Share your information with Alex Comer

Alex Comer

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s plan your next vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Ready to plan a Disney, Universal or Cruise trip? My goal is to help take the stress out of the planning process, so that you can have the best vacation! Fill out the form below to receive a personalized vacation quote.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go">&#13;
			<option label="Walt Disney World in Florida" value="walt-disney-world-in-florida">Walt Disney World in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Disney's Aulani " value="disneys-aulani-">Disney's Aulani </option>&#13;
			<option label="Royal Caribbean Cruise" value="royal-caribbean-cruise">Royal Caribbean Cruise</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to arrive?" 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 depart?" 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="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your approximate budget for the accommodations&amp;amp;/or park tickets?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$2,000 to $4,000" value="2000-4000">$2,000 to $4,000</option>&#13;
			<option label="$4,000 to $6,000" value="4000-6000">$4,000 to $6,000</option>&#13;
			<option label="$6,000 to $8,000" value="6000-to-8000">$6,000 to $8,000</option>&#13;
			<option label="$8,000 +" value="8000-">$8,000 +</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults will be traveling?&amp;nbsp;" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many children will be traveling? Please include their ages at time of travel for accurate pricing." name="notes" className="form-control"/>&#13;
		<field type="select" required="true" label="What type of package are you interested in?" name="what-type-of-package-are-you-interested-in" className="form-control">&#13;
			<option label="Room &amp; Tickets" value="room-tickets">Room &amp; Tickets</option>&#13;
			<option label="Room Only" value="room-only">Room Only</option>&#13;
			<option label="Tickets Only" value="tickets-only">Tickets Only</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you eligible for any of the following discounts?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Active, Retired, or 100% Disable Military" value="active-retired-or-100-disable-military">Active, Retired, or 100% Disable Military</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="Disney Annual Passholder" value="disney-annual-passholder">Disney Annual Passholder</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="text" label="What else should I know before putting a custom quote together for you?" name="text-1762797149324" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Are you celebrating anything special?" name="are-you-celebrating-anything-special" className="form-control"/>&#13;
		<field type="text" label="How did you find me? Were you referred by someone?&amp;nbsp;" name="text-1762797177025" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Thank You!"/>&#13;
		<field type="paragraph" subtype="p" label="I look forward to working with you! If additional information is needed, I will reach out to you via email or text. Please allow 24-48 hours for a response."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>