Share your information with Kristen Siegle

Kristen Siegle

Travelmation LLC

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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>&#13;
		<field type="text" subtype="email" required="true" label="Email" placeholder="Your email" name="email" className="form-control"/>&#13;
		<field type="select" label="Would you like to join my email list for Disney &amp;amp; Universal news, current promos, planning tips, and free guides?" placeholder="Choose" name="join-email-list" className="form-control">&#13;
			<option label="Choose" value="">Choose</option>&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Phone Number" placeholder="Your answer" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preffered Method of Contact" name="preffered-method-of-contact" other="true" className="checkbox-group">&#13;
			<option label="Text" value="Text">Text</option>&#13;
			<option label="Phone Call" value="Phone Call">Phone Call</option>&#13;
			<option label="Email" value="Email">Email</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Walt Disney World  Universal Orlando, Disneyland, Universal Hollywood, Disney Cruise Line, etc." name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="# of Traveling Adults" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="# of Traveling Children &amp;amp; Ages" placeholder="ex: 1 child  age 5" name="-of-traveling-children-ages" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" className="radio-group">&#13;
			<option label="$2500 or less" value="2500-or-less">$2500 or less</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Preferred Accommodation Type" description="Feel free to select a few options!" name="preferred-accommodation-type" other="true">&#13;
			<option label="Value Resort (e.g., Disney’s All-Star Resorts, Universal’s Endless Summer)" value="value-resort-eg-disneys-allstar-resorts-universals-endless-summer">Value Resort (e.g., Disney’s All-Star Resorts, Universal’s Endless Summer)</option>&#13;
			<option label="Moderate Resort (e.g., Disney’s Port Orleans, Universal’s Cabana Bay)" value="moderate-resort-eg-disneys-port-orleans-universals-cabana-bay">Moderate Resort (e.g., Disney’s Port Orleans, Universal’s Cabana Bay)</option>&#13;
			<option label="Deluxe Resort (e.g., Disney’s Grand Floridian, Universal’s Hard Rock Hotel)" value="deluxe-resort-eg-disneys-grand-floridian-universals-hard-rock-hotel">Deluxe Resort (e.g., Disney’s Grand Floridian, Universal’s Hard Rock Hotel)</option>&#13;
			<option label="Off-Site Hotel" value="offsite-hotel">Off-Site Hotel</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="date" label="When would you like to depart?" 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" label="When would you like to return?" 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="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which parks would you like to visit?" name="which-parks-would-you-like-to-visit">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Disney’s Hollywood Studios" value="disneys-hollywood-studios">Disney’s Hollywood Studios</option>&#13;
			<option label="Disney’s Animal Kingdom" value="disneys-animal-kingdom">Disney’s Animal Kingdom</option>&#13;
			<option label="Disney's Typhoon Lagoon" value="disneys-typhoon-lagoon">Disney's Typhoon Lagoon</option>&#13;
			<option label="Disney's Blizzard Beach" value="disneys-blizzard-beach">Disney's Blizzard Beach</option>&#13;
			<option label="Universal Studios Florida" value="universal-studios-florida">Universal Studios Florida</option>&#13;
			<option label="Universal’s Islands of Adventure" value="universals-islands-of-adventure">Universal’s Islands of Adventure</option>&#13;
			<option label="Universal’s Volcano Bay" value="universals-volcano-bay">Universal’s Volcano Bay</option>&#13;
			<option label="Universal's Epic Universe" value="universals-epic-universe">Universal's Epic Universe</option>&#13;
			<option label="Universal Orlando Halloween Horror Nights" value="universal-orlando-halloween-horror-nights">Universal Orlando Halloween Horror Nights</option>&#13;
		</field>&#13;
		<field type="text" label="How many days would you like to spend in the parks?" description="We can always adjust this if needed!" name="how-many-days-would-you-like-to-spend-in-the-parks" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are we celebrating anything special on this trip?&amp;nbsp;" name="are-we-celebrating-anything-special-on-this-trip-" other="true">&#13;
			<option label="First visit" value="first-visit">First visit</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Retirement" value="retirement">Retirement</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Have you visited Disney or Universal before?" name="have-you-visited-disney-or-universal-before" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="There are special discounts for certain groups. Are you in any of the below groups? Select all that apply." name="there-are-special-discounts-for-certain-groups-are-you-in-any-of-the-below-groups-select-all-that-apply">&#13;
			<option label="Active or Retired Military" value="active-or-retired-military">Active or Retired Military</option>&#13;
			<option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option>&#13;
			<option label="DVC Member" value="dvc-member">DVC Member</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="Annual Passholder (Disney)" value="annual-passholder-disney">Annual Passholder (Disney)</option>&#13;
			<option label="Annual Passholder (Universal)" value="annual-passholder-universal">Annual Passholder (Universal)</option>&#13;
			<option label="Active Disney+ Subscriber" value="active-disney-subscriber">Active Disney+ Subscriber</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How did you hear about me?&amp;nbsp;" name="how-did-you-hear-about-me-" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Referred by another client (please add their name below so I can say thank you!!)" value="referred-by-another-client-please-add-their-name-below-so-i-can-say-thank-you">Referred by another client (please add their name below so I can say thank you!!)</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" placeholder="Feel free to use this space to tell me anything else not mentioned above and/or your favorite things/characters/etc!" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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