Share your information with Tiffany Vinson

Tiffany Vinson

Travelmation LLC

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	<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="date" required="true" label="Preferred Check In Date" name="date-1769997569012" className="form-control"/>&#13;
		<field type="date" required="true" label="Preferred Check Out Date" name="date-1769997585507" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults/children?" name="text-1769997600323" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="If children under 18, please provide their ages at the time of travel or birthdays" name="text-1769997638668" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you need flights to and from the airport?" name="radio-group-1769999072027">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, please provide your preferred airport." name="text-1769999095355" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="If flying, will you need airport transportation?" name="radio-group-1769999152683">&#13;
			<option label="Yes, I would like shared transportation" value="yes-i-would-like-shared-transportation">Yes, I would like shared transportation</option>&#13;
			<option label="Yes, I would like private transportation" value="yes-i-would-like-private-transportation">Yes, I would like private transportation</option>&#13;
			<option label="No, I will use Uber/Lyft" value="no-i-will-use-uberlyft">No, I will use Uber/Lyft</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What parks would you like to visit?" name="radio-group-1769999022884">&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Islands of Adventure" value="islands-of-adventure">Islands of Adventure</option>&#13;
			<option label="Epic Universe" value="epic-universe">Epic Universe</option>&#13;
			<option label="Volcano Bay (water park)" value="volcano-bay-water-park">Volcano Bay (water park)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Where would you like to stay?" description="If you already know what resort you would like, choose &quot;other&quot; and let me know!" name="radio-group-1769999241082" other="true">&#13;
			<option label="Value resort on property (approximately $100-$300/night)" value="value-resort-on-property-approximately-100300night">Value resort on property (approximately $100-$300/night)</option>&#13;
			<option label="Prime Value resort on property (approximately $150-$450/night)" value="prime-value-resort-on-property-approximately-150450night">Prime Value resort on property (approximately $150-$450/night)</option>&#13;
			<option label="Preferred resort on property (approximately $225-$450/night)" value="preferred-resort-on-property-approximately-225450night">Preferred resort on property (approximately $225-$450/night)</option>&#13;
			<option label="Premier resort on property (approximately $350-$850/night)" value="premier-resort-on-property-approximately-350850night">Premier resort on property (approximately $350-$850/night)</option>&#13;
			<option label="Off property" value="off-property">Off property</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many park days do you want?" name="text-1769999597851" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you interested in the Universal Express Pass (allows you to skip the lines)?" name="radio-group-1769999617211">&#13;
			<option label="Yes - skip one time per ride" value="yes-skip-one-time-per-ride">Yes - skip one time per ride</option>&#13;
			<option label="Yes - skip as many times as I want (all Premier resorts include the Unlimited Express Pass)" value="yes-skip-as-many-times-as-i-want-all-premier-resorts-include-the-unlimited-express-pass">Yes - skip as many times as I want (all Premier resorts include the Unlimited Express Pass)</option>&#13;
			<option label="No - we will wait in the standby lines" value="no-we-will-wait-in-the-standby-lines">No - we will wait in the standby lines</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like park-to-park tickets that allow you to visit multiple parks in one day?&amp;nbsp; In order to ride the Hogwarts Express, a park to park is required." name="radio-group-1769999689627">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I'm not sure" value="im-not-sure">I'm not sure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like information on any special events?" name="checkbox-group-1769999840890" other="true">&#13;
			<option label="Halloween Horror Nights" value="halloween-horror-nights">Halloween Horror Nights</option>&#13;
			<option label="Rock the Universe" value="rock-the-universe">Rock the Universe</option>&#13;
			<option label="Holidays at Universal" value="holidays-at-universal">Holidays at Universal</option>&#13;
			<option label="Shared VIP Tour" value="shared-vip-tour">Shared VIP Tour</option>&#13;
			<option label="Private VIP Tour" value="private-vip-tour">Private VIP Tour</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to add &quot;cancel for any reason&quot; insurance?" name="radio-group-1769999889035">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else you want me to know?" name="textarea-1769999913034" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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