<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Traveler Details"/> <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 type="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control"> <option label="From a friend" value="from-a-friend">From a friend</option> <option label="GR Kids" value="gr-kids">GR Kids</option> <option label="Lowell Expo" value="lowell-expo">Lowell Expo</option> <option label="I've worked with Adventures by Lori before" value="repeat-client">I've worked with Adventures by Lori before</option> <option label="Search engine (Google, Bing, etc.)" value="search-engine-google-bing-etc">Search engine (Google, Bing, etc.)</option> <option label="Paper ad" value="paper-ad">Paper ad</option> <option label="Social media" value="social-media">Social media</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Referral source (if any)" description="Please indicate the person who referred you or how you learned about us if you selected "Other" above." name="person-referring-if-any" subtype="text" className="form-control"/> <field type="select" label="Requested Agent" name="requested-agent" className="form-control"> <option label="Lori Spoelstra" value="lori-spoelstra">Lori Spoelstra</option> <option label="Maddy Hacker" value="maddy-hacker">Maddy Hacker</option> </field> <field type="header" subtype="h3" label="Contact Information"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Address"/> <field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Details"/> <field type="date" required="true" label="When would you like to depart?" 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"/> <field type="date" required="true" label="When would you like to return?" 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"/> <field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Where do you want to go?&nbsp;" inline="true" name="where-do-you-want-to-go-"> <option label="Disney World (Florida)" value="disney-world-florida">Disney World (Florida)</option> <option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option> </field> <field type="checkbox-group" required="true" label="What do you need included in your booking?" description="Flights can no longer be included in a Disney vacation package and transportation from the Orlando airport to a Disney resort is no longer complimentary but can be added for an additional cost." inline="true" name="what-do-you-need-included-in-your-booking" other="true"> <option label="Resort" value="resort">Resort</option> <option label="Park Tickets" value="park-tickets">Park Tickets</option> <option label="Dining" value="dining">Dining</option> <option label="Special Event Tickets" value="special-event-tickets">Special Event Tickets</option> <option label="Transportation" value="transportation">Transportation</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Memory Maker (Disney World)" value="memory-maker-disney-world">Memory Maker (Disney World)</option> </field> <field type="checkbox-group" required="true" label="Where would you prefer to stay?" description="Note while we can book home rentals, we do not work with AirBnB or VRBO." name="where-would-you-prefer-to-stay" other="true"> <option label="On Disney Property (gives you access to all Disney amenities and non-stop park transportation included in a resort stay)" value="on-disney-property-gives-you-access-to-all-disney-amenities-and-nonstop-park-transportation-included-in-a-resort-stay" selected="selected">On Disney Property (gives you access to all Disney amenities and non-stop park transportation included in a resort stay)</option> <option label="Disney Good Neighbor Off-Site Hotel (may offer limited amenities such as intermittent transportation to the parks)" value="disney-good-neighbor-offsite-hotel-may-offer-limited-amenities-such-as-intermittent-transportation-to-the-parks">Disney Good Neighbor Off-Site Hotel (may offer limited amenities such as intermittent transportation to the parks)</option> <option label="Home Rental" value="home-rental">Home Rental</option> </field> <field type="text" required="true" label="Disney Resort Preference or Other Location Requests" description="Disney has three categories: value moderate, deluxe." name="resort-preference" subtype="text" className="form-control"/> <field type="text" label="Any features you'd like your room to have?&nbsp;" name="any-features-youd-like-your-room-to-have-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Room type preference?" inline="true" name="cabin-category-preference" other="true"> <option label="Entry level" value="entry-level">Entry level</option> <option label="Garden view" value="garden-view">Garden view</option> <option label="Water view" value="water-view">Water view</option> <option label="Suite" value="suite">Suite</option> </field> <field type="header" subtype="h3" label="Options"/> <field type="text" label="How many park days?" name="how-many-park-days" subtype="text" className="form-control"/> <field type="radio-group" label="What type of tickets?" description="Disney Genie+ is no longer a ticket add-on available for pre-purchase. You will be able to purchase this through the MyDisneyExperience app after you arrive on your vacation. We send more instructions on how to do that after your vacation is booked." inline="true" name="what-type-of-tickets"> <option label="Base tickets (one park per day)" value="base-tickets-one-park-per-day">Base tickets (one park per day)</option> <option label="Park hopper tickets (multiple parks in one day)" value="park-hopper-tickets-multiple-parks-in-one-day">Park hopper tickets (multiple parks in one day)</option> <option label="Park hopper plus tickets (multiple parks + water park each day)" value="park-hopper-plus-tickets-multiple-parks-water-park-each-day">Park hopper plus tickets (multiple parks + water park each day)</option> </field> <field type="radio-group" required="true" label="Which dining plan are you interested in?" description="Dining plans are now available for bookings starting January 9 2024! In addition to 2 meals per day both plans also include 1 snack or non-alcoholic beverage per day and the Disney Dining Plan includes 1 refillable resort drink mug per person. You will also be able to redeem 2 table service meal credits for 1 specialty dining experience such as fine dining dinner shows and select character meals." inline="true" name="which-dining-plan-are-you-interested-in"> <option label="Disney Dining Plan (1 table service and 1 quick service meal per day)" value="disney-dining-plan-1-table-service-and-1-quick-service-meal-per-day">Disney Dining Plan (1 table service and 1 quick service meal per day)</option> <option label="Disney Quick Service Plan (2 quick service meals per day)" value="disney-quick-service-plan-2-quick-service-meals-per-day">Disney Quick Service Plan (2 quick service meals per day)</option> <option label="I'd like prices for both!" value="id-like-prices-for-both">I'd like prices for both!</option> <option label="No dining plan" value="no-dining-plan">No dining plan</option> </field> <field type="checkbox-group" label="Which special event tickets are you interested in?" name="which-special-event-tickets-are-you-interested-in"> <option label="Mickey's Not So Scary Halloween Party (August - October)" value="mickeys-not-so-scary-halloween-party-august-october">Mickey's Not So Scary Halloween Party (August - October)</option> <option label="Mickey's Very Merry Christmas Party (November - December)" value="mickeys-very-merry-christmas-party-november-december">Mickey's Very Merry Christmas Party (November - December)</option> <option label="Disney Jollywood Nights (November - December)" value="disney-jollywood-nights-november-december">Disney Jollywood Nights (November - December)</option> <option label="Disney After Hours (parks and dates vary)" value="disney-after-hours-parks-and-dates-vary">Disney After Hours (parks and dates vary)</option> </field> <field type="textarea" label="More Information" description="Give us any other information about your family and the kind of Disney experience you want. Let us know as much as you can!" name="more-information" className="form-control"/> <field type="header" subtype="h1" label="Booking/Party Details"/> <field type="text" required="true" label="What is your total trip budget?" description="Please indicate total trip cost not per person. This can always be changed later." name="what-is-your-total-trip-budget" subtype="text" className="form-control"/> <field type="text" label="What is your departure city, if you are flying?" description="Where will you be flying from? Let us know here if you are planning to drive!" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Full, legal names and dates of birth of all travelers" description="Please use full legal names and dates of birth in this format: Firstname Middlename Lastname MM/DD/YYYY" name="full-legal-names-and-dates-of-birth-of-all-travelers" className="form-control"/> <field type="textarea" required="true" label="Does anyone in your party require special accommodations, such as ADA accessible rooms?" description="Include accessible rooms requests (such as first floor or needs for elevators) cribs for infants any allergies or dietary restrictions etc." name="does-anyone-in-your-party-require-special-accommodations-such-as-ada-accessible-rooms" className="form-control"/> <field type="checkbox-group" required="true" label="Are you traveling for a special occasion?" inline="true" name="are-you-traveling-for-a-special-occasion" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="None" value="none">None</option> </field> <field type="header" subtype="h1" label="Final Thoughts"/> <field type="checkbox-group" required="true" label="Preferred method of contact?" inline="true" name="preferred-method-of-contact"> <option label="Phone (call)" value="phone-call">Phone (call)</option> <option label="Phone (text)" value="phone-text">Phone (text)</option> <option label="Email" value="email">Email</option> </field> <field type="textarea" label="Are we missing anything?" description="Are there any other details you'd like us to know about your budget party or trip requests before we start working on this trip for you?" name="are-we-missing-anything" className="form-control"/> </fields> </form-template> </body> </html>
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