Share your information with Tara Mann

Tara Mann

Travel by Tara

<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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred Method of Contact" name="text-1768763830300" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to travel?" name="checkbox-group-1764652732277" other="true">&#13;
			<option label="Walt Disney World in Florida (Hotel and Tickets)" value="walt-disney-world-in-florida-hotel-and-tickets">Walt Disney World in Florida (Hotel and Tickets)</option>&#13;
			<option label="Walt Disney World Hotel Only" value="walt-disney-world-hotel-only">Walt Disney World Hotel Only</option>&#13;
			<option label="Walt Disney World Ticket only (minimum of 3 days)" value="walt-disney-world-ticket-only-minimum-of-3-days">Walt Disney World Ticket only (minimum of 3 days)</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Other Cruise Line" value="other-cruise-line">Other Cruise Line</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Other Destination" value="other-destination">Other Destination</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What are your preferred dates?" name="text-1764652925251" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Who is in your travel party? (Number of adults and children under 18, with children&#39;s ages at time of travel listed)" name="text-1764652967426" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Full Names of guests in your party" description="Disney rooms book FAST-having the name of everyone in your party allows me to put a 3-day hold on a room in case you need time to decide." name="text-1768764008278" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many days would you like to be in the parks?" name="text-1768764144392" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is most important to you when considering a resort? You can select more than one." name="checkbox-group-1768764210202">&#13;
			<option label="Proximity to the parks" value="proximity-to-the-parks">Proximity to the parks</option>&#13;
			<option label="Transportation options" value="transportation-options">Transportation options</option>&#13;
			<option label="Dining Options" value="dining-options">Dining Options</option>&#13;
			<option label="Character Theming" value="character-theming">Character Theming</option>&#13;
			<option label="Luxury feel" value="luxury-feel">Luxury feel</option>&#13;
			<option label="Theme park view" value="theme-park-view">Theme park view</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is the budget range for your trip?" name="checkbox-group-1764653061827">&#13;
			<option label="&lt;$3000" value="3000">&lt;$3000</option>&#13;
			<option label="$3000-$5000" value="30005000">$3000-$5000</option>&#13;
			<option label="$5000-$10,000" value="500010000">$5000-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do any of these discounts apply to you?" name="checkbox-group-1764653201628">&#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 Via Card Holder" value="disney-chase-via-card-holder">Disney Chase Via Card Holder</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="Annual Pass Holder" value="annual-pass-holder">Annual Pass Holder</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="If you have done any research on your own, have a particular hotel in mind or &quot;must-dos&quot; for your trip, let me know below." name="text-1764653353617" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Tell me your favorite movie and character. Be sure to include your kids&#39; favorites as well!" name="text-1768764640386" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me?" name="text-1764653384865" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>