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Stephanie Stefanick

Stephanie Stefanick - Travelmation

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		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR TRIP&amp;nbsp;"/>&#13;
		<field type="checkbox-group" label="What vacation type are you looking to plan?" name="what-vacation-type-are-you-looking-to-plan">&#13;
			<option label="Walt Disney World (Orlando)" value="walt-disney-world-orlando">Walt Disney World (Orlando)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Disneyland (Paris)" value="disneyland-paris">Disneyland (Paris)</option>&#13;
			<option label="Universal Studios/Harry Potter World" value="universal-studiosharry-potter-world">Universal Studios/Harry Potter World</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Other (Busch Gardens, Sea World, etc.)" value="other-busch-gardens-sea-world-etc">Other (Busch Gardens, Sea World, etc.)</option>&#13;
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		<field type="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="text" label="What is the reason for the trip?" name="what-is-the-reason-for-the-trip" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Will you be celebrating anything during this trip? If so, what is the celebration and what date would you like to celebrate?" name="will-you-be-celebrating-anything-during-this-trip-if-so-what-is-the-celebration-and-what-date-would-you-like-to-celebrate" className="form-control"/>&#13;
		<field type="text" label="How many adults will be traveling?" name="how-many-adults-will-be-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children (if applicable)?" name="how-many-children-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list the ages of all children (at time of travel):" name="please-list-the-ages-of-all-children-at-time-of-travel" className="form-control"/>&#13;
		<field type="radio-group" label="At what phase of planning are you currently in?" name="at-what-phase-of-planning-are-you-currently-in">&#13;
			<option label="We haven’t done a thing - HELP!" value="we-havent-done-a-thing-help">We haven’t done a thing - HELP!</option>&#13;
			<option label="We have dates, but we need everything else" value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else</option>&#13;
			<option label="Flights are all booked...now help us fill in the blanks!" value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks!</option>&#13;
			<option label="We have hotels and flights already booked, but we need park planning" value="we-have-hotels-and-flights-already-booked-but-we-need-park-planning">We have hotels and flights already booked, but we need park planning</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers? This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later">&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option>&#13;
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>&#13;
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Park Package" value="park-package">Park Package</option>&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option>&#13;
			<option label="A la carte add-ons (Genie+, Park-Hopper, character meet and greets, dining reservations, etc.)" value="a-la-carte-addons-genie-parkhopper-character-meet-and-greets-dining-reservations-etc">A la carte add-ons (Genie+, Park-Hopper, character meet and greets, dining reservations, etc.)</option>&#13;
			<option label="Insurance" value="insurance">Insurance</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your preferred accommodation? Please note that certain Disney options are only available to those in Deluxe on-property accommodations." name="what-is-your-preferred-accommodation-please-note-that-certain-disney-options-are-only-available-to-those-in-deluxe-onproperty-accommodations">&#13;
			<option label="Economical (does not need to be on park property)" value="economical-does-not-need-to-be-on-park-property">Economical (does not need to be on park property)</option>&#13;
			<option label="Moderate (does not need to be on park property)" value="moderate-does-not-need-to-be-on-park-property">Moderate (does not need to be on park property)</option>&#13;
			<option label="Moderate (located on park property)" value="moderate-located-on-park-property">Moderate (located on park property)</option>&#13;
			<option label="Luxury (does not need to be on park property)" value="luxury-does-not-need-to-be-on-park-property">Luxury (does not need to be on park property)</option>&#13;
			<option label="Luxury (located on park property)" value="luxury-located-on-park-property">Luxury (located on park property)</option>&#13;
		</field>&#13;
		<field type="textarea" label="What are your amenity “must haves”? Is there anything you would want your hotels to have such as a pool, on-site restaurant, bar, etc.?" name="what-are-your-amenity-must-haves-is-there-anything-you-would-want-your-hotels-to-have-such-as-a-pool-onsite-restaurant-bar-etc" className="form-control"/>&#13;
		<field type="checkbox-group" label="What experiences are you looking for? Check all that apply." name="what-experiences-are-you-looking-for-check-all-that-apply">&#13;
			<option label="Genie+" value="genie">Genie+</option>&#13;
			<option label="Park-hopper passes" value="parkhopper-passes">Park-hopper passes</option>&#13;
			<option label="Magic bands" value="magic-bands">Magic bands</option>&#13;
			<option label="Character breakfasts" value="character-breakfasts">Character breakfasts</option>&#13;
			<option label="On-property dining reservations" value="onproperty-dining-reservations">On-property dining reservations</option>&#13;
			<option label="Dining with an Imagineer" value="dining-with-an-imagineer">Dining with an Imagineer</option>&#13;
			<option label="VIP park guides" value="vip-park-guides">VIP park guides</option>&#13;
			<option label="Backstage tours" value="backstage-tours">Backstage tours</option>&#13;
			<option label="Memory Maker photo sessions" value="memory-maker-photo-sessions">Memory Maker photo sessions</option>&#13;
			<option label="Character meet &amp; greets" value="character-meet-greets">Character meet &amp; greets</option>&#13;
			<option label="Bibbidi Bobbidi Boutique" value="bibbidi-bobbidi-boutique">Bibbidi Bobbidi Boutique</option>&#13;
		</field>&#13;
		<field type="textarea" label="What are your “must have” experiences for this vacation?" name="what-are-your-must-have-experiences-for-this-vacation" className="form-control"/>&#13;
		<field type="textarea" label="What are you most excited about for this vacation?" name="what-are-you-most-excited-about-for-this-vacation" className="form-control"/>&#13;
		<field type="radio-group" label="Have you been to this/these theme park(s) before?" name="have-you-been-to-thisthese-theme-parks-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do any travelers have allergies that I should be aware of? We will do our best to accommodate." name="do-any-travelers-have-allergies-that-i-should-be-aware-of-we-will-do-our-best-to-accommodate" className="form-control"/>&#13;
		<field type="textarea" label="Are there any differently-abled travelers that we should be aware of? If so, please describe the level of physical restrictions." name="are-there-any-differentlyabled-travelers-that-we-should-be-aware-of-if-so-please-describe-the-level-of-physical-restrictions" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="LET’S REVIEW THAT “FINE PRINT”"/>&#13;
		<field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal will come as one packaged rate and itemized pricing will not be available?" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundled-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-creates-a-seamless-and-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-will-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available">&#13;
			<option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option>&#13;
		</field>&#13;
	</fields>&#13;
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