<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Welcome, I can't wait to help you plan your magical vacation!"/> <field type="paragraph" subtype="p" label="Please note as a travel agent, my services are free. However, I am unable to assist with any Walt Disney World or Disneyland tickets or packages for 2 days or less.&nbsp;"/> <field type="header" subtype="h1" label="Contact"/> <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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Your Trip Details"/> <field type="text" required="true" label="Where would you like to go?" placeholder="ex. Disney World, Disneyland, Aulani, Disney Cruise Line" name="destination" subtype="text" className="form-control"/> <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 go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" 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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" required="true" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children?" name="how-many-children" subtype="text" className="form-control"/> <field type="text" label="Travel Party Information: Names of everyone + kids' ages at time of travel" placeholder="John Smith (adult); Jane Smith (adult); Johnny Smith (4)" name="age-of-children-at-time-of-travel" subtype="text" className="form-control"/> <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"> <option label="$1,000 to $3000" value="1000-to-3000">$1,000 to $3000</option> <option label="$3000 to $6000" value="3000-to-6000">$3000 to $6000</option> <option label="$6000 to $10000" value="6000-to-10000">$6000 to $10000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Deluxe" value="deluxe">Deluxe</option> <option label="Offsite" value="offsite">Offsite</option> <option label="Need more information on the tiers and benefits of onsite" value="need-more-information-on-the-tiers-and-benefits-of-onsite">Need more information on the tiers and benefits of onsite</option> </field> <field type="checkbox-group" label="Resort amenity requirements?" name="resort-amenity-requirements" other="true"> <option label="Full Kitchen" value="full-kitchen">Full Kitchen</option> <option label="Suite" value="suite">Suite</option> <option label="Handicap Accessibility" value="handicap-accessibility">Handicap Accessibility</option> <option label="Water Slide" value="water-slide">Water Slide</option> <option label="Monorail or Skyliner Transportation" value="monorail-or-skyliner-transportation">Monorail or Skyliner Transportation</option> </field> <field type="radio-group" label="For a Cruise, what is your stateroom preference?" name="for-a-cruise-what-is-your-stateroom-preference" other="true"> <option label="Inside" value="inside">Inside</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Verandah" value="verandah">Verandah</option> <option label="Concierge" value="concierge">Concierge</option> </field> <field type="text" label="Do you already have a few choices for where you would like to stay or which cruise(s) you are interested in? Please include here." name="do-you-already-have-a-few-choices-for-where-you-would-like-to-stay-or-which-cruise-you-are-interested-in-please-include-here" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Details"/> <field type="checkbox-group" label="Are you..." description="This helps me check for eligible promotions" name="are-you"> <option label="U.S. Military Active Duty/retired/Military ID Holder?" value="us-military-active-dutyretiredmilitary-id-holder">U.S. Military Active Duty/retired/Military ID Holder?</option> <option label="Disney+ Subscriber?" value="disney-subscriber">Disney+ Subscriber?</option> <option label="Annual Pass Holder?" value="annual-pass-holder">Annual Pass Holder?</option> <option label="Disney Visa Cardmember?" value="disney-visa-cardmember">Disney Visa Cardmember?</option> </field> <field type="radio-group" label="If going to Disney World, are you interested in the Dining Plan?" name="if-going-to-disney-world-are-you-interested-in-the-dining-plan"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Would like more information" value="would-like-more-information">Would like more information</option> </field> <field type="text" label="Are you celebrating anything?" description="Birthday first visit, anniversary?" name="text-1685108657568" subtype="text" className="form-control"/> <field type="text" label="Food allergies, medical conditions, or any other accomodations?" name="food-allergies-medical-conditions-or-any-other-accomodations" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like to set up a phone call to discuss your trip?&nbsp;" name="would-you-like-to-set-up-a-phone-call-to-discuss-your-trip-"> <option label="Yes" value="yes">Yes</option> <option label="No, I prefer email" value="no-i-prefer-email">No, I prefer email</option> </field> <field type="text" label="Is there anything else I should know?" name="must-dos" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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