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Lindsay Defouw
Magic Mom Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Basic Information"/> <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" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Full legal names of each person in your travel party and their age at the time of travel. If you'd like more than one room, please group everyone by how you'd like them broken up." description="Example: Room One- Mickey Mouse (50) Minnie Mouse (49) and Pluto (14) Room Two- Donald Duck (43) Daisy Duck (42) Huey (13) Dewey (12) and Louie (11)" name="full-legal-names-of-each-person-in-your-travel-party-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-room-please-group-everyone-by-how-youd-like-them-broken-up" className="form-control"/> <field type="radio-group" label="What is your budget for all travelers NOT including flights?" name="what-is-your-budget-for-all-travelers-not-including-flights"> <option label="$1,500 to $2,000" value="1500-to-2000">$1,500 to $2,000</option> <option label="$2,000 to $5,000" value="2000-to-5000">$2,000 to $5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="Is this budget flexible if it means taking the type of trip you are looking for?" name="is-this-budget-flexible-if-it-means-taking-the-type-of-trip-you-are-looking-for"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Travel Preferences&nbsp;"/> <field type="radio-group" required="true" label="What is your experience with Walt Disney World?" name="what-is-your-experience-with-walt-disney-world" other="true"> <option label="Been several times!" value="been-several-times">Been several times!</option> <option label="Been a couple times, but not recently!" value="been-a-couple-times-but-not-recently">Been a couple times, but not recently!</option> <option label="Done some research, but never been!" value="done-some-research-but-never-been">Done some research, but never been!</option> <option label="Completely new and can't wait to learn more!" value="completely-new-and-cant-wait-to-learn-more">Completely new and can't wait to learn more!</option> </field> <field type="date" required="true" label="When would you like to check in?" description="This can be changed later! Just gives me a good starting off point!" name="when-are-you-looking-to-start-your-trip" className="form-control"/> <field type="date" required="true" label="When would you like to check out?" description="Again this can be flexible!" name="when-are-you-looking-to-end-your-trip" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If you answered YES to the above question , what are your date ranges?" name="if-you-answered-yes-to-the-above-question-what-are-your-date-ranges" subtype="text" className="form-control"/> <field type="radio-group" label="What is your resort preference?" name="what-is-your-resort-preference"> <option label="Value Resort ($)" value="value-resort-">Value Resort ($)</option> <option label="Moderate Resort ($$)" value="moderate-resort-">Moderate Resort ($$)</option> <option label="Deluxe Resort ($$$)" value="deluxe-resort-">Deluxe Resort ($$$)</option> <option label="Deluxe Resort Club Level or Suite ($$$$)" value="deluxe-resort-club-level-or-suite-">Deluxe Resort Club Level or Suite ($$$$)</option> <option label="Deluxe Villa Resort ($$$$)" value="deluxe-villa-resort-">Deluxe Villa Resort ($$$$)</option> </field> <field type="checkbox-group" label="What are the top 3 things you're looking for in a resort?" name="what-are-the-top-3-things-youre-looking-for-in-a-resort" other="true"> <option label="Lots of Disney Magic! (theming, decore, etc.)" value="lots-of-disney-magic-theming-decore-etc">Lots of Disney Magic! (theming, decore, etc.)</option> <option label="Subtle Disney theming" value="subtle-disney-theming">Subtle Disney theming</option> <option label="Multiple modes of transportation" value="multiple-modes-of-transportation">Multiple modes of transportation</option> <option label="Great pool and activities" value="great-pool-and-activities">Great pool and activities</option> <option label="Proximity to the parks" value="proximity-to-the-parks">Proximity to the parks</option> <option label="Dining options" value="dining-options">Dining options</option> <option label="Just looking for a place to sleep - I'm going to the parks!" value="just-looking-for-a-place-to-sleep-im-going-to-the-parks">Just looking for a place to sleep - I'm going to the parks!</option> </field> <field type="text" label="Do you have any accommodation requests?" description="This could be preferred view accessibility requests etc.." name="do-you-have-any-accommodation-requests" subtype="text" className="form-control"/> <field type="text" label="If you have a specific resort in mind, please leave it here. Would you like me to include other options that fit your needs?" name="if-you-have-a-specific-resort-in-mind-please-leave-it-here-would-you-like-me-to-include-other-options-that-fit-your-needs" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many days would you like to spend at the parks?" name="how-many-days-would-you-like-to-spend-at-the-parks"> <option label="1-2" value="1-2">1-2</option> <option label="3" value="3">3</option> <option label="4 (recommended)" value="4-recommended">4 (recommended)</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10+" value="10">10+</option> </field> <field type="radio-group" label="Are you interested in any of the following ticket add on?" description="Park Hopper gives you access to multiple parks in one day. Water Parks and Sports gives access to Disney waterparks ESPN wide world of sports and golf/mini golf for as many days as you have tickets. Park Hopper plus combines both offers" name="are-you-interested-in-any-of-the-following-ticket-add-on"> <option label="Park Hopper" value="park-hopper">Park Hopper</option> <option label="Water Park and Sports" value="water-park-and-sports">Water Park and Sports</option> <option label="Park Hopper Plus" value="park-hopper-plus">Park Hopper Plus</option> </field> <field type="radio-group" required="true" label="Would you like to add Memory Maker to your vacation package?" description="Unlimited digital downloads of all photos taken in the parks." name="would-you-like-to-add-memory-maker-to-your-vacation-package"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="More information please" value="more-information-please">More information please</option> </field> <field type="radio-group" required="true" label="Would you like to add a dining plan to your vacation Package?" description="More information upon request" name="would-you-like-to-add-a-dining-plan-to-your-vacation-package"> <option label="Yes - Add the Table Service Dining Plan (includes 1 snack, 1 quick-service meal, and 1 table service meal per guest per night of stay, along with a refillable mug per guest)" value="yes-add-the-table-service-dining-plan-includes-1-snack-1-quickservice-meal-and-1-table-service-meal-per-guest-per-night-of-stay-along-with-a-refillable-mug-per-guest" selected="selected">Yes - Add the Table Service Dining Plan (includes 1 snack, 1 quick-service meal, and 1 table service meal per guest per night of stay, along with a refillable mug per guest)</option> <option label="Yes - Add the Quick-Service Dining Plan (includes 1 snack and 2 quick-service meals per guest per night of stay, along with a refillable mug per guest)" value="yes-add-the-quickservice-dining-plan-includes-1-snack-and-2-quickservice-meals-per-guest-per-night-of-stay-along-with-a-refillable-mug-per-guest">Yes - Add the Quick-Service Dining Plan (includes 1 snack and 2 quick-service meals per guest per night of stay, along with a refillable mug per guest)</option> <option label="No - I would not like a dining plan." value="no-i-would-not-like-a-dining-plan">No - I would not like a dining plan.</option> </field> <field type="radio-group" required="true" label="Would you like to add Travel Insurance to your vacation package?" name="would-you-like-to-add-travel-insurance-to-your-vacation-package"> <option label="Yes, please include Travel Protection in my quotes" value="yes-please-include-travel-protection-in-my-quotes">Yes, please include Travel Protection in my quotes</option> <option label="No, I do not want to purchase Travel Protection and assume all risks of that decision" value="no-i-do-not-want-to-purchase-travel-protection-and-assume-all-risks-of-that-decision">No, I do not want to purchase Travel Protection and assume all risks of that decision</option> </field> <field type="text" label="Will you be celebrating any special occasions this trip?" name="are-you-celebrating-any-special-occasions-this-trip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your booking timeline?" name="what-best-describes-your-booking-timeline"> <option label="Let's do this! I am ready to put my $200 deposit per room on my vacation " value="lets-do-this-i-am-ready-to-put-my-200-deposit-per-room-on-my-vacation-">Let's do this! I am ready to put my $200 deposit per room on my vacation </option> <option label="I will be ready to book in the next 2 weeks" value="i-will-be-ready-to-book-in-the-next-2-weeks">I will be ready to book in the next 2 weeks</option> <option label="I will be ready to book in the next month or longer" value="i-will-be-ready-to-book-in-the-next-month-or-longer">I will be ready to book in the next month or longer</option> <option label="I am just browsing at this time" value="i-am-just-browsing-at-this-time">I am just browsing at this time</option> </field> <field type="textarea" label="What can I do to make your vacation planning a great experience? Is there anything else you would like me to know?" name="what-can-i-do-to-make-your-vacation-planning-a-great-experience-is-there-anything-else-you-would-like-me-to-know" className="form-control"/> <field type="radio-group" required="true" label="Where did you hear about our agency?" name="where-did-you-hear-about-our-agency" other="true"> <option label="Facebook " value="facebook-">Facebook </option> <option label="Instagram " value="instagram-">Instagram </option> <option label="LinkedIn" value="linkedin">LinkedIn</option> <option label="Google" value="google">Google</option> <option label="Travel Leaders " value="travel-leaders-">Travel Leaders </option> <option label="Personal Reference" value="personal-reference">Personal Reference</option> </field> <field type="radio-group" label="Do you belong to any of the following groups?" name="do-you-belong-to-any-of-the-following-groups" other="true"> <option label="Repeat Client " value="repeat-client-">Repeat Client </option> <option label="United States Armed Forces (Active Duty and Retired Veterans Only with ID)" value="united-states-armed-forces-active-duty-and-retired-veterans-only-with-id">United States Armed Forces (Active Duty and Retired Veterans Only with ID)</option> <option label="Annual Passholder" value="annual-passholder">Annual Passholder</option> <option label="Disney Visa Rewards Cardholder" value="disney-visa-rewards-cardholder">Disney Visa Rewards Cardholder</option> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Florida Resident " value="florida-resident-">Florida Resident </option> <option label="California Resident " value="california-resident-">California Resident </option> <option label="Hawaiian Resident " value="hawaiian-resident-">Hawaiian Resident </option> <option label="Canadian Resident " value="canadian-resident-">Canadian Resident </option> <option label="UK Resident " value="uk-resident-">UK Resident </option> </field> </fields> </form-template> </body> </html>
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