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Jamie Bohn
Triple The Magic Travel Co.
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Disney Cruise Line Quote Request Form"/> <field type="paragraph" subtype="p" label="Please fill out the form below with as much detail as you can — this helps me create the best possible quote and recommendations for your trip."/> <field type="text" required="true" label="Full name" description="Enter your full first name." placeholder="Your answer" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Full last name" description="Enter your full last name." placeholder="Your answer" name="last-name" subtype="text" className="form-control"/> <field type="text" subtype="email" required="true" label="What is your email address?" placeholder="Your answer" name="email" className="form-control"/> <field type="text" subtype="tel" required="true" label="What is your phone number?" placeholder="Your answer" name="phone-number" className="form-control"/> <field type="radio-group" required="true" label="Do you prefer text or email communication?" name="communication-preference" className="radio-group"> <option label="Text" value="Text">Text</option> <option label="Email" value="Email">Email</option> </field> <field type="text" required="true" label="What Dates are you looking to travel? Please be specific, even if you need to leave multiple options." placeholder="Your answer" name="travel-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="Total number of adults?" placeholder="Your answer" name="total-number-adults" subtype="text" className="form-control"/> <field type="text" required="true" label="Total number of children &amp; their ages at time of travel?" placeholder="Your answer" name="total-number-children-ages" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What type of stateroom are you considering? Select all that apply. (These are listed by least expensive to most expensive)" name="stateroom-type" className="checkbox-group"> <option label="Inside (Enjoy a spacious stateroom, with a Magical Porthole showing real-time ocean views and animated Disney characters.)" value="Inside (Enjoy a spacious stateroom, with a Magical Porthole showing real-time ocean views and animated Disney characters.)">Inside (Enjoy a spacious stateroom, with a Magical Porthole showing real-time ocean views and animated Disney characters.)</option> <option label="Oceanview (Unwind in roomy quarters adorned in a charming nautical motif, with a real porthole window—or possibly 2!)" value="Oceanview (Unwind in roomy quarters adorned in a charming nautical motif, with a real porthole window—or possibly 2!)">Oceanview (Unwind in roomy quarters adorned in a charming nautical motif, with a real porthole window—or possibly 2!)</option> <option label="Verandah (These are our most spacious non-Concierge staterooms, each with a private verandah)" value="Verandah (These are our most spacious non-Concierge staterooms, each with a private verandah)">Verandah (These are our most spacious non-Concierge staterooms, each with a private verandah)</option> <option label="Concierge (Our most luxurious accommodations feature a large private verandah and premium amenities and services.)" value="Concierge (Our most luxurious accommodations feature a large private verandah and premium amenities and services.)">Concierge (Our most luxurious accommodations feature a large private verandah and premium amenities and services.)</option> <option label="I would like to see all options." value="I would like to see all options.">I would like to see all options.</option> </field> <field type="checkbox-group" required="true" label="How many nights would you like to sail? (select all that apply)" name="number-of-nights" className="checkbox-group"> <option label="1-3 nights" value="1-3 nights">1-3 nights</option> <option label="4 nights" value="4 nights">4 nights</option> <option label="5-6 nights" value="5-6 nights">5-6 nights</option> <option label="7 or more nights" value="7 or more nights">7 or more nights</option> </field> <field type="radio-group" required="true" label="Where would you like to sail?" name="destination" className="radio-group"> <option label="Alaska" value="Alaska">Alaska</option> <option label="Bahamas/Caribbean" value="Bahamas/Caribbean">Bahamas/Caribbean</option> <option label="Europe" value="Europe">Europe</option> <option label="Hawaii" value="Hawaii">Hawaii</option> <option label="Mexico" value="Mexico">Mexico</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Do you have any applicable Disney discounts?" name="disney-discounts" className="checkbox-group"> <option label="Military" value="Military">Military</option> <option label="Florida Resident" value="Florida Resident">Florida Resident</option> </field> <field type="radio-group" label="Do you have Castaway Club Status?" name="castaway-club-status" className="radio-group"> <option label="Sliver" value="Sliver">Sliver</option> <option label="Gold" value="Gold">Gold</option> <option label="Platinum" value="Platinum">Platinum</option> <option label="Pearl" value="Pearl">Pearl</option> </field> <field type="radio-group" required="true" label="Are you ready to make a fully refundable 10% deposit to secure your reservation as inventory changes daily?" name="deposit-readiness" className="radio-group"> <option label="Yes, I am ready to book." value="Yes, I am ready to book.">Yes, I am ready to book.</option> <option label="I am just looking." value="I am just looking.">I am just looking.</option> <option label="If I can find an option in my budget, I am ready to book." value="if-i-can-find-an-option-in-my-budget-i-am-ready-to-book">If I can find an option in my budget, I am ready to book.</option> </field> <field type="checkbox-group" required="true" label="How did you hear about me?" name="referral-source" other="true" className="checkbox-group"> <option label="Instagram" value="Instagram">Instagram</option> <option label="Facebook" value="Facebook">Facebook</option> <option label="Friend/Family" value="Friend/Family">Friend/Family</option> <option label="Tik Tok" value="Tik Tok">Tik Tok</option> </field> <field type="checkbox-group" required="true" label="Each vacation I plan is completely customized so I put a lot of time into making sure it truly fits your family. Here’s what to expect - Your proposal will be ready within 48 hours. Please send a quick reply once you receive it so I know it didn’t go to spam. If I don’t hear back in a few days, I’ll check in with a quick follow-up. After about a week, I’ll reach out to see if you’d like to keep your file open or close it out I know this is a big decision, and there’s never any pressure to book. I just ask for open communication so I can best support you!" name="checkbox-group-1775180508635" className="checkbox-group"> <option label="I understand responsiveness on my part is required" value="i-understand-responsiveness-on-my-part-is-required">I understand responsiveness on my part is required</option> </field> </fields> </form-template> </body> </html>
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