Share your information with Pinks & Greens Travel Company

Pinks & Greens Travel Company

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your 2027 Walt Disney World Vacation!"/>&#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 type="text" required="true" 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="text" required="true" label="When would you like to travel? (Please be specific or let us know if you&#39;re flexible)" name="when-would-you-like-to-travel-please-be-specific-or-let-us-know-if-youre-flexible" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Which park(s) would you like to see? (select all that apply)" name="which-parks-would-you-like-to-see-select-all-that-apply" multiple="multiple" className="form-control">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option>&#13;
			<option label="Disney's Water Parks" value="disneys-water-parks">Disney's Water Parks</option>&#13;
		</field>&#13;
		<field type="text" label="How many park days would you like to experience?" name="how-many-park-days-would-you-like-to-experience" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a specific resort you&#39;d like to stay at?" name="do-you-have-a-specific-resort-youd-like-to-stay-at" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to add the Disney Dining Plan?&amp;nbsp;" name="would-you-like-to-add-the-disney-dining-plan-free-for-children-3-9-in-2026" other="true">&#13;
			<option label="YES!" value="yes">YES!</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Let's talk about it!" value="lets-talk-about-it">Let's talk about it!</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Under $3,000" value="under-3000">Under $3,000</option>&#13;
			<option label="$3,000 - 5,000" value="3000-5000">$3,000 - 5,000</option>&#13;
			<option label="$5,000 - 7,500" value="5000-7500">$5,000 - 7,500</option>&#13;
			<option label="$7,500 - 10,000" value="7500-10000">$7,500 - 10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" label="Are you currently working with a travel advisor?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like us to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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