<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Disney World Proposal Request"/> <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="date" required="true" label="When would you like to arrive at Disney?" 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 depart Disney?" 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" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers including all adults and children?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="For children in your travel party above, please share ages of each; ie (1,3,5,8):" description="Please make sure children are included in total traveler number above. If none put in 0" name="for-children-in-your-travel-party-above-please-share-ages-of-each-ie-1358" subtype="text" className="form-control"/> <field type="text" label="If you are traveling with someone already working with Jen, please share their&nbsp; name here:" description="Provide this information if you intend to be share plans with this and/or other families." name="if-you-are-traveling-with-someone-already-working-with-jen-please-share-their-name-here" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your target budget for all travelers?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget" other="true"> <option label="$1,500 to $4,500" value="1500-to-4500">$1,500 to $4,500</option> <option label="$4,500 to $8,500" value="4500-to-8500">$4,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" label="Which, if any, Disney affiliations do you have?" description="You may not have any of these!" name="which-if-any-disney-affiliations-do-you-have" other="true"> <option label="Current Passholder" value="current-passholder">Current Passholder</option> <option label="Disney+" value="disney">Disney+</option> <option label="Disney Visa Card Holder" value="disney-visa-card-holder">Disney Visa Card Holder</option> <option label="DVC" value="dvc">DVC</option> <option label="Club 33" value="club-33">Club 33</option> <option label="D 23" value="d-23">D 23</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> </field> <field type="checkbox-group" label="How do you intend to travel to Disney World?" name="how-do-you-intend-to-travel-to-disney-world" other="true"> <option label="Fly" value="fly">Fly</option> <option label="Drive" value="drive">Drive</option> <option label="Not sure yet..." value="not-sure-yet">Not sure yet...</option> </field> <field type="checkbox-group" label="Preferred Resort Hotel Category (if you have a specific resort, select "Other" and please list.)" description="This is just a starting point and can be changed." name="preferred-resort-hotel-category-if-you-have-a-specific-resort-select-other-and-please-list" other="true"> <option label="Deluxe ($$$-$$$$) - Contemporary, Grand Floridian, Polynesian, Animal Kingdom Lodge, etc." value="deluxe-contemporary-grand-floridian-polynesian-animal-kingdom-lodge-etc">Deluxe ($$$-$$$$) - Contemporary, Grand Floridian, Polynesian, Animal Kingdom Lodge, etc.</option> <option label="Deluxe Villa ($$$-$$$$) - Bay Lake Tower, Kidani Village, Copper Creek at Wilderness, etc." value="deluxe-villa-bay-lake-tower-kidani-village-copper-creek-at-wilderness-etc">Deluxe Villa ($$$-$$$$) - Bay Lake Tower, Kidani Village, Copper Creek at Wilderness, etc.</option> <option label="Moderate ($$) - Caribbean Beach, Port Orleans Resorts, Coronado Resort, & Cabins at Fort Wilderness" value="moderate-caribbean-beach-port-orleans-resorts-coronado-resort-cabins-at-fort-wilderness">Moderate ($$) - Caribbean Beach, Port Orleans Resorts, Coronado Resort, & Cabins at Fort Wilderness</option> <option label="Value ($) - Art of Animation, Pop Century, All-Star Resorts" value="value-art-of-animation-pop-century-allstar-resorts">Value ($) - Art of Animation, Pop Century, All-Star Resorts</option> <option label="Quote me your favorite of each category, please!" value="quote-me-your-favorite-of-each-category-please">Quote me your favorite of each category, please!</option> <option label="Four Seasons Orlando at Disney World Resort" value="four-seasons-orlando-at-disney-world-resort">Four Seasons Orlando at Disney World Resort</option> <option label="Orlando Area Resorts - Deluxe Level" value="orlando-area-resorts-deluxe-level">Orlando Area Resorts - Deluxe Level</option> <option label="Orlando Area Resorts - Moderate Level" value="orlando-area-resorts-moderate-level">Orlando Area Resorts - Moderate Level</option> <option label="Orlando Area Resorts - Value" value="orlando-area-resorts-value">Orlando Area Resorts - Value</option> </field> <field type="textarea" label="Are there any specific resorts that you definitely want included in your initial proposal?" name="are-there-any-resorts-that-you-definitely-want-included-in-your-initial-proposal" className="form-control"/> <field type="select" label="How many days do you want to spend in the parks? Click a few to show a range if you aren't sure yet." name="how-many-days-do-you-want-to-spend-in-the-parks-click-a-few-to-show-a-range-if-you-arent-sure-yet" multiple="multiple" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</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="select" label="Preferred Ticket Type" name="preferred-ticket-type" className="form-control"> <option label="Single ParkTickets - entry into 1 park per day" value="single-parktickets-entry-into-1-park-per-day">Single ParkTickets - entry into 1 park per day</option> <option label="Park Hopper Tickets - entry into multiple parks per day" value="park-hopper-tickets-entry-into-multiple-parks-per-day">Park Hopper Tickets - entry into multiple parks per day</option> </field> <field type="checkbox-group" label="Additional Activities Impacting Planning" name="additional-activities-impacting-planning" other="true"> <option label="Golf" value="golf">Golf</option> <option label="Spa" value="spa">Spa</option> <option label="Resort Rest or Pool Day" value="resort-rest-or-pool-day">Resort Rest or Pool Day</option> <option label="Disney Springs Shopping" value="disney-springs-shopping">Disney Springs Shopping</option> </field> <field type="select" label="Memory Maker PhotoPass Package - pre-purchase unlimited photos including ride attractions, dining, and park photos." name="memory-maker-photopass-package-169-in-advance-prepurchase-unlimited-photos-including-ride-attractions-dining-and-park-photos" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe later..." value="maybe-later">Maybe later...</option> </field> <field type="checkbox-group" label="Is there anything non-Disney you plan on doing during this particular vacation? Check all that apply or for which you want more information." name="is-there-anything-nondisney-you-plan-on-doing-during-this-particular-vacation-check-all-that-apply-or-for-which-you-want-more-information" other="true"> <option label="Universal Studios/Universal Islands of Adventure/Universal Volcano Bay/Universal Citywalk" value="universal-studiosuniversal-islands-of-adventureuniversal-volcano-bayuniversal-citywalk">Universal Studios/Universal Islands of Adventure/Universal Volcano Bay/Universal Citywalk</option> <option label="Discovery Cove, SeaWorld, Aquatica" value="discovery-cove-seaworld-aquatica">Discovery Cove, SeaWorld, Aquatica</option> <option label="Visiting nearby family or friends" value="visiting-nearby-family-or-friends">Visiting nearby family or friends</option> <option label="Visiting nearby beaches" value="visiting-nearby-beaches">Visiting nearby beaches</option> <option label="Cruise before or after Walt Disney World" value="cruise-before-or-after-walt-disney-world">Cruise before or after Walt Disney World</option> <option label="Nope, Disney - all day, everyday!" value="nope-disney-all-day-everyday">Nope, Disney - all day, everyday!</option> </field> <field type="textarea" label="Please share any health, mobility, or dietary concerns that may need accommodated during your trip." name="please-share-any-health-mobility-or-dietary-concerns-that-may-need-accommodated-during-your-trip" className="form-control"/> <field type="textarea" label="Please share anything that you think will help me make the best recommendations for you." name="textarea-1643642705961" className="form-control"/> <field type="text" label="Also, please share who referred you - so I can be sure to thank them!" description="If you found me via social media or some other way feel free to add that!" name="also-please-share-who-referred-you-so-i-can-be-sure-to-thank-them" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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