<html> <body> <form-template> <fields> <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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Dates"/> <field type="checkbox-group" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If your dates are flexible, list your options below." name="if-your-dates-are-flexible-list-a-few-options-below" subtype="text" className="form-control"/> <field type="date" label="Check In Date" name="check-in-date" className="form-control"/> <field type="date" label="Check Out Date" name="check-out-date" className="form-control"/> <field type="header" subtype="h1" label="Your Trip and Accommodations&nbsp;"/> <field type="text" label="What is your budget (not including airfare)?" name="what-is-your-budget-not-including-airfare" subtype="text" className="form-control"/> <field type="checkbox-group" label="When choosing a resort, what is most important to you?&nbsp;" name="when-choosing-a-resort-what-is-most-important-to-you-" other="true"> <option label="Cost/Value" value="costvalue">Cost/Value</option> <option label="Convenience and Location " value="convenience-and-location-">Convenience and Location </option> <option label="Amenities (Pool, Restaurants, etc)" value="amenities-pool-restaurants-etc">Amenities (Pool, Restaurants, etc)</option> <option label="Transportation Options" value="transportation-options">Transportation Options</option> </field> <field type="checkbox-group" label="Are you celebrating while on vacation?" name="are-you-celebrating-while-on-vacation"> <option label="Birthday" value="birthday">Birthday</option> <option label="First Visit" value="first-visit">First Visit</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Personal Triumph" value="personal-triumph">Personal Triumph</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Reunion" value="reunion">Reunion</option> <option label="Graduation" value="graduation">Graduation</option> </field> <field type="checkbox-group" label="Which destination are you interested in?" name="which-destination-are-you-interested-in"> <option label="Walt Disney World Resort in Florida" value="walt-disney-world-resort-in-florida">Walt Disney World Resort in Florida</option> <option label="Universal Orlando Resort" value="universal-orlando-resort">Universal Orlando Resort</option> <option label="Disneyland Resort in California" value="disneyland-resort-in-california">Disneyland Resort in California</option> </field> <field type="text" label="Do you have a specific resort in mind?&nbsp;" description="If Disney Cruise Line or Adventures by Disney list Sailing or Tour you're interested in." name="do-you-have-a-specific-resort-in-mind" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Which attractions are you interested in visiting? (check all)"/> <field type="checkbox-group" label="If you're visiting the Orlando area" name="check-all-the-parks-and-attractions-below-that-you-wish-to-visit" other="true"> <option label="Magic Kingdom " value="magic-kingdom-">Magic Kingdom </option> <option label="Epcot " value="epcot-">Epcot </option> <option label="Hollywood Studios " value="hollywood-studios-">Hollywood Studios </option> <option label="Animal Kingdom " value="animal-kingdom-">Animal Kingdom </option> <option label="Typhoon Lagoon or Blizzard Beach " value="typhoon-lagoon-or-blizzard-beach-">Typhoon Lagoon or Blizzard Beach </option> <option label="Universal Studios" value="universal-studios">Universal Studios</option> <option label="Universal Islands of Adventure " value="universal-islands-of-adventure-">Universal Islands of Adventure </option> <option label="Universal Volcano Bay" value="universal-volcano-bay">Universal Volcano Bay</option> <option label="Sea World " value="sea-world-">Sea World </option> <option label="Discovery Cove" value="discovery-cove">Discovery Cove</option> <option label="Legoland" value="legoland">Legoland</option> </field> <field type="checkbox-group" label="If you're visiting the Los Angeles and San Diego area" name="if-youre-visiting-the-los-angeles-and-san-diego-area"> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="California Adventure" value="california-adventure">California Adventure</option> <option label="Universal Hollywood " value="universal-hollywood-">Universal Hollywood </option> <option label="San Diego Zoo" value="san-diego-zoo">San Diego Zoo</option> <option label="Legoland California" value="legoland-california">Legoland California</option> <option label="Sea World" value="sea-world">Sea World</option> </field> <field type="header" subtype="h1" label="Guest Information"/> <field type="text" label="Total number of adults traveling" name="total-number-of-adults-traveling" subtype="text" className="form-control"/> <field type="text" label="Total number of children traveling" name="total-number-of-kids-traveling" subtype="text" className="form-control"/> <field type="text" label="What ages will each child be at time of travel?" name="ages-of-kids-at-time-of-travel" subtype="text" className="form-control"/> <field type="textarea" label="If you anticipate needing more than one room, please specify how you would like the rooms to be divided." placeholder="Example: Room 1: 2 adults 2 kids (12 15) Room 2: 1 adult 3 kids (4, 6, 9)" name="if-you-will-need-more-than-one-room-list-how-the-rooms-will-be-split" className="form-control"/> <field type="radio-group" label="How did you hear about us?" name="how-did-you-hear-about-us"> <option label="Friend or Family" value="friend-or-family">Friend or Family</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Google" value="google">Google</option> </field> <field type="text" label="If you chose family or friend, who can we thank?" name="if-you-chose-familyfriend-who-can-we-thank" subtype="text" className="form-control"/> <field type="radio-group" label="When are you planning to book?" name="when-are-you-planning-to-book"> <option label="Ready to book" value="ready-to-book">Ready to book</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Reasearching" value="reasearching">Reasearching</option> </field> <field type="radio-group" label="How would you like to be contacted?" name="how-would-you-like-to-be-contacted"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="text" label="Do you have an agent you'd like to work with?" name="do-you-have-an-agent-youd-like-to-work-with" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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