Share your information with Amanda Martens

Amanda Martens

Just a Dream Away Vacations

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let’s Build the Vacation of Your Dreams ✨"/>&#13;
		<field type="paragraph" subtype="p" label="Your next adventure is just a dream away! I’m here to bring your vision to life. Let’s chat about what matters most: your budget, celebrations, perfect dates, and all the details that make your trip unique. I’ll craft a personalized quote just for you, and my services are completely free!"/>&#13;
		<field type="paragraph" subtype="p" label="*** BEFORE YOU BEGIN: Consider booking a quick call instead. A short chat lets me learn your vacation goals in real time and speeds up the entire proposal process. Do that here: https://calendly.com/amandamartens-dreamawayvacations/complimentaryconsult"/>&#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="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What destination are you interested in?" name="radio-group-1763266794952" other="true">&#13;
			<option label="Disney World in Florida" value="disney-world-in-florida">Disney World in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Disneyland Paris" value="disneyland-paris">Disneyland Paris</option>&#13;
			<option label="Disney's Aulani in Hawaii" value="disneys-aulani-in-hawaii">Disney's Aulani in Hawaii</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="Royal Caribbean Cruise" value="royal-caribbean-cruise">Royal Caribbean Cruise</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Estimated Arrival Date" name="date-1763267119769" className="form-control"/>&#13;
		<field type="date" required="true" label="Estimated Departure Date" name="date-1763267168822" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What’s your estimated budget for your resort and tickets?*" name="radio-group-1763267265674">&#13;
			<option label="$3000 - $5000 USD" value="3000-5000-usd">$3000 - $5000 USD</option>&#13;
			<option label="$5000 - $7000 USD" value="5000-7000-usd">$5000 - $7000 USD</option>&#13;
			<option label="$7000 - $9000 USD" value="7000-9000-usd">$7000 - $9000 USD</option>&#13;
			<option label="$10,000 USD +" value="10000-usd-">$10,000 USD +</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" label="If it relates to your travel plans, can you tell me which of these you are needing?" name="select-1763268731989" className="form-control">&#13;
			<option label="Hotel Room &amp; Park Tickets" value="hotel-room-park-tickets">Hotel Room &amp; Park Tickets</option>&#13;
			<option label="Hotel Room Only" value="hotel-room-only">Hotel Room Only</option>&#13;
			<option label="Park Tickets Only" value="park-tickets-only">Park Tickets Only</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults are going on this trip" name="text-1763268835504" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children are going on this trip? **Please include their ages at time of travel for accurate pricing." name="text-1763268910271" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Please indicate if you qualify for any of the following discounts" name="radio-group-1763269014304">&#13;
			<option label="Active, Retired or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired or 100% Disabled Military</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="DVC Member" value="dvc-member">DVC Member</option>&#13;
			<option label="Florida Resident (Walt Disney World)" value="florida-resident-walt-disney-world">Florida Resident (Walt Disney World)</option>&#13;
			<option label="California Resident (Disneyland)" value="california-resident-disneyland">California Resident (Disneyland)</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="textarea" label="Are you celebrating anything special on this trip?" name="textarea-1763269177153" className="form-control"/>&#13;
		<field type="textarea" label="Anything additional you’d like me to keep in mind for your quote?" name="textarea-1763269440068" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How did you hear about me?" name="radio-group-1763269211722">&#13;
			<option label="Facebook Page" value="facebook-page">Facebook Page</option>&#13;
			<option label="Facebook Group" value="facebook-group">Facebook Group</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Website" value="website">Website</option>&#13;
			<option label="Pinterest" value="pinterest">Pinterest</option>&#13;
			<option label="Friend and/or Family" value="friend-andor-family">Friend and/or Family</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>