Share your information with Coral Estes

Coral Estes

1923 Travel

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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><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Plan Something Magical!!&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="This form should only take 2 to 3 minutes to fill out! Where would you like to go? (Disney World • Disneyland • Universal Orlando&amp;nbsp; • Universal Hollywood • Disney Cruise Line • Adventures by Disney • Aulani • )" description="If not sure yet ~ I can help!" placeholder="ex: Tahiti" name="destination" subtype="text" 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="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</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" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" 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+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your preferred Resort Catergory?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Universal Premier" value="universal-premier">Universal Premier</option>&#13;
			<option label="Universal Preferred" value="universal-preferred">Universal Preferred</option>&#13;
			<option label="Boutique/ Off-site" value="boutique-offsite">Boutique/ Off-site</option>&#13;
			<option label="Not sure yet ~ please guide me!" value="not-sure-yet-please-guide-me">Not sure yet ~ please guide me!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vacation are you hoping for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Magical and Family Friendly" value="magical-and-family-friendly">Magical and Family Friendly</option>&#13;
			<option label="Relaxed and Easygoing" value="relaxed-and-easygoing">Relaxed and Easygoing</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Thrill-Seeker" value="thrillseeker">Thrill-Seeker</option>&#13;
			<option label="Food &amp; Wine Focused " value="food-wine-focused-">Food &amp; Wine Focused </option>&#13;
			<option label="Celebrate a Special Occasion" value="celebrate-a-special-occasion">Celebrate a Special Occasion</option>&#13;
			<option label="First Timer Needing Full Guidance" value="first-timer-needing-full-guidance">First Timer Needing Full Guidance</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Character Dining" value="character-dining">Character Dining</option>&#13;
			<option label="Classic Disney Attractions " value="classic-disney-attractions-">Classic Disney Attractions </option>&#13;
			<option label="Nighttime Spectaculars" value="nighttime-spectaculars">Nighttime Spectaculars</option>&#13;
			<option label="Thrill Rides" value="thrill-rides">Thrill Rides</option>&#13;
			<option label="Water parks" value="water-parks">Water parks</option>&#13;
			<option label="Food and Drink Experiences" value="food-and-drink-experiences">Food and Drink Experiences</option>&#13;
			<option label="Behind the Scenes Tours" value="behind-the-scenes-tours">Behind the Scenes Tours</option>&#13;
			<option label="Halloween or Christmas party events" value="halloween-or-christmas-party-events">Halloween or Christmas party events</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" description="This could be meeting certain characters  dine at a specific restaurant  ride certain attractions, visit Harry Potter World, etc." name="must-dos" 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? (This can include mobility needs  celebrations  room requests, pace of travel, or anything that would help me plan the perfect trip!" name="notes" className="form-control"/>&#13;
		<field type="radio-group" label="There are specific discounts that are offered for different groups. Do any of these apply to you?&amp;nbsp;" name="radio-group-1765487161848" other="true">&#13;
			<option label="Active, Retired or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired or 100% Disabled Military</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="DVC Member" value="dvc-member">DVC Member</option>&#13;
			<option label="Florida Resident (Walt Disney World)" value="florida-resident-walt-disney-world">Florida Resident (Walt Disney World)</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="California Resident (Disneyland)" value="california-resident-disneyland">California Resident (Disneyland)</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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