Share your information with Alison Lombardo

Alison Lombardo

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list the full names of each person in your group as appears on a passport, driver&#39;s license, or birth certificate AND age at time of travel. If booking more than one room, please group names by room.&amp;nbsp;" description="Example : Room 1 : Mickey Mouse (39) Minnie Mouse (38) Room 2: Donald Duck (37) Daisy Duck (37)" name="please-list-the-full-names-of-each-person-in-your-group-as-appears-on-a-passport-drivers-license-or-birth-certificate-and-age-at-time-of-travel-if-booking-more-than-one-room-please-group-names-by-room-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="When was the last time you were at Disneyland?" name="when-was-the-last-time-you-were-at-disneyland">&#13;
			<option label="In the past 3 years" value="in-the-past-3-years">In the past 3 years</option>&#13;
			<option label="3-5 years ago" value="35-years-ago">3-5 years ago</option>&#13;
			<option label="5-10 years ago" value="510-years-ago">5-10 years ago</option>&#13;
			<option label="10+ years ago" value="10-years-ago">10+ years ago</option>&#13;
			<option label="This will be my first time!" value="this-will-be-my-first-time">This will be my first time!</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers NOT including flights?" name="what-is-your-budget-for-all-travelers-not-including-flights">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option>&#13;
			<option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Is this budget flexible if it means taking the type of vacation you truly want?" name="is-this-budget-flexible-if-it-means-taking-the-type-of-vacation-you-truly-want">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="date" required="true" label="When would you like to check in?" name="when-would-you-like-to-check-in" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to check out?" name="when-would-you-like-to-check-out" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are these dates flexible?" name="are-these-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="If you answered YES to the above question,&amp;nbsp; please specify date ranges." name="if-you-answered-yes-to-the-above-question-please-specify-date-ranges" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference">&#13;
			<option label="Disney Owned and Operated Hotel" value="disney-owned-and-operated-hotel">Disney Owned and Operated Hotel</option>&#13;
			<option label="Good Neighbor Hotel " value="good-neighbor-hotel-">Good Neighbor Hotel </option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="What is important to you in your accommodations?" description="This could be preferred view  accessibility requests  etc.." name="what-is-important-to-you-in-your-accommodations" className="form-control"/>&#13;
		<field type="text" label="If you have a specific hotel in mind please leave it here. Would you like me to include other options that fit your needs?" name="if-you-have-a-specific-hotel-in-mind-please-leave-it-here-would-you-like-me-to-include-other-options-that-fit-your-needs" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How many days would you like in the parks?" name="how-many-days-would-you-like-in-the-parks">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3 (recommended)" value="3-recommended">3 (recommended)</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like Lightning Lane included in your park tickets?" description="This is the service that replaced MaxPass and allows you to make reservations for attractions throughout the park." name="would-you-like-genie-included-in-your-park-tickets">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like Park Hopper Included in your tickets?" description="The service that allows you to jump between parks." name="would-you-like-park-hopper-included-in-your-tickets">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like Travel Insurance included in your quote?" name="would-you-like-travel-insurance-included-in-your-quote">&#13;
			<option label="Yes, please include Travel Insurance " value="yes-please-include-travel-insurance-">Yes, please include Travel Insurance </option>&#13;
			<option label="No, I do not wish to purchase Travel Insurance and assume all risk of that decision" value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase Travel Insurance and assume all risk of that decision</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Have you worked with a travel agent before?" name="have-you-worked-with-a-travel-agent-before">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Which best describes your booking timeline?" name="which-best-describes-your-booking-timeline">&#13;
			<option label="Let's do it! I am ready to put my $200 deposit down ASAP" value="lets-do-it-i-am-ready-to-put-my-200-deposit-down-asap">Let's do it! I am ready to put my $200 deposit down ASAP</option>&#13;
			<option label="I will be ready to make my deposit in the next two weeks" value="i-will-be-ready-to-make-my-deposit-in-the-next-two-weeks">I will be ready to make my deposit in the next two weeks</option>&#13;
			<option label="I won't be ready for another month or so" value="i-wont-be-ready-for-another-month-or-so">I won't be ready for another month or so</option>&#13;
			<option label="I am just browsing " value="i-am-just-browsing-">I am just browsing </option>&#13;
		</field>&#13;
		<field type="textarea" label="What can I do to make your vacation planning experience great? Is there anything else you would like me to know about your trip?" name="what-can-i-do-to-make-your-vacation-planning-experience-great-is-there-anything-else-you-would-like-me-to-know-about-your-trip" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be&amp;nbsp; celebrating anything on this trip?" name="will-you-be-celebrating-anything-on-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How did you hear about our agency?" name="how-did-you-hear-about-our-agency" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram " value="instagram-">Instagram </option>&#13;
			<option label="LinkedIn" value="linkedin">LinkedIn</option>&#13;
			<option label="Google " value="google-">Google </option>&#13;
			<option label="Travel Leaders" value="travel-leaders">Travel Leaders</option>&#13;
			<option label="Personal Referral" value="personal-referral">Personal Referral</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you belong to any of the following groups?" name="do-you-belong-to-any-of-the-following-groups" other="true">&#13;
			<option label="Repeat Client" value="repeat-client">Repeat Client</option>&#13;
			<option label="United States Armed Forces (Active Duty and Retired Veterans Only)" value="united-states-armed-forces-active-duty-and-retired-veterans-only">United States Armed Forces (Active Duty and Retired Veterans Only)</option>&#13;
			<option label="Magic Key Holder" value="magic-key-holder">Magic Key Holder</option>&#13;
			<option label="Disney+ Subscribers" value="disney-subscribers">Disney+ Subscribers</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="Hawaiian Resident" value="hawaiian-resident">Hawaiian Resident</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="UK Resident " value="uk-resident-">UK Resident </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>