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Ashley Bryson
Travelmation
<html> <body> <form-template> <fields> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="I understand that Ashley is not compensated by the vendor for the work she has done on my trip until I complete my travel on a booking executed by her.&nbsp;" inline="true" name="i-understand-that-ashley-is-not-compensated-by-the-vendor-for-the-work-she-has-done-on-my-trip-until-i-complete-my-travel-on-a-booking-executed-by-her-"> <option label="Yes" value="yes">Yes</option> </field> <field type="header" subtype="h2" label="Full name (as it appears on your passport and/or government issued ID)"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" label="Birthdate" name="birthdate" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adults (+18) will be traveling? PLEASE INCLUDE: NAMES (as it appears on the passport and/or government issued ID) DATES OF BIRTH for each person.*" name="how-many-adults-18-will-be-traveling-please-include-names-as-it-appears-on-the-passport-andorny-adults-18-will-be-traveling-please-include-names-as-it-appears-on-the-passport-andor-government-issued-id-dates-of-birth-for-each-person" subtype="text" className="form-control"/> <field type="text" required="true" label="How many kids (17 and under) will be traveling? PLEASE INCLUDE: NAMES (as it appears on the passport and/or government issued ID) DATES OF BIRTH for each person.*" name="how-many-kids-17-and-under-will-be-traveling-please-include-names-as-it-appears-on-the-passport-andor-government-issued-id-dates-of-birth-for-each-person" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you are not sure just give me a few destinations you are considering" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you would like to go. It can be changed lated" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="If you need flights, what airport is your preference?" name="if-you-need-flights-what-airport-is-your-preference" subtype="text" className="form-control"/> <field type="text" label="What airline do you prefer? Do you have a rewards number (SkyMiles, etc.)?" name="what-airline-do-you-prefer-do-you-have-a-rewards-number-skymiles-etc" subtype="text" className="form-control"/> <field type="radio-group" label="If you are wanting to go to Walt Disney World, what hotel category would you prefer?" name="if-you-are-wanting-to-go-to-walt-disney-world-what-hotel-category-would-you-prefer" other="true"> <option label="Deluxe" value="deluxe">Deluxe</option> <option label="Moderate " value="moderate-">Moderate </option> <option label="Value" value="value">Value</option> <option label="No Hotel Room Needed" value="no-hotel-room-needed">No Hotel Room Needed</option> </field> <field type="checkbox-group" label="If interested in a Walt Disney World Deluxe Resort, are you looking for a Club Level room?" name="if-interested-in-a-walt-disney-world-deluxe-resort-are-you-looking-for-a-club-level-room"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="How many days in the parks would you like?" name="parks-" subtype="text" className="form-control"/> <field type="checkbox-group" label="&nbsp;Would you like Park Hopper tickets?" name="-would-you-like-park-hopper-tickets"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Would you be interested in adding a Disney Cruise to your Disney vacation?" name="would-you-be-interested-in-adding-a-disney-cruise-to-your-disney-vacation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="If you want a Universal Studios vacation, what hotel category would you prefer?" name="if-you-want-a-universal-studios-vacation-what-hotel-category-would-you-prefer"> <option label="Premier" value="premier">Premier</option> <option label="Preferred" value="preferred">Preferred</option> <option label="Prime Value" value="prime-value">Prime Value</option> <option label="Value" value="value">Value</option> <option label="No Hotel Room Needed" value="no-hotel-room-needed">No Hotel Room Needed</option> </field> <field type="text" label="How many days in the parks would you like?" name="how-many-days-in-the-parks-would-you-like" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you interested in Park-to-Park tickets?" name="are-you-interested-in-parktopark-tickets"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Hotel Bed Preference" name="hotel-bed-preference"> <option label="2 Double Beds" value="2-double-beds">2 Double Beds</option> <option label="1 King Size Bed" value="1-king-size-bed">1 King Size Bed</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="If you are interested in a cruise, what type of cruise do you want?" name="if-you-are-interested-in-a-cruise-what-type-of-cruise-do-you-want"> <option label="Ocean Cruise - Alaska" value="ocean-cruise-alaska">Ocean Cruise - Alaska</option> <option label="Ocean Cruise - Asia" value="ocean-cruise-asia">Ocean Cruise - Asia</option> <option label="Ocean Cruise - Caribbean" value="ocean-cruise-caribbean">Ocean Cruise - Caribbean</option> <option label="Ocean Cruise - Europe" value="ocean-cruise-europe">Ocean Cruise - Europe</option> <option label="River Cruise - Europe " value="river-cruise-europe-">River Cruise - Europe </option> <option label="River Cruise - America " value="river-cruise-america-">River Cruise - America </option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="If you are interested in a cruise, what cruise line do you prefer?" description="Check all that apply" name="if-you-are-interested-in-a-cruise-what-cruise-line-do-you-prefer"> <option label="Ama Waterways" value="ama-waterways">Ama Waterways</option> <option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option> <option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option> <option label="Princess Cruise Line" value="princess-cruise-line">Princess Cruise Line</option> <option label="Royal Caribbean Cruise Line" value="royal-caribbean-cruise-line">Royal Caribbean Cruise Line</option> <option label="Viking River Cruises" value="viking-river-cruises">Viking River Cruises</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> <option label="Other " value="other-">Other </option> </field> <field type="text" label="What port would you like to cruise out of?" name="what-port-would-you-like-to-cruise-out-of" subtype="text" className="form-control"/> <field type="text" label="Do you have a rewards number with the cruise line?" name="do-you-have-a-rewards-number-with-the-cruise-line" subtype="text" className="form-control"/> <field type="radio-group" label="If you are looking to cruise, what is your preferred stateroom category?" name="if-you-are-looking-to-cruise-what-is-your-preferred-stateroom-category"> <option label="Suite" value="suite">Suite</option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Oceanview (window)" value="oceanview-window">Oceanview (window)</option> <option label="Interior (no window) " value="interior-no-window-">Interior (no window) </option> </field> <field type="checkbox-group" label="What are you looking for in your vacation?" description="Check all that apply" name="what-are-you-looking-for-in-your-vacation"> <option label="Romantic" value="romantic">Romantic</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Party" value="party">Party</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="What is your ideal budget EXCLUDING any flights / transportation? *The amount below is the total cost of the trip. For example, two people traveling to Mexico might select the $3000-$5000 option." description="This just gives me a general starting point. It can be changed later." name="what-is-your-ideal-budget-excluding-any-flights-transportation-the-amount-below-is-the-total-cost-of-the-trip-for-example-two-people-traveling-to-mexico-might-select-the-30005000-option"> <option label="Less than $1,000" value="less-than-1000">Less than $1,000</option> <option label="$1,000 to 3,000" value="1000-to-3000">$1,000 to 3,000</option> <option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option> <option label="$5,000 to $10,000" value="5000-to-10000">$5,000 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="what-activities-are-you-interested-in"> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference"> <option label="Economy " value="economy-">Economy </option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Other " value="other-">Other </option> </field> <field type="text" label="Are you celebrating anything while on this trip?" name="are-you-celebrating-anything-while-on-this-trip" subtype="text" className="form-control"/> <field type="text" label="If a friend referred you, who can I thank?" name="if-a-friend-referred-you-who-can-i-thank" subtype="text" className="form-control"/> <field type="text" label="What else would you like me to know? Dietary restrictions/medical or accessibility restrictions, etc?" name="what-else-would-you-like-me-to-know-dietary-restrictionsmedical-or-accessibility-restrictions-etc" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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