Share your information with Veronica, Travel Agent

Veronica, Travel Agent

W2 Travels

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="date" required="true" label="Date Of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="date" label="Check-in Date" name="checkin-date" className="form-control"/>&#13;
		<field type="date" label="Check-Out Date" name="checkout-date" className="form-control"/>&#13;
		<field type="radio-group" label="What Park/Resort are you interested in?" name="what-parkresort-are-you-interested-in">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disney Land" value="disney-land">Disney Land</option>&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Sea World" value="sea-world">Sea World</option>&#13;
			<option label="Disney Cruise " value="disney-cruise-">Disney Cruise </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Cruise Departing from (Answer ONLY if you&#39;re choosing to cruise)" name="cruise-departing-from-">&#13;
			<option label="Fort Lauderdale FL" value="fort-lauderdale-fl">Fort Lauderdale FL</option>&#13;
			<option label="Port Canaveral FL" value="port-canaveral-fl">Port Canaveral FL</option>&#13;
			<option label="Galveston Texas" value="galveston-texas">Galveston Texas</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How many Travelers ?" name="how-many-travelers-">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4-5" value="45">4-5</option>&#13;
			<option label="5-10" value="510">5-10</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget?" name="what-is-your-budget">&#13;
			<option label="1,000-2,000" value="10002000">1,000-2,000</option>&#13;
			<option label="2,000-3,500" value="20003500">2,000-3,500</option>&#13;
			<option label="3,500-5,000" value="35005000">3,500-5,000</option>&#13;
			<option label="Open Budget" value="open-budget">Open Budget</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What property type are you considering?" name="radio-group-1739567581174">&#13;
			<option label="Disney On site (Quick access to theme Parks)" value="disney-on-site-quick-access-to-theme-parks">Disney On site (Quick access to theme Parks)</option>&#13;
			<option label="Off Property (Disney Preferred Resort or Hotel)" value="off-property-disney-preferred-resort-or-hotel">Off Property (Disney Preferred Resort or Hotel)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Name and Ages of All Guest At Time Of Travel" name="name-and-ages-of-all-guest-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many days at the park? (Minuimum&amp;nbsp; 2 days)" name="how-many-days-at-the-park" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Research Fee" name="research-fee">&#13;
			<option label="Returning Client ( Has booked and traveled within the last calendar year)" value="returning-client-has-booked-and-traveled-within-the-last-calendar-year">Returning Client ( Has booked and traveled within the last calendar year)</option>&#13;
			<option label="Disney World/Land Planning $25" value="disney-worldland-planning-25">Disney World/Land Planning $25</option>&#13;
			<option label="Disney, Universal Studios &amp; Seaworld $50" value="disney-universal-studios-seaworld-50">Disney, Universal Studios &amp; Seaworld $50</option>&#13;
			<option label="Seaworld Only $25" value="seaworld-only-25">Seaworld Only $25</option>&#13;
			<option label="Theme Park Tickets $15" value="theme-park-tickets-15">Theme Park Tickets $15</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How will you be paying your fee?" name="how-will-you-be-paying-your-fee">&#13;
			<option label="Venmo (vwalker334@gmail.com)" value="venmo-vwalker334gmailcom">Venmo (vwalker334@gmail.com)</option>&#13;
			<option label="Apple Pay (205-859-9251)" value="apple-pay-2058599251">Apple Pay (205-859-9251)</option>&#13;
			<option label="Send invoice " value="send-invoice-">Send invoice </option>&#13;
			<option label=" Repeat Client" value="-repeat-client"> Repeat Client</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="It is my assumption that when you are completing this form you are planning to book within 2 weeks from the date you receive your quote. So, if you receive your quote on the 8th you should be ready to book by the 23rd. If you do not have intentions on booking that soon, it is our recommendation you do not submit a quote form. Pricing and availability are ALWAYS subject to change. The current turn around time is ***5 business**** days this does not include weekends or holidays. All communication will be done via email. Thank you WARE2TRAVELS&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>