<html> <body> <form-template> <fields> <field type="header" subtype="h2" 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="Please list the full legal names of each person in your travel party as they appear on a passport, driver's license, or birth certificate AND their age at the time of travel.&nbsp; If you'd like more than one stateroom, please group everyone by how you'd like them to be broken up." description="Example: Room One- John Smith (42) Jane Smith (40) and Jack Smith (10) Room Two- Mike Miller (43) Mary Miller (40) and Mason Miller (11)" name="please-list-the-full-legal-names-of-each-person-in-your-travel-party-as-they-appear-on-a-passport-drivers-license-or-birth-certificate-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-hotel-room-please-group-everyone-by-how-youd-like-them-to-be-broken-up" className="form-control"/> <field type="checkbox-group" label="If you are a current Castaway Club Member, what level are you?" name="if-you-are-a-current-castaway-club-member-what-level-are-you"> <option label="I am new to Disney Cruise Line" value="i-am-new-to-disney-cruise-line" selected="selected">I am new to Disney Cruise Line</option> <option label="Silver (1-4 Completed Disney Cruises)" value="silver-14-completed-disney-cruises">Silver (1-4 Completed Disney Cruises)</option> <option label="Gold (5-9 Completed Disney Cruises)" value="gold-59-completed-disney-cruises">Gold (5-9 Completed Disney Cruises)</option> <option label="Platinum (10-24 Completed Disney Cruises)" value="platinum-1024-completed-disney-cruises">Platinum (10-24 Completed Disney Cruises)</option> <option label="Pearl (25+ Completed Disney Cruises)" value="pearl-25-completed-disney-cruises">Pearl (25+ Completed Disney Cruises)</option> </field> <field type="radio-group" required="true" label="When was the last time you took a Disney Cruise Line vacation?" name="when-was-the-last-time-you-visited-walt-disney-world"> <option label="In the last 3 years" value="in-the-last-3-years">In the last 3 years</option> <option label="3-5 years ago" value="35-years-ago">3-5 years ago</option> <option label="5-10 years ago" value="510-years-ago">5-10 years ago</option> <option label="10+ years ago" value="10-years-ago">10+ years ago</option> <option label="I have never been!" value="i-have-never-been">I have never been!</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="checkbox-group" required="true" label="When would you like to sail?" name="when-would-you-like-to-sail"> <option label="Winter" value="winter" selected="selected">Winter</option> <option label="Summer" value="summer">Summer</option> <option label="Spring" value="spring">Spring</option> <option label="Fall" value="fall">Fall</option> </field> <field type="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Would you like to book more than one stateroom?" name="would-you-like-to-book-more-than-one-stateroom"> <option label="Yes" value="yes" selected="selected">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="What best describes your stateroom preference?" name="hotel-preference"> <option label="Inside Stateroom (no windows) ($)" value="inside-stateroom-no-windows-">Inside Stateroom (no windows) ($)</option> <option label="Oceanview Stateroom (window with view of the ocean) ($$)" value="oceanview-stateroom-window-with-view-of-the-ocean-">Oceanview Stateroom (window with view of the ocean) ($$)</option> <option label="Stateroom with Verandah (balcony overlooking the ocean) ($$$)" value="stateroom-with-verandah-balcony-overlooking-the-ocean-">Stateroom with Verandah (balcony overlooking the ocean) ($$$)</option> <option label="Concierge Stateroom (specialty category with enhanced services and benefits) ($$$$)" value="concierge-stateroom-specialty-category-with-enhanced-services-and-benefits-">Concierge Stateroom (specialty category with enhanced services and benefits) ($$$$)</option> <option label="Concierge Suite (offers multiple bedroom options and specialty services) ($$$$$)" value="concierge-suite-offers-multiple-bedroom-options-and-specialty-services-">Concierge Suite (offers multiple bedroom options and specialty services) ($$$$$)</option> </field> <field type="checkbox-group" required="true" label="What destinations are you interested in sailing to? (Select up to three)" inline="true" name="what-destinations-are-you-interested-in-sailing-to-select-up-to-three"> <option label="Alaska" value="alaska">Alaska</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="Transatlantic" value="transatlantic">Transatlantic</option> <option label="Disney's Castaway Cay" value="disneys-castaway-cay">Disney's Castaway Cay</option> </field> <field type="checkbox-group" required="true" label="How long is your ideal Disney Cruise?&nbsp;" inline="true" name="how-long-is-your-ideal-disney-cruise-"> <option label="3 nights" value="3-nights">3 nights</option> <option label="4 nights (recommended minimum)" value="4-nights-recommended-minimum">4 nights (recommended minimum)</option> <option label="5 to 6 nights" value="5-to-6-nights">5 to 6 nights</option> <option label="7 nights" value="7-nights">7 nights</option> <option label="8 to 13 nights" value="8-to-13-nights">8 to 13 nights</option> <option label="14 nights or more" value="14-nights-or-more">14 nights or more</option> </field> <field type="radio-group" required="true" label="What is your preferred departure port?&nbsp;" description="Most itineraries only go out of specific ports so depending on what is most important to you other aspects of your trip may change." name="what-is-your-preferred-departure-port-"> <option label="Port Canaveral, Florida" value="port-canaveral-florida">Port Canaveral, Florida</option> <option label="San Diego, California" value="san-diego-california">San Diego, California</option> <option label="Galveston, Texas" value="galveston-texas">Galveston, Texas</option> <option label="Ft. Lauderdale, Florida" value="ft-lauderdale-florida">Ft. Lauderdale, Florida</option> <option label="New York, New York" value="new-york-new-york">New York, New York</option> <option label="New Orleans, Louisiana" value="new-orleans-louisiana">New Orleans, Louisiana</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Vancouver (British Columbia), Canada" value="vancouver-british-columbia-canada">Vancouver (British Columbia), Canada</option> <option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option> <option label="Civitavecchia (Rome), Italy" value="civitavecchia-rome-italy">Civitavecchia (Rome), Italy</option> <option label="Copenhagen, Denmark" value="copenhagen-denmark">Copenhagen, Denmark</option> <option label="Dover, England" value="dover-england">Dover, England</option> <option label="Southampton, England" value="southampton-england">Southampton, England</option> </field> <field type="radio-group" required="true" label="If you have a preferred ship, which ship is it?" description="Note that your preferred ship may not go to your preferred destination on the itinerary you are looking for. We will do our best to find the perfect cruise for you!" name="if-you-have-a-preferred-ship-which-ship-is-it"> <option label="No preference" value="no-preference">No preference</option> <option label="Disney Wish" value="disney-wish">Disney Wish</option> <option label="Disney Dream" value="disney-dream">Disney Dream</option> <option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option> <option label="Disney Wonder" value="disney-wonder">Disney Wonder</option> <option label="Disney Magic" value="disney-magic">Disney Magic</option> <option label="Disney Treasure" value="disney-treasure">Disney Treasure</option> </field> <field type="radio-group" required="true" label="Are you interested in any of these themed or holiday cruises?&nbsp;" name="are-you-interested-in-any-of-these-themed-or-holiday-cruises-"> <option label="No preference" value="no-preference">No preference</option> <option label="Marvel Day at Sea (typically offered from late January into March on the Disney Magic)" value="marvel-day-at-sea-typically-offered-from-late-january-into-march-on-the-disney-magic">Marvel Day at Sea (typically offered from late January into March on the Disney Magic)</option> <option label="Pixar Day at Sea (typically offered from late January into March on the Disney Fantasy)" value="pixar-day-at-sea-typically-offered-from-late-january-into-march-on-the-disney-fantasy">Pixar Day at Sea (typically offered from late January into March on the Disney Fantasy)</option> <option label="Halloween on the High Seas (typically offered fleet-wide in September and October)" value="halloween-on-the-high-seas-typically-offered-fleetwide-in-september-and-october">Halloween on the High Seas (typically offered fleet-wide in September and October)</option> <option label="Very Merrytime (typically offered fleet-wide in November and December)" value="very-merrytime-typically-offered-fleetwide-in-november-and-december">Very Merrytime (typically offered fleet-wide in November and December)</option> </field> <field type="radio-group" required="true" label="What is MOST important to you when considering your cruise options?&nbsp;" name="what-is-most-important-to-you-when-considering-your-cruise-options-"> <option label="Sailing within our preferred dates" value="sailing-within-our-preferred-dates">Sailing within our preferred dates</option> <option label="Sailing on our preferred ship" value="sailing-on-our-preferred-ship">Sailing on our preferred ship</option> <option label="Sailing from our preferred port" value="sailing-from-our-preferred-port">Sailing from our preferred port</option> <option label="Sailing for our preferred cruise length" value="sailing-for-our-preferred-cruise-length">Sailing for our preferred cruise length</option> <option label="Staying within our budget" value="staying-within-our-budget">Staying within our budget</option> <option label="Sailing on a themed sailing" value="sailing-on-a-themed-sailing">Sailing on a themed sailing</option> </field> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation?" description="Information on the policy can be provided upon request." name="would-you-like-travel-insurance-included-in-your-vacation"> <option label="Yes, please include it in my quotes." value="yes-please-include-it-in-my-quotes">Yes, please include it in my quotes.</option> <option label="No, I do not wish to purchase travel insurance and assume all risk of that decision." value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase travel insurance and assume all risk of that decision.</option> <option label="I will be purchasing travel insurance through an outside vendor." value="i-will-be-purchasing-travel-insurance-through-an-outside-vendor">I will be purchasing travel insurance through an outside vendor.</option> </field> <field type="radio-group" required="true" label="Have you ever worked with a travel agent before?&nbsp;" inline="true" name="have-you-ever-worked-with-a-travel-agent-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers NOT including flights?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="Under $2,500" value="under-2500">Under $2,500</option> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 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="Which of the following describes your booking timeline?" name="which-of-the-following-describes-your-booking-timeline"> <option label="We are ready to place a 20% deposit per stateroom on our vacation." value="we-are-ready-to-place-a-20-deposit-per-stateroom-on-our-vacation">We are ready to place a 20% deposit per stateroom on our vacation.</option> <option label="We will be ready to make the deposit in the next two weeks." value="we-will-be-ready-to-make-the-deposit-in-the-next-two-weeks">We will be ready to make the deposit in the next two weeks.</option> <option label="We won't be ready to book for a month or more." value="we-wont-be-ready-to-book-for-a-month-or-more">We won't be ready to book for a month or more.</option> <option label="We would like an idea on pricing, but plan to book the trip on our own or with another agent." value="we-would-like-an-idea-on-pricing-but-plan-to-book-the-trip-on-our-own-or-with-another-agent">We would like an idea on pricing, but plan to book the trip on our own or with another agent.</option> </field> <field type="header" subtype="h1" label="Client Consultations&nbsp;"/> <field type="checkbox-group" required="true" label="To best serve my clients and to ensure I am matching you with your best possible vacation, I require a phone consultation before providing quotes to any potential clients. Do you agree to scheduling a phone consultation with me in a timely fashion?" name="before-you-go-please-acknowledge-the-following-"> <option label="I agree to schedule a phone consultation within the next 2 weeks" value="i-agree-to-schedule-a-phone-consultation-within-the-next-2-weeks">I agree to schedule a phone consultation within the next 2 weeks</option> <option label=" refuse a phone consultation and understand that this means I will not receive a quote for a Disney Cruise Line vacation" value="-refuse-a-phone-consultation-and-understand-that-this-means-i-will-not-receive-a-quote-for-a-disney-cruise-line-vacation"> refuse a phone consultation and understand that this means I will not receive a quote for a Disney Cruise Line vacation</option> </field> <field type="checkbox-group" label="Do you belong to any of the following groups?&nbsp;" inline="true" name="do-you-belong-to-any-of-the-following-groups-"> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="United States Armed Forces (Active Duty and Retired Veteran Only)" value="united-states-armed-forces-active-duty-and-retired-veteran-only">United States Armed Forces (Active Duty and Retired Veteran Only)</option> <option label="Disney Visa Rewards Cardholder" value="disney-visa-rewards-cardholder">Disney Visa Rewards Cardholder</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> <field type="date" label="Please select your preferred date for a phone consultation (If I am unavilable on your preferred date I will reach out to reschedule)" name="please-select-your-preferred-date-for-a-phone-consultation-if-i-am-unavilable-on-your-preferred-date-i-will-reach-out-to-reschedule" className="form-control"/> <field type="radio-group" label="Please select your preferred time for a phone consultation, (if your time frame does not work for my schedule I will reach out to reschedule)*" name="please-select-your-preferred-time-for-a-phone-consultation-if-your-time-frame-does-not-work-for-my-schedule-i-will-reach-out-to-reschedule"> <option label="Morning (10:00AM EST- 3PM EST)" value="morning-1000am-est-3pm-est">Morning (10:00AM EST- 3PM EST)</option> <option label="Evening (After 7PM EST)" value="evening-after-7pm-est">Evening (After 7PM EST)</option> </field> </fields> </form-template> </body> </html>
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