Joy Doan

JRM Travel, LLC, affiliate of Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your Universal trip"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your Walt Disney World dream vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Find me on Social Media here:"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;* Facebook: https://www.facebook.com/groups/JRMTravel/"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;* Instagram: https://www.instagram.com/travelwithjoydoan"/>&#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="Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Other Travelers' Names and Dates of Birth" name="other-travelers-names-and-dates-of-birth" className="form-control"/>&#13;
		<field type="date" required="true" label="Start Date" name="start-date" className="form-control"/>&#13;
		<field type="date" required="true" label="End Date" name="end-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your Dates Flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget without airfare?&amp;nbsp;&amp;nbsp;" name="what-is-your-budget-without-airfare-">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000 +" value="10000-">$10,000 +</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you need airfare booked by JRM Travel?&amp;nbsp; If so, what is your departure city? (Please Note: Fees do apply to Air Bookings by JRM Travel)" name="do-you-need-airfare-booked-by-jrm-travel-if-so-what-is-your-departure-city-please-note-fees-do-apply-to-air-bookings-by-jrm-travel" className="form-control"/>&#13;
		<field type="radio-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="Prime Value" value="prime-value">Prime Value</option>&#13;
			<option label="Preferred " value="preferred-">Preferred </option>&#13;
			<option label="Premier" value="premier">Premier</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What Theme Park Ticket options would you like to explore?" name="what-theme-park-ticket-options-would-you-like-to-explore">&#13;
			<option label="Admission to one park per day" value="admission-to-one-park-per-day">Admission to one park per day</option>&#13;
			<option label="2 Parks - Park to Park " value="2-parks-park-to-park-">2 Parks - Park to Park </option>&#13;
			<option label="3 Parks - Park to Park " value="3-parks-park-to-park-">3 Parks - Park to Park </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like me to quote the Dining Plan options for you?" name="would-you-like-me-to-quote-the-dining-plan-for-you">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Both with and without" value="both-with-and-without">Both with and without</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need me to arrange your ground transfers?&amp;nbsp;" name="do-you-need-me-to-arrange-your-ground-transfers-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="We would like a rental car" value="we-would-like-a-rental-car">We would like a rental car</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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