry Potter World" value="universal-studios-harry-potter-world">Universal Studios/ Harry Potter World</option> <option label="Disney Cruise" value="disney-cruise">Disney Cruise</option> <option label="Adventures By Disney " value="adventures-by-disney-">Adventures By Disney </option> <option label="Other (Busch Gardens, Sea World, Etc.)" value="other-busch-gardens-sea-world-etc">Other (Busch Gardens, Sea World, Etc.)</option> </field> <field type="date" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes- I am flexible based on availability and best dates" value="yes-i-am-flexible-based-on-availability-and-best-dates">Yes- I am flexible based on availability and best dates</option> <option label="No- I have specific dates that I must maintain" value="no-i-have-specific-dates-that-i-must-maintain">No- I have specific dates that I must maintain</option> </field> <field type="text" label="What is your departure city?&nbsp;" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="text" label="What is the reason for the trip?&nbsp;" name="what-is-the-reason-for-the-trip-" subtype="text" className="form-control"/> <field type="text" label="Will you be celebrating anything during this trip? If so, what is the celebration and what date would you like to celebrate?&nbsp;" name="is-this-vacation-to-celebrate-anything-special-" subtype="text" className="form-control"/> <field type="text" label="How many adults will be traveling?&nbsp;" name="how-many-adults-will-be-traveling-" subtype="text" className="form-control"/> <field type="text" label="How many children (if applicable)?&nbsp;" name="how-many-children-if-applicable-" subtype="text" className="form-control"/> <field type="text" label="Please list the ages of all children (at time of travel)&nbsp;" name="please-list-the-ages-of-all-children-at-time-of-travel-" subtype="text" className="form-control"/> <field type="textarea" label="If you will need flights, please list all names (including middle) and birthdays:&nbsp;" name="if-you-will-need-flights-please-list-all-names-including-middle-and-birthdays-" className="form-control"/> <field type="select" label="At what phase of planning are you in?&nbsp;" name="at-what-phase-of-planning-are-you-in-" className="form-control"> <option label="We haven’t done a thing - HELP!" value="we-havent-done-a-thing-help">We haven’t done a thing - HELP!</option> <option label="We have dates, but we need everything else" value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else</option> <option label="Flights are all booked...now help us fill in the blanks!" value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks!</option> <option label="We have hotels and flights already booked, but we need park planning" value="we-have-hotels-and-flights-already-booked-but-we-need-park-planning">We have hotels and flights already booked, but we need park planning</option> </field> <field type="radio-group" label="What is your budget for all travelers?&nbsp;" description="This just gives me a general starting point and can always be changed later." name="what-is-your-ideal-budget-per-person-"> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points?" description="If so which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points" className="form-control"/> <field type="checkbox-group" label="What travel components would you like us to assist you with?" description="Check all that apply" name="what-travel-components-would-you-like-us-to-assist-you-with"> <option label="Flights" value="flights">Flights</option> <option label="Park Package" value="park-package">Park Package</option> <option label="Accommodations " value="accommodations-">Accommodations </option> <option label="Transportation (transfers, car rental, etc)" value="transportation-transfers-car-rental-etc">Transportation (transfers, car rental, etc)</option> <option label="A la carte add-ons (Lightning Lanes Passes, Park-Hopper, character meet and greets, dining reservations, etc.)" value="a-la-carte-addons-lightning-lanes-passes-parkhopper-character-meet-and-greets-dining-reservations-etc">A la carte add-ons (Lightning Lanes Passes, Park-Hopper, character meet and greets, dining reservations, etc.)</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What is your preferred accommodation? Please note that certain Disney options are only available to those in Deluxe on-property accommodations.&nbsp;" name="what-is-your-preferred-accommodation-please-note-that-certain-disney-options-are-only-available-to-those-in-deluxe-onproperty-accommodations-"> <option label="Economical (does not need to be on park property)" value="economical-does-not-need-to-be-on-park-property">Economical (does not need to be on park property)</option> <option label="Moderate (does not need to be on park property)" value="moderate-does-not-need-to-be-on-park-property">Moderate (does not need to be on park property)</option> <option label="Moderate (located on park property)" value="moderate-located-on-park-property">Moderate (located on park property)</option> <option label="Luxury (does not need to be on park property)" value="luxury-does-not-need-to-be-on-park-property">Luxury (does not need to be on park property)</option> <option label="Luxury (located on park property)" value="luxury-located-on-park-property">Luxury (located on park property)</option> </field> <field type="textarea" label="What are your amenity must-haves?&nbsp;" description="Is there anything that you would want your hotels to have (i.e. bar on-site restaurant pool etc.)?" name="what-are-your-amenity-musthaves-" className="form-control"/> <field type="checkbox-group" label="What experiences are you looking for:&nbsp;" description="Check all that apply" name="which-best-describes-your-priorities-for-this-trip-select-multiple-"> <option label="Lightning Lane Passes" value="lightning-lane-passes">Lightning Lane Passes</option> <option label="Park-hopper passes" value="parkhopper-passes">Park-hopper passes</option> <option label="Magic bands" value="magic-bands">Magic bands</option> <option label="Character breakfasts" value="character-breakfasts">Character breakfasts</option> <option label="On-property dining reservations" value="onproperty-dining-reservations">On-property dining reservations</option> <option label="Dining with an Imagineer" value="dining-with-an-imagineer">Dining with an Imagineer</option> <option label="VIP park guides" value="vip-park-guides">VIP park guides</option> <option label="Backstage tours" value="backstage-tours">Backstage tours</option> <option label="Memory Maker photo sessions" value="memory-maker-photo-sessions">Memory Maker photo sessions</option> <option label="Character meet & greets" value="character-meet-greets">Character meet & greets</option> <option label="Bibbidi Bobbidi Boutique" value="bibbidi-bobbidi-boutique">Bibbidi Bobbidi Boutique</option> </field> <field type="textarea" label="What are your “must have” experiences for this vacation?&nbsp;" name="what-are-your-must-have-experiences-for-this-vacation-" className="form-control"/> <field type="textarea" label="What are you most excited about for this vacation?&nbsp;" name="what-is-your-vision-for-this-trip-" className="form-control"/> <field type="radio-group" label="Have you been to this/these theme park(s) before?&nbsp;" name="have-you-been-to-thisthese-theme-parks-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What else would you like me to know about your ideal vacation?&nbsp;" name="who-all-will-be-traveling-with-you-please-list-all-full-names-including-middle-and-birthdates-as-listed-on-passport-" className="form-control"/> <field type="text" label="Do any travelers have allergies that we should be aware of?&nbsp;" description="We will do our best to accommodate" name="do-any-travelers-have-allergies-that-we-should-be-aware-of-" subtype="text" className="form-control"/> <field type="textarea" label="Are there any reduced mobility travelers in your party? If so, please describe the level of physical restrictions.&nbsp;" name="are-there-any-reduced-mobility-travelers-in-your-party-if-so-please-describe-the-level-of-physical-restrictions-" className="form-control"/> <field type="text" label="Who can we thank for referring you to us?&nbsp;" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="By submitting this client inquiry form, you consent to receive travel related content via email from Travel Greene"/> </fields> </form-template> </body> </html>
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