Share your information with Amanda White

Amanda White

Amanda White Vacations

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Hello! Thanks for reaching out to Amanda White Vacations for your vacation needs! Please fill out the form to the best of your ability. This just gives me a general idea about which you are looking, and then I will be in touch to schedule an inquiry call with you. Please note, I do not give quotes for trips without this inquiry call as it gives me a better idea of what will be the BEST fit for you &amp;amp; your family according to your needs, wants, and budget."/>&#13;
		<field type="header" subtype="h1" label="Guest Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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 type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Full LEGAL Names and Date of Births for all Travelers&amp;nbsp;" name="full-legal-names-and-date-of-births-for-all-travelers-" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are you currently working with another travel agent on this vacation?" description="Have you asked another travel agent to provide a quote for this vacation?" name="are-you-currently-working-with-another-travel-agent-on-this-vacation" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Pertinent Vacation Information"/>&#13;
		<field type="text" required="true" label="Desired Dates of Travel" name="desired-dates-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where do you wish to Travel?" name="where-do-you-wish-to-travel">&#13;
			<option label="Walt Disney World (Florida)" value="walt-disney-world-florida">Walt Disney World (Florida)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Universal Orlando (Florida)" value="universal-orlando-florida">Universal Orlando (Florida)</option>&#13;
			<option label="Universal Hollywood (California)" value="universal-hollywood-california">Universal Hollywood (California)</option>&#13;
			<option label="Other Theme Park" value="other-theme-park">Other Theme Park</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Let&#39;s talk resort preferences:" name="lets-talk-resort-preferences" other="true">&#13;
			<option label="I only plan to sleep there" value="i-only-plan-to-sleep-there">I only plan to sleep there</option>&#13;
			<option label="I plan to spend time at the resort but mostly the parks" value="i-plan-to-spend-time-at-the-resort-but-mostly-the-parks">I plan to spend time at the resort but mostly the parks</option>&#13;
			<option label="I plan to spend a lot of time at the resort" value="i-plan-to-spend-a-lot-of-time-at-the-resort">I plan to spend a lot of time at the resort</option>&#13;
			<option label="I don't like outside entrance doors to my room" value="i-dont-like-outside-entrance-doors-to-my-room">I don't like outside entrance doors to my room</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="&amp;nbsp;Will you need assistance with any of the following?" description="This is to help me know what else you may need assistance with to navigate the parks including the rides  dining, and getting to &amp;amp; from the parks. Please include any relevant information/concerns." name="-will-you-need-assistance-with-any-of-the-following" other="true">&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Airport transfers" value="airport-transfers">Airport transfers</option>&#13;
			<option label="Disability pass" value="disability-pass">Disability pass</option>&#13;
			<option label="Stroller rental" value="stroller-rental">Stroller rental</option>&#13;
			<option label="ECV Rental" value="ecv-rental">ECV Rental</option>&#13;
			<option label="Food allergies" value="food-allergies">Food allergies</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Please take this area to list any other pertinent information you&#39;d like to me know. Note: I will be discussing park tickets/dining options with you during our call." name="please-take-this-area-to-list-any-other-pertinent-information-youd-like-to-me-know-note-i-will-be-discussing-park-ticketsdining-options-with-you-during-our-call" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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