<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Lead Traveler's Info"/> <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="Preferred name" name="preferred-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="date" required="true" label="Your Birthday" name="birthday" className="form-control"/> <field type="checkbox-group" label="This is a mobile number&nbsp;" name="this-is-a-mobile-number-"> <option label="Yes" value="yes">Yes</option> </field> <field type="header" subtype="h1" label="General Trip Information"/> <field type="checkbox-group" required="true" label="Which Theme Park(s) are you interested in?" name="checkbox-group-1665369398990" other="true"> <option label="Walt Disney World (Orlando)" value="walt-disney-world-orlando">Walt Disney World (Orlando)</option> <option label="Universal Studios (Orlando)" value="universal-studios-orlando">Universal Studios (Orlando)</option> <option label="Volcano Bay (Orlando)" value="volcano-bay-orlando">Volcano Bay (Orlando)</option> <option label="Sea World (Orlando)" value="sea-world-orlando">Sea World (Orlando)</option> <option label="Aquatica (Orlando)" value="aquatica-orlando">Aquatica (Orlando)</option> <option label="Discovery Cove" value="discovery-cove">Discovery Cove</option> <option label="Legoland (Winter Haven, FL)" value="legoland-winter-haven-fl">Legoland (Winter Haven, FL)</option> </field> <field type="date" required="true" label="What date would you like to begin travel?&nbsp;" description="Please give the dates of your anticipated full vacation including non-park days." name="what-date-would-you-like-to-begin-travel-" className="form-control"/> <field type="date" required="true" label="What date would you like to end travel? (Including non-park days)" name="what-date-would-you-like-to-end-travel-including-nonpark-days" className="form-control"/> <field type="radio-group" required="true" label="Are these dates flexible?" inline="true" name="are-these-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Please enter names and birthdates of each person traveling with you." placeholder="Names and birthdates should match government issued photo IDs exactly. Change fees could incur if name spellings are changed after booking. If you have provided birthdates previously type "On File"." name="please-enter-names-and-birthdates-of-each-person-traveling-with-you" className="form-control"/> <field type="radio-group" required="true" label="What is your travel budget (total, for all passengers)" name="what-is-your-travel-budget-total-for-all-passengers" other="true"> <option label="$1000-1500" value="10001500">$1000-1500</option> <option label="$1501-2500" value="15012500">$1501-2500</option> <option label="$2501-4500" value="25014500">$2501-4500</option> <option label="$4501-6500" value="45016500">$4501-6500</option> <option label="$6501-8500" value="65018500">$6501-8500</option> <option label="$8501-10,000" value="850110000">$8501-10,000</option> <option label="$10,000 +" value="10000-">$10,000 +</option> </field> <field type="checkbox-group" required="true" label="What travel components will you need?" inline="true" name="what-travel-components-will-you-need"> <option label="Theme Park Tickets" value="theme-park-tickets" selected="selected">Theme Park Tickets</option> <option label="Hotel, on-site" value="hotel-onsite">Hotel, on-site</option> <option label="Hotel, off-site" value="hotel-offsite">Hotel, off-site</option> <option label="Trip Protection" value="trip-protection">Trip Protection</option> <option label="Flights" value="flights">Flights</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> </field> <field type="textarea" required="true" label="Are you interested in area activities not related to the theme park? If so, please list them here." name="are-you-interested-in-area-activities-not-related-to-the-theme-park-if-so-please-list-them-here" className="form-control"/> <field type="text" label="Do you have a specific hotel in mind?" name="do-you-have-a-specific-hotel-in-mind" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Ticket Info"/> <field type="date" required="true" label="Select the first date you would like to be in the parks" name="select-the-first-date-you-would-like-to-be-in-the-parks" className="form-control"/> <field type="radio-group" required="true" label="How many days would you like to be in the parks? (Note that Disney tickets as part of a package must be at least 2 days and not part of an on-site package must be at least 3 days. All other parks are flexible.)" inline="true" name="how-many-days-would-you-like-to-be-in-the-parks-note-that-disney-tickets-as-part-of-a-package-must-be-at-least-2-days-and-not-part-of-an-onsite-package-must-be-at-least-3-days-all-other-parks-are-flexible" other="true"> <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> </field> <field type="radio-group" required="true" label="Ticket Type:" name="ticket-type"> <option label="1 park per day" value="1-park-per-day">1 park per day</option> <option label="Multiple parks per day" value="multiple-parks-per-day">Multiple parks per day</option> </field> <field type="textarea" label="FOR DISNEY PACKAGES ONLY: Please specify which days you would like to be in each park" description="Disney continues to implement their park reservation system so you will need a separate park reservation for each ticket." name="for-disney-packages-only-please-specify-which-days-you-would-like-to-be-in-each-park" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in Express Pass (or it's equivalent per park)? (Note that Disney no longer offers Fast Pass and the new Genie+ must be purchased through the app on the day of your visit)" inline="true" name="are-you-interested-in-express-pass-or-its-equivalent-per-park-note-that-disney-no-longer-offers-fast-pass-and-the-new-genie-must-be-purchased-through-the-app-on-the-day-of-your-visit"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="How about the extras?" description="Note that Dining Packages are no longer available for some parks however there may be some other dining options available during the booking process." inline="true" name="how-about-the-extras" other="true"> <option label="Dining" value="dining">Dining</option> <option label="Photo Package" value="photo-package">Photo Package</option> <option label="VIP Tour" value="vip-tour">VIP Tour</option> <option label="Halloween" value="halloween">Halloween</option> <option label="Christmas" value="christmas">Christmas</option> <option label="Rock The Universe" value="rock-the-universe">Rock The Universe</option> </field> <field type="checkbox-group" required="true" label="Are you celebrating anything?" name="are-you-celebrating-anything" other="true"> <option label="No Celebration" value="no-celebration">No Celebration</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Retirement" value="retirement">Retirement</option> <option label="Family/Class Reunion" value="familyclass-reunion">Family/Class Reunion</option> </field> <field type="textarea" required="true" label="Does anyone in your traveling party have special Mobility, Dietary, or Medical Needs? (Please specify)" name="does-anyone-in-your-traveling-party-have-special-mobility-dietary-or-medical-needs-please-specify" className="form-control"/> <field type="checkbox-group" required="true" label="I have the authority and permission to oversee travel arrangements and agreements for each member of my traveling party.&nbsp;" name="i-have-the-authority-and-permission-to-oversee-travel-arrangements-and-agreements-for-each-member-of-my-traveling-party-"> <option label="Yes" value="yes">Yes</option> </field> <field type="checkbox-group" required="true" label="Preferred Method of Communication" inline="true" name="preferred-method-of-communication" other="true"> <option label="Text" value="text">Text</option> <option label="Facebook Messenger" value="facebook-messenger">Facebook Messenger</option> <option label="Email" value="email">Email</option> <option label="Phone Call" value="phone-call">Phone Call</option> </field> <field type="radio-group" required="true" label="I agree to receive email and snail mail marketing" name="i-agree-to-receive-email-and-snail-mail-marketing"> <option label="Yes" value="yes" selected="selected">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Proposals often end up in your spam folder, especially if it's the first email you get from me. Please add rena@latitudetravelplanning.com to your email address book/whitelist to ensure that you receive all messages from me. Thanks!"/> </fields> </form-template> </body> </html>
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