Share your information with Alyssa Domenici

Alyssa Domenici

Pixie Dusting Plans

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Select which destination(s) you wish to visit." name="select-which-destinations-you-wish-to-visit" multiple="multiple" className="form-control">&#13;
			<option label="Walt Disney World, Florida" value="walt-disney-world-florida">Walt Disney World, Florida</option>&#13;
			<option label="Universal Studios Orlando, Florida" value="universal-studios-orlando-florida">Universal Studios Orlando, Florida</option>&#13;
			<option label="Disneyland, California" value="disneyland-california">Disneyland, California</option>&#13;
			<option label="Universal Studios Hollywood, California" value="universal-studios-hollywood-california">Universal Studios Hollywood, California</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Aulani, Hawaii" value="aulani-hawaii">Aulani, Hawaii</option>&#13;
			<option label="Disneyland, Paris" value="disneyland-paris">Disneyland, Paris</option>&#13;
			<option label="Sandals All-Inclusive (for adults only)" value="sandals-allinclusive-for-adults-only">Sandals All-Inclusive (for adults only)</option>&#13;
			<option label="Beaches All-Inclusive (for families)" value="beaches-allinclusive-for-families">Beaches All-Inclusive (for families)</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Your preferred check-in date:" 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"/>&#13;
		<field type="date" required="true" label="Your preferred check-out date:" 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"/>&#13;
		<field type="text" required="true" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children? (Please include their ages at date of check-in so I can accurately price out your vacation packages.)" name="how-many-children-please-include-their-ages-at-date-of-checkin-so-i-can-accurately-price-out-your-vacation-packages" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please list each traveler&#39;s full name with ages of children at time of travel if applicable." name="please-list-each-travelers-full-name-with-ages-of-children-at-time-of-travel-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms do you need? If more than one, please specify who will be in each room (with ages of children)" name="how-many-rooms-do-you-need-if-more-than-one-please-specify-who-will-be-in-each-room-with-ages-of-children" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers? (excluding airfare)" description="This just gives me a general starting point and can always be changed later." name="budget">&#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;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Disney Destination Options" description="If you are planning a Disney trip  please let me know if you&#39;re interested in the below options." name="disney-destination-options">&#13;
			<option label="Park Hoppers" value="park-hoppers">Park Hoppers</option>&#13;
			<option label="Dining Plan" value="dining-plan">Dining Plan</option>&#13;
			<option label="Memory Maker" value="memory-maker">Memory Maker</option>&#13;
			<option label="Travel Protection" value="travel-protection">Travel Protection</option>&#13;
			<option label="N/A (not planning Disney)" value="na-not-planning-disney">N/A (not planning Disney)</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like us to know?" description="What else would you like us to know about your travelers  budget  and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about our free vacation planning services?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Specific Travel Agent Request" description="Let us know if there is a specific travel agent you&#39;d like to work with!" name="specific-travel-agent-request" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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