<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Lead Guest"/> <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 type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="select" label="Contact Preference" name="select-1772906890332" className="form-control"> <option label="Phone - Call" value="phone-call">Phone - Call</option> <option label="Phone - Text" value="phone-text">Phone - Text</option> <option label="Email" value="email">Email</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772907066627" rule="eyJ3aGVuRmllbGQiOiJzZWxlY3QtMTc3MjkwNjg5MDMzMiIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJwaG9uZS10ZXh0IiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImNoZWNrYm94LWdyb3VwLTE3NzI5MDY5NTA2MTIiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJjaGVja2JveC1ncm91cC0xNzcyOTA2OTUwNjEyIn1dfQ=="/> <field type="checkbox-group" label="Text Opt In" name="checkbox-group-1772906950612" className="field-hidden"> <option label="I agree to receive text messages related to my travel plans/bookings. To opt out, text STOP to be removed. Message and data rates may apply." value="i-agree-to-receive-text-messages-related-to-my-travel-plansbookings-to-opt-out-text-stop-to-be-removed-message-and-data-rates-may-apply">I agree to receive text messages related to my travel plans/bookings. To opt out, text STOP to be removed. Message and data rates may apply.</option> </field> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Trip Details"/> <field type="select" required="true" label="What kind of trip are you taking?" name="select-1772907185019" className="form-control"> <option label="Vacation" value="vacation">Vacation</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="Business" value="business">Business</option> </field> <field type="select" required="true" label="Where are you wanting to travel to?" name="select-1772907241836" className="form-control"> <option label="Walt Disney World® / Disneyland®" value="walt-disney-world-disneyland">Walt Disney World® / Disneyland®</option> <option label="International / Domestic Destination" value="international-domestic-destination">International / Domestic Destination</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="pageBreak" name="pageBreak-1772907347865" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Guests"/> <field type="checkbox-group" required="true" label="Please check the boxes below to add guests to the trip." inline="true" name="checkbox-group-1772913466286"> 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className="form-control"/> <field type="date" required="true" label="Check Out" name="date-1772909460565" className="form-control"/> <field type="checkbox-group" required="true" label="Which Disney® parks would you like to visit?" name="checkbox-group-1772909545129" className="field-hidden"> <option label="Magic Kingdom Park" value="magic-kingdom-park">Magic Kingdom Park</option> <option label="Disney's Animal Kingdom Theme Park" value="disneys-animal-kingdom-theme-park">Disney's Animal Kingdom Theme Park</option> <option label="Disney's Hollywood Studios" value="disneys-hollywood-studios">Disney's Hollywood Studios</option> <option label="Disney Water Parks" value="disney-water-parks">Disney Water Parks</option> <option label="EPCOT" value="epcot">EPCOT</option> <option label="Disneyland (Disneyland)" value="disneyland-disneyland">Disneyland (Disneyland)</option> <option label="Disney's California Adventure (Disneyland)" value="disneys-california-adventure-disneyland">Disney's California Adventure (Disneyland)</option> <option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option> </field> <field type="text" label="Is there a specific Disney® resort you're interested in staying at?" name="text-1772909644288" subtype="text" className="form-control field-hidden"/> <field type="textarea" required="true" label="Where are you wanting to travel to? For multi-city, please include all cities." name="textarea-1772909713689" className="form-control field-hidden"/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772911295165" rule="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"/> <field type="text" required="true" label="Cruise Line Preference" description="If unsure enter "Not sure"" name="text-1772909824849" subtype="text" className="form-control field-hidden"/> <field type="text" label="Ship" name="text-1772909847692" subtype="text" className="form-control field-hidden"/> <field type="date" required="true" label="Beginning of Departure Window" description="Cruises have set departure dates. Using the date options below please set the beginning and end of the window you will depart on your cruise. For example if you set January 2nd as the beginning of the window and January 5th as the end of the window I will locate cruises that depart between January 2nd and January 5th." name="date-1772909907643" className="form-control field-hidden"/> <field type="date" required="true" label="End of Departure Window" description="Cruises have set departure dates. Using the date options below please set the beginning and end of the window you will depart on your cruise. For example if you set January 2nd as the beginning of the window and January 5th as the end of the window I will locate cruises that depart between January 2nd and January 5th." name="date-1772909946972" className="form-control field-hidden"/> <field type="text" required="true" label="Number of Nights" description="If you are unsure enter "not sure"" name="text-1772909962915" subtype="text" className="form-control field-hidden"/> <field type="text" required="true" label="Destination" name="text-1772909993289" subtype="text" className="form-control field-hidden"/> <field type="select" required="true" label="Cabin Preference" name="select-1772910007943" className="form-control field-hidden"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="checkbox-group" required="true" label="How do you plan to get there?" description="Please select all that apply. For cruises how do you plan to get to the port?" inline="true" name="checkbox-group-1772909750273"> <option label="Fly" value="fly">Fly</option> <option label="Drive" value="drive">Drive</option> <option label="Train" value="train">Train</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="pageBreak" name="pageBreak-1772910091968" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Additional Information"/> <field type="checkbox-group" label="Are you celebrating anything?" name="are-you-celebrating-anything" other="true"> <option label="First Visit" value="first-visit">First Visit</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772910292631" rule="eyJ3aGVuRmllbGQiOiJjaGVja2JveC1ncm91cC0xNzcyOTA5NzUwMjczIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6ImZseSIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJyYWRpby1ncm91cC0xNzcyOTEwMTkwMTM5Il0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoicmFkaW8tZ3JvdXAtMTc3MjkxMDE5MDEzOSIsImxhYmVsIjoiWW91IGluZGljYXRlZCBhIHBvcnRpb24gb2YgeW91ciB0cmF2ZWwgd2lsbCBpbmNsdWRlIGZsaWdodHMuIFdvdWxkIHlvdSBsaWtlIGFzc2lzdGFuY2Ugd2l0aCBib29raW5nIGZsaWdodHM/In1dfQ=="/> <field type="radio-group" required="true" label="You indicated a portion of your travel will include flights. Would you like assistance with booking flights?" description="A fee may apply to flight bookings." name="radio-group-1772910190139" className="field-hidden"> <option label="Yes, please help me book my flights" value="yes-please-help-me-book-my-flights">Yes, please help me book my flights</option> <option label="No, I'm booking my flights on my own" value="no-im-booking-my-flights-on-my-own">No, I'm booking my flights on my own</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772910395844" rule="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"/> <field type="text" required="true" label="Airline Preference" name="text-1772910322709" subtype="text" className="form-control field-hidden"/> <field type="text" required="true" label="Departure Airport" name="text-1772910324059" subtype="text" className="form-control field-hidden"/> <field type="select" required="true" label="Cabin Class" name="select-1772910353818" className="form-control field-hidden"> <option label="First/Business" value="firstbusiness">First/Business</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Economy" value="economy">Economy</option> </field> <field type="radio-group" required="true" label="Would you like insurance pricing along with your quote?" description="Insurance is highly recommended." name="radio-group-1772910444893"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772910565819" rule="eyJ3aGVuRmllbGQiOiJyYWRpby1ncm91cC0xNzcyOTEwNDQ0ODkzIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJ0ZXh0LTE3NzI5MTA0OTQ1MzkiLCJyYWRpby1ncm91cC0xNzcyOTEwNTE1OTI4Il0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoidGV4dC0xNzcyOTEwNDk0NTM5IiwibGFiZWwiOiJXaGF0IGlzIHlvdXIgc3RhdGUgb2YgcmVzaWRlbmN5PyJ9LHsibmFtZSI6InJhZGlvLWdyb3VwLTE3NzI5MTA1MTU5MjgiLCJsYWJlbCI6IkRvZXMgYW55b25lIGluIHlvdXIgdHJhdmVsIHBhcnR5IHJlc2lkZSBpbiBhIGRpZmZlcmVudCBzdGF0ZT8ifV19"/> <field type="text" required="true" label="What is your state of residency?" name="text-1772910494539" subtype="text" className="form-control field-hidden"/> <field type="radio-group" required="true" label="Does anyone in your travel party reside in a different state?" description="Insurance coverage options depend on the state of residency." name="radio-group-1772910515928"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772910589020" rule="eyJ3aGVuRmllbGQiOiJyYWRpby1ncm91cC0xNzcyOTEwNTE1OTI4Iiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJ0ZXh0YXJlYS0xNzcyOTEwNTUyMjMzIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoidGV4dGFyZWEtMTc3MjkxMDU1MjIzMyIsImxhYmVsIjoiUGxlYXNlIGV4cGxhaW4ifV19"/> <field type="textarea" required="true" label="Please explain." name="textarea-1772910552233" className="form-control field-hidden"/> <field type="pageBreak" name="pageBreak-1772910779914" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Final Details"/> <field type="textarea" label="Is there anything else I should know to prepare your quote?" name="textarea-1772910798437" className="form-control"/> <field type="select" required="true" label="When are you wanting to secure your reservation?" name="select-1772910825076" className="form-control"> <option label="Now" value="now">Now</option> <option label="Within the next week" value="within-the-next-week">Within the next week</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="I'm just exploring my options" value="im-just-exploring-my-options">I'm just exploring my options</option> </field> </fields> </form-template> </body> </html>
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