Share your information with Amanda Arps

Amanda Arps

Magical Adventures with Amanda

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#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 type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Who will be joining you on this trip? (Please include ages for children)" name="who-will-be-joining-you-on-this-trip-please-include-ages-for-children" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." name="where-would-you-like-to-go" other="true">&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label=" All Inclusive Resort" value="-all-inclusive-resort"> All Inclusive Resort</option>&#13;
			<option label="Aulani" value="aulani">Aulani</option>&#13;
			<option label="Carnival Cruise" value="carnival-cruise">Carnival Cruise</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="Norwegian Cruise" value="norwegian-cruise">Norwegian Cruise</option>&#13;
			<option label="Royal Carribean" value="royal-carribean">Royal Carribean</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label=" Walt Disney World in Florida" value="-walt-disney-world-in-florida"> Walt Disney World in Florida</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
		</field>&#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 Budget?" name="what-is-your-budget" subtype="text" className="form-control"/>&#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="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="select" label="Discounts you MAY be eligible for:" name="discounts-you-may-be-eligible-for" multiple="multiple" className="form-control">&#13;
			<option label="none" value="none">none</option>&#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;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#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="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Where did you hear about me?" 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?" name="notes" className="form-control"/>&#13;
		<field type="checkbox-group" label="Statement of consent:" name="checkbox-group-1769249632061">&#13;
			<option label="I consent to receiving email communications" value="i-consent-to-receiving-email-communications">I consent to receiving email communications</option>&#13;
			<option label=" I consent to being sent SMS for informational purposes. †" value="-i-consent-to-being-sent-sms-for-informational-purposes-"> I consent to being sent SMS for informational purposes. †</option>&#13;
		</field>&#13;
		<field type="textarea" label="Statement of terms:" placeholder="Privacy Policy - Your subscriber information is collected  used  and disclosed only as specified in our privacy notice and will not be sold, rented or otherwise shared except as permitted by that notice and applicable laws.SMS Terms and Conditions: By entering your mobile number, you agree to receive promotional or informational text messages to the number you provide. Msg and data rates may apply; Msg frequency varies. Reply STOP to cancel. † Message and data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP." name="textarea-1769249870511" className="form-control"/>&#13;
		<field type="text" label="Text Field" name="text-1769250875013" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>