Share your information with Michael Anderson

Michael Anderson

Travel By Mike

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	<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><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="checkbox-group" label="What is your Disney Experience" name="what-is-your-disney-experience">&#13;
			<option label="I have never been" value="i-have-never-been">I have never been</option>&#13;
			<option label="1-4 Visits" value="14-visits">1-4 Visits</option>&#13;
			<option label="5-9 Visits" value="59-visits">5-9 Visits</option>&#13;
			<option label="10+ Visits" value="10-visits">10+ Visits</option>&#13;
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		<field type="checkbox-group" label="What type of Disney Vacation are you interested in?" name="what-type-of-disney-vacation-are-you-interested-in" other="true">&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Aulani, A Disney Resort &amp; Spa" value="aulani-a-disney-resort-spa">Aulani, A Disney Resort &amp; Spa</option>&#13;
			<option label="Disney’s Hilton Head Island Resort (South Carolina, USA)" value="disneys-hilton-head-island-resort-south-carolina-usa">Disney’s Hilton Head Island Resort (South Carolina, USA)</option>&#13;
			<option label="Disney’s Vero Beach Resort (Florida, USA)" value="disneys-vero-beach-resort-florida-usa">Disney’s Vero Beach Resort (Florida, USA)</option>&#13;
			<option label="Adventures By Disney" value="adventures-by-disney">Adventures By Disney</option>&#13;
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		<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" 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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many of those travelers are children?" description="If you are not traveling with children  please use 0." name="text-1737082594680" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are the ages of the children? If none, please respond with N/A" description="If none  please respond with N/A." name="text-1737214416429" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" 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 to $20,000" value="10000-20000">$10,000 to $20,000</option>&#13;
			<option label="$20,000 to $30,000" value="20000-30000">$20,000 to $30,000</option>&#13;
			<option label="$30,000 +" value="30000-">$30,000 +</option>&#13;
		</field>&#13;
		<field type="radio-group" label="If going to Walt Disney Resort what type of resort are you looking for?" name="hotel-preference" other="true">&#13;
			<option label="Value Resort" value="value-resort">Value Resort</option>&#13;
			<option label="Moderate Resort" value="moderate-resort">Moderate Resort</option>&#13;
			<option label="Deluxe Resort" value="deluxe-resort">Deluxe Resort</option>&#13;
			<option label="Deluxe Villas" value="deluxe-villas">Deluxe Villas</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If going to Disneyland which resort would you prefer?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Disney's Grand Californian Hotel &amp; Spa (Deluxe)" value="disneys-grand-californian-hotel-spa-deluxe">Disney's Grand Californian Hotel &amp; Spa (Deluxe)</option>&#13;
			<option label="Disneyland Hotel (Deluxe)" value="disneyland-hotel-deluxe">Disneyland Hotel (Deluxe)</option>&#13;
			<option label="Pixar Place Hotel (Moderate)" value="pixar-place-hotel-moderate">Pixar Place Hotel (Moderate)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If cruising on Disney Cruise Line &amp;nbsp;what type of cabin do you prefer." description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Inside Stateroom " value="inside-stateroom-">Inside Stateroom </option>&#13;
			<option label="Oceanview Stateroom" value="oceanview-stateroom">Oceanview Stateroom</option>&#13;
			<option label="Verandah Stateroom" value="verandah-stateroom">Verandah Stateroom</option>&#13;
			<option label="Concierge Staterooms &amp; Suites" value="concierge-staterooms-suites">Concierge Staterooms &amp; Suites</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you have a an Authorized Disney Vacation Planner you would like to work with?" name="do-you-have-a-an-authorized-disney-vacation-planner-you-would-like-to-work-with">&#13;
			<option label="Mike Anderson" value="mike-anderson">Mike Anderson</option>&#13;
			<option label="Taylor Anderson" value="taylor-anderson">Taylor Anderson</option>&#13;
			<option label="Amy English" value="amy-english">Amy English</option>&#13;
			<option label="First Available" value="first-available">First Available</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else that I need to know in order to plan your perfect vacation?" name="is-there-anything-else-that-i-need-to-know-in-order-to-plan-your-perfect-vacation" className="form-control"/>&#13;
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