Share your information with Kelsey Stiles

Kelsey Stiles

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="PLAN A TRIP WITH KELSEY STILES"/>&#13;
		<field type="paragraph" subtype="p" label="After you fill out this form, you can expect a response from me within 48 business hours! Sometimes my emails get lost in your spam folder, so keep an eye out for my email address - plandisneywithstiles@gmail.com."/>&#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" 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="checkbox-group" required="true" label="Where would you like to travel?" description="Check all that apply" name="where-would-you-like-to-travel" other="true">&#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="Disney Cruise " value="disney-cruise-">Disney Cruise </option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="SeaWorld / Discovery Cove" value="seaworld-discovery-cove">SeaWorld / Discovery Cove</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to start your trip?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return home?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list the names of everyone traveling with you, along with the ages of all children." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is anyone in your travel party U.S. Military? (At Disney, this only includes Active Duty, Retired, or 100% Disabled Veteran)" name="is-anyone-in-your-travel-party-us-military-at-disney-this-only-includes-active-duty-retired-or-100-disabled-veteran">&#13;
			<option label="No" value="no" selected="selected">No</option>&#13;
			<option label="Yes - Active Duty, Retired, or 100% Disabled Veteran" value="yes-active-duty-retired-or-100-disabled-veteran">Yes - Active Duty, Retired, or 100% Disabled Veteran</option>&#13;
			<option label="Yes - Veteran but not any of those mentioned above" value="yes-veteran-but-not-any-of-those-mentioned-above">Yes - Veteran but not any of those mentioned above</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Additional Discount Qualifiers: Are you...&amp;nbsp;" name="additional-discount-qualifiers-are-you-">&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="Southern California Resident" value="southern-california-resident">Southern California Resident</option>&#13;
			<option label="Disney Visa Card Member" value="disney-visa-card-member">Disney Visa Card Member</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" 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="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Villas" value="villas">Villas</option>&#13;
			<option label="Family Suite" value="family-suite">Family Suite</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a specific resort in mind?&amp;nbsp;" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How many days would you like to spend in the theme parks?" name="how-many-days-would-you-like-to-spend-in-the-theme-parks">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7+" value="7">7+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If visiting Disney, which type of park ticket are you interested in?" name="if-visiting-disney-which-type-of-park-ticket-are-you-interested-in">&#13;
			<option label="Base Ticket: 1 Park per Day" value="base-ticket-1-park-per-day">Base Ticket: 1 Park per Day</option>&#13;
			<option label="Park Hopper: Visit additional parks after 2 PM" value="park-hopper-visit-additional-parks-after-2-pm">Park Hopper: Visit additional parks after 2 PM</option>&#13;
			<option label="Water Park and Sports Option" value="water-park-and-sports-option">Water Park and Sports Option</option>&#13;
			<option label="Park Hopper Plus: All Parks + Water Parks" value="park-hopper-plus-all-parks-water-parks">Park Hopper Plus: All Parks + Water Parks</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Will you be celebrating a special occasion?" description="Check all that apply" name="will-you-be-celebrating-a-special-occasion" other="true">&#13;
			<option label="First Visit" value="first-visit">First Visit</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary " value="anniversary-">Anniversary </option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me 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;
		<field type="radio-group" required="true" label="How did you hear about me?&amp;nbsp;" name="how-did-you-hear-about-me-" other="true">&#13;
			<option label="I'm a returning client" value="im-a-returning-client">I'm a returning client</option>&#13;
			<option label="A friend/family member" value="a-friendfamily-member">A friend/family member</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>