Share your information with Lindsey Moss

Lindsey Moss

Lindsey Moss, Travel Agent

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    <form-template>&#13;
	<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>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for checking out my travel planning services—I’m thrilled to help you turn your dream trip into reality! The best part? My services are completely FREE for you. but please keep in mind that I am paid by the vendors once you book through me, so you’ll enjoy expert advice, personalized itineraries, and stress-free planning without spending an extra dime. Let’s make your next adventure unforgettable!"/>&#13;
		<field type="text" required="true" label="Lead Traveler&#39;s Name" description="The traveler who will be speaking with the travel advisor" placeholder="Name as listed on your goverment issues ID (passport/ID)" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Can we set up a time for a phone call once I have reviewed your form?&amp;nbsp;" name="text-1770585803936" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Names and DOB for all traveler&#39;s in your party" name="textarea-1770041488577" rows="0" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many rooms will you need, and how would you like the room assignments arranged?" description="Who will be rooming with who?" name="textarea-1770041592746" className="form-control"/>&#13;
		<field type="date" 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" 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="Will you require flights?&amp;nbsp;" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I will arrange my own flights" value="i-will-arrange-my-own-flights">I will arrange my own flights</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like to say on Disney property?" name="checkbox-group-1770738901699">&#13;
			<option label="Yes, I want to ensure all the Disney Perks" value="yes-i-want-to-ensure-all-the-disney-perks">Yes, I want to ensure all the Disney Perks</option>&#13;
			<option label="No, I would like to be offsite or at a Disney Good Neighbor Hotel" value="no-i-would-like-to-be-offsite-or-at-a-disney-good-neighbor-hotel">No, I would like to be offsite or at a Disney Good Neighbor Hotel</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for this trip?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="radio-group-1770585642795">&#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="radio-group" label="What hotel type would you be most interested in?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="radio-group-1770738669648">&#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="Suites or Villas" value="suites-or-villas">Suites or Villas</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Animation and Characters" value="animation-and-characters">Animation and Characters</option>&#13;
			<option label="Princesses" value="princesses">Princesses</option>&#13;
			<option label="Classic Disney" value="classic-disney">Classic Disney</option>&#13;
			<option label="Cars, Lion King" value="cars-lion-king">Cars, Lion King</option>&#13;
			<option label="Animals" value="animals">Animals</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Superhero theme" value="superhero-theme">Superhero theme</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Which area would you like your resort to be in?&amp;nbsp;" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="On the Monorail" value="on-the-monorail">On the Monorail</option>&#13;
			<option label="Boardwalk" value="boardwalk">Boardwalk</option>&#13;
			<option label="Disney Springs area" value="disney-springs-area">Disney Springs area</option>&#13;
			<option label="Classic Disney" value="classic-disney">Classic Disney</option>&#13;
			<option label="Animal Kingdom area" value="animal-kingdom-area">Animal Kingdom area</option>&#13;
			<option label="Skyliner Resort" value="skyliner-resort">Skyliner Resort</option>&#13;
			<option label="Value Resort" value="value-resort">Value Resort</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How many days to you plan to visit the parks (How many day ticket?)" name="radio-group-1770738668987">&#13;
			<option label="1 day" value="1-day">1 day</option>&#13;
			<option label="2 days" value="2-days">2 days</option>&#13;
			<option label="3 days" value="3-days">3 days</option>&#13;
			<option label="4 days" value="4-days">4 days</option>&#13;
			<option label="5 days" value="5-days">5 days</option>&#13;
			<option label="6 days" value="6-days">6 days</option>&#13;
			<option label="7 or more days" value="7-or-more-days">7 or more days</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What ticket type would you like?&amp;nbsp;" description="How do you like to travel?" name="radio-group-1770738728391" other="true">&#13;
			<option label="Base Ticket (one park per day)" value="base-ticket-one-park-per-day">Base Ticket (one park per day)</option>&#13;
			<option label="Park Hopper (multiple parks in one day)" value="park-hopper-multiple-parks-in-one-day">Park Hopper (multiple parks in one day)</option>&#13;
			<option label="Park Hopper Plus (multiple parks in one day + waterparks)" value="park-hopper-plus-multiple-parks-in-one-day-waterparks">Park Hopper Plus (multiple parks in one day + waterparks)</option>&#13;
			<option label="Annual passholder (I do not need tickets)" value="annual-passholder-i-do-not-need-tickets">Annual passholder (I do not need tickets)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like a Disney Dining Plan?&amp;nbsp;" description="Dining plan" name="radio-group-1770739066519" other="true">&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes, please add Quick Service (2 quick service meals + 1 snack per person per night)" value="yes-please-add-quick-service-2-quick-service-meals-1-snack-per-person-per-night">Yes, please add Quick Service (2 quick service meals + 1 snack per person per night)</option>&#13;
			<option label="Yes, please add Disney Dining Plan (1 quick service meal + 1 Table service meal per person per night, 1 snack)" value="yes-please-add-disney-dining-plan-1-quick-service-meal-1-table-service-meal-per-person-per-night-1-snack">Yes, please add Disney Dining Plan (1 quick service meal + 1 Table service meal per person per night, 1 snack)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Would you like to opt out of the memory maker (picture package) ?&amp;nbsp;" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you want to add travel protection?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="radio-group-1770739200814">&#13;
			<option label="Yes, I  want travel insurance" value="yes-i-want-travel-insurance">Yes, I  want travel insurance</option>&#13;
			<option label="No, I will waive ensure and sign an insurance waiver" value="no-i-will-waive-ensure-and-sign-an-insurance-waiver">No, I will waive ensure and sign an insurance waiver</option>&#13;
			<option label="I will get my own travel insurance" value="i-will-get-my-own-travel-insurance">I will get my own travel insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like to add a day at Universal or United Parks?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="radio-group-1771440384374" other="true">&#13;
			<option label="Yes, Universal Studios" value="yes-universal-studios">Yes, Universal Studios</option>&#13;
			<option label="Yes, Islands of Adventure" value="yes-islands-of-adventure">Yes, Islands of Adventure</option>&#13;
			<option label="Yes, Epic Univers" value="yes-epic-univers">Yes, Epic Univers</option>&#13;
			<option label="Yes, Discovery Cove" value="yes-discovery-cove">Yes, Discovery Cove</option>&#13;
			<option label="Yes, Seaworld" value="yes-seaworld">Yes, Seaworld</option>&#13;
			<option label="Busch Gardens" value="busch-gardens">Busch Gardens</option>&#13;
			<option label="Other Orlando Attraction" value="other-orlando-attraction">Other Orlando Attraction</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="text-1770739140429" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
	</fields>&#13;
</form-template>
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