Share your information with Luke Smith

Luke Smith

Totally Booked Dude

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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="header" subtype="h2" label="Walt Disney World "/>&#13;
		<field type="paragraph" subtype="p" label="Welcome to Totally Booked Dude&#39;s Disney World Trip Form! We&#39;re thrilled to help you plan an unforgettable vacation at the happiest place on earth. We pride ourselves on providing excellent service, and booking with us allows us to assist you in making dining reservations, theme park reservations, and provide you with peace of mind. To ensure we provide you with the best possible options, we kindly ask you to complete the following information. Our travel agent will be in touch with you shortly to discuss your preferences and finalize your itinerary."/>&#13;
		<field type="text" required="true" label="Your Name" placeholder="Your answer" name="first-and-last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email Address" placeholder="Your answer" name="email" className="form-control"/>&#13;
		<field type="text" label="Phone Number" placeholder="Your answer" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Home Address" placeholder="Your answer" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is your preferred method of contact? Select all that apply." name="preferred-method-of-contact" className="checkbox-group">&#13;
			<option label="Email" value="Email">Email</option>&#13;
			<option label="Phone" value="Phone">Phone</option>&#13;
			<option label="Text" value="Text">Text</option>&#13;
			<option label="Facebook Messenger" value="Facebook Messenger">Facebook Messenger</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your budget excluding air travel? If you do not have one please write none." placeholder="Your answer" name="budget-excluding-air-travel" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Desired Check-In Date?" name="starting-at" className="form-control"/>&#13;
		<field type="date" label="Desired Check-Out Date?" name="ending-at" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="dates-flexible" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
			<option label="Maybe" value="Maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="text" label="How many adults ages 10 and older are in your party at the time of travel?" placeholder="Your answer" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children between the ages of 3 and 9 at the time of travel?" placeholder="Your answer" name="number-of-children-3-9" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children under the age of 3 at the time of travel?" placeholder="Your answer" name="number-of-children-under-3" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What type of booking are you interested in?" name="booking-type" className="radio-group">&#13;
			<option label="Package (Hotel and Theme Park Tickets)" value="Package (Hotel and Theme Park Tickets)">Package (Hotel and Theme Park Tickets)</option>&#13;
			<option label="Hotel Only" value="Hotel Only">Hotel Only</option>&#13;
			<option label="Theme Park Tickets Only" value="Theme Park Tickets Only">Theme Park Tickets Only</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Please select your preferred resort(s). Walt Disney World features 3 types of Resorts. Value, Moderate and Deluxe. (If unsure please skip this question and I can make suggestions)" name="preferred-resorts" className="checkbox-group">&#13;
			<option label="No Hotel Needed" value="No Hotel Needed">No Hotel Needed</option>&#13;
			<option label="Any Disney Value Resort" value="Any Disney Value Resort">Any Disney Value Resort</option>&#13;
			<option label="Any Disney Moderate Resort" value="Any Disney Moderate Resort">Any Disney Moderate Resort</option>&#13;
			<option label="Any Disney Deluxe Resort" value="Any Disney Deluxe Resort">Any Disney Deluxe Resort</option>&#13;
			<option label="Disney’s Animal Kingdom Lodge (Deluxe)" value="Disney’s Animal Kingdom Lodge (Deluxe)">Disney’s Animal Kingdom Lodge (Deluxe)</option>&#13;
			<option label="Disney’s Saratoga Springs Resort  Spa (Deluxe)" value="Disney’s Saratoga Springs Resort  Spa (Deluxe)">Disney’s Saratoga Springs Resort  Spa (Deluxe)</option>&#13;
			<option label="Disney’s Polynesian Village Resort (Deluxe)" value="Disney’s Polynesian Village Resort (Deluxe)">Disney’s Polynesian Village Resort (Deluxe)</option>&#13;
			<option label="Disney’s Grand Floridian Resort  Spa (Deluxe)" value="Disney’s Grand Floridian Resort  Spa (Deluxe)">Disney’s Grand Floridian Resort  Spa (Deluxe)</option>&#13;
			<option label="Disney’s Wilderness Lodge (Deluxe)" value="Disney’s Wilderness Lodge (Deluxe)">Disney’s Wilderness Lodge (Deluxe)</option>&#13;
			<option label="Disney’s Beach Club Resort (Deluxe)" value="Disney’s Beach Club Resort (Deluxe)">Disney’s Beach Club Resort (Deluxe)</option>&#13;
			<option label="Disney’s Contemporary Resort (Deluxe)" value="Disney’s Contemporary Resort (Deluxe)">Disney’s Contemporary Resort (Deluxe)</option>&#13;
			<option label="Disney’s Yacht Club Resort (Deluxe)" value="Disney’s Yacht Club Resort (Deluxe)">Disney’s Yacht Club Resort (Deluxe)</option>&#13;
			<option label="Disney’s Boardwalk Inn (Deluxe)" value="Disney’s Boardwalk Inn (Deluxe)">Disney’s Boardwalk Inn (Deluxe)</option>&#13;
			<option label="Disney’s Old Key West Resort (Deluxe)" value="Disney’s Old Key West Resort (Deluxe)">Disney’s Old Key West Resort (Deluxe)</option>&#13;
			<option label="Bay Lake Tower at Disney’s Contemporary Resort (Deluxe)" value="Bay Lake Tower at Disney’s Contemporary Resort (Deluxe)">Bay Lake Tower at Disney’s Contemporary Resort (Deluxe)</option>&#13;
			<option label="Disney’s Riviera Resort (Deluxe)" value="Disney’s Riviera Resort (Deluxe)">Disney’s Riviera Resort (Deluxe)</option>&#13;
			<option label="Disney’s Caribbean Beach Resort (Moderate)" value="Disney’s Caribbean Beach Resort (Moderate)">Disney’s Caribbean Beach Resort (Moderate)</option>&#13;
			<option label="Disney’s Port Orleans Resort - Riverside (Moderate)" value="Disney’s Port Orleans Resort - Riverside (Moderate)">Disney’s Port Orleans Resort - Riverside (Moderate)</option>&#13;
			<option label="Disney’s Port Orleans Resort - French Quarter (Moderate)" value="Disney’s Port Orleans Resort - French Quarter (Moderate)">Disney’s Port Orleans Resort - French Quarter (Moderate)</option>&#13;
			<option label="Disney’s Coronado Springs Resort (Moderate)" value="Disney’s Coronado Springs Resort (Moderate)">Disney’s Coronado Springs Resort (Moderate)</option>&#13;
			<option label="The Cabins at Disney’s Fort Wilderness Resort (Moderate)" value="The Cabins at Disney’s Fort Wilderness Resort (Moderate)">The Cabins at Disney’s Fort Wilderness Resort (Moderate)</option>&#13;
			<option label="Disney’s Pop Century Resort (Value)" value="Disney’s Pop Century Resort (Value)">Disney’s Pop Century Resort (Value)</option>&#13;
			<option label="Disney’s All-Star Music Resort (Value)" value="Disney’s All-Star Music Resort (Value)">Disney’s All-Star Music Resort (Value)</option>&#13;
			<option label="Disney’s All-Star Movies Resort (Value)" value="Disney’s All-Star Movies Resort (Value)">Disney’s All-Star Movies Resort (Value)</option>&#13;
			<option label="Disney’s All-Star Sports Resort (Value)" value="Disney’s All-Star Sports Resort (Value)">Disney’s All-Star Sports Resort (Value)</option>&#13;
			<option label="Disney’s Art of Animation Resort (Value)" value="Disney’s Art of Animation Resort (Value)">Disney’s Art of Animation Resort (Value)</option>&#13;
			<option label="Walt Disney World Swan Hotel" value="Walt Disney World Swan Hotel">Walt Disney World Swan Hotel</option>&#13;
			<option label="Walt Disney World Dolphin Hotel" value="Walt Disney World Dolphin Hotel">Walt Disney World Dolphin Hotel</option>&#13;
			<option label="Walt Disney World Swan Reserve" value="Walt Disney World Swan Reserve">Walt Disney World Swan Reserve</option>&#13;
		</field>&#13;
		<field type="text" label="How many rooms?" placeholder="Your answer" name="number-of-rooms" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a desired room type?" name="desired-room-type" className="radio-group">&#13;
			<option label="Standard" value="Standard">Standard</option>&#13;
			<option label="Suites and Villas" value="Suites and Villas">Suites and Villas</option>&#13;
			<option label="Club Level" value="Club Level">Club Level</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need an accessible (handicap) room?" name="need-accessible-room" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="select" label="How many days would you like to visit the Theme Parks?" description="Choose" placeholder="Choose" name="theme-park-days" className="form-control">&#13;
			<option label="Choose" value="" selected="selected">Choose</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10 OR MORE" value="10 OR MORE">10 OR MORE</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you interested in any add-ons? These are an additional cost. If you are unsure, these can be added later on." name="interested-add-ons" className="checkbox-group">&#13;
			<option label="Park Hopper (Lets you hop to another park after 2PM. Price varies)" value="Park Hopper">Park Hopper (Lets you hop to another park after 2PM. Price varies)</option>&#13;
			<option label="Memory Maker (Unlimited Photopass and ride photo downloads for 30 days)" value="Memory Maker">Memory Maker (Unlimited Photopass and ride photo downloads for 30 days)</option>&#13;
			<option label="Water Parks (Price varies)" value="Water Parks">Water Parks (Price varies)</option>&#13;
			<option label="Disney Travel Protection (Price varies)" value="Disney Travel Protection">Disney Travel Protection (Price varies)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need transportion between Orlando International Airport and your Walt Disney World Resort?" name="need-airport-transportation" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you interested in visiting any other Theme Parks during your stay?" name="interested-other-theme-parks" className="checkbox-group">&#13;
			<option label="Universal Orlando" value="Universal Orlando">Universal Orlando</option>&#13;
			<option label="SeaWorld" value="SeaWorld">SeaWorld</option>&#13;
			<option label="Busch Gardens Tampa" value="Busch Gardens Tampa">Busch Gardens Tampa</option>&#13;
			<option label="Legoland" value="Legoland">Legoland</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you celebrating anything?" name="celebration" other="true" className="radio-group">&#13;
			<option label="BIRTHDAY" value="BIRTHDAY">BIRTHDAY</option>&#13;
			<option label="Honeymoon" value="Honeymoon">Honeymoon</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in the Disney Dining Plan? (FOR RESERVATIONS 1/9/24 and AFTER ONLY!&amp;nbsp;" name="interested-disney-dining-plan" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I understand that any quote(s) I recieve are for reference purposes only and any pricing is subject to change before booking due to availability." name="accept-quote-terms" className="checkbox-group">&#13;
			<option label="I ACCEPT" value="I ACCEPT">I ACCEPT</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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