Share your information with Luke Smith

Luke Smith

Totally Booked Dude

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		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Preferred Method of Contact" name="preferred-method-of-contact" multiple="multiple" className="form-control">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Facebook Message" value="facebook-message">Facebook Message</option>&#13;
		</field>&#13;
		<field type="text" label="What is your budget excluding air travel? If you do not have one please write none." name="what-is-your-budget-excluding-air-travel-if-you-do-not-have-one-please-write-none" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Desired Vacation Start Date (leave blank if flexible)&amp;nbsp;" name="desired-vacation-start-date-leave-blank-if-flexible-" className="form-control"/>&#13;
		<field type="date" label="Desired Vacation End Date (leave blank if flexible)&amp;nbsp;" name="desired-vacation-end-date-leave-blank-if-flexible-" className="form-control"/>&#13;
		<field type="text" label="How many adults ages 10 and older are in your party at the time of travel?&amp;nbsp;" name="how-many-adults-ages-10-and-older-are-in-your-party-at-the-time-of-travel-" 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?&amp;nbsp;" name="how-many-children-between-the-ages-of-3-and-9-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children under the age of 3 at the time of travel?&amp;nbsp;" name="how-many-children-under-the-age-of-3-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What type of booking are you interested in?&amp;nbsp;" name="what-type-of-booking-are-you-interested-in-">&#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="text" label="How many days would you like to visit the Theme Parks?&amp;nbsp;" name="how-many-days-would-you-like-to-visit-the-theme-parks-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If you need a hotel do you have a specific one in mind?&amp;nbsp;" name="if-you-need-a-hotel-do-you-have-a-specific-one-in-mind-" subtype="text" className="form-control"/>&#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.&amp;nbsp;" name="are-you-interested-in-any-addons-these-are-an-additional-cost-if-you-are-unsure-these-can-be-added-later-on-" other="true">&#13;
			<option label="Park Hopper (Lets you hop to another park Price varies)" value="park-hopper-lets-you-hop-to-another-park-price-varies">Park Hopper (Lets you hop to another park Price varies)</option>&#13;
			<option label="Memory Maker (Unlimited Photopass and ride photo downloads for 30 days)" value="memory-maker-unlimited-photopass-and-ride-photo-downloads-for-30-days">Memory Maker (Unlimited Photopass and ride photo downloads for 30 days)</option>&#13;
			<option label="Water Parks (Price varies)" value="water-parks-price-varies">Water Parks (Price varies)</option>&#13;
			<option label="Disney Travel Protection (Price varies)" value="disney-travel-protection-price-varies">Disney Travel Protection (Price varies)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need transportion between Orlando International Airport and your Walt Disney World Resort?&amp;nbsp;" name="do-you-need-transportion-between-orlando-international-airport-and-your-walt-disney-world-resort-">&#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?&amp;nbsp;" name="are-you-interested-in-visiting-any-other-theme-parks-during-your-stay-">&#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="text" label="Are you Celebrating anything?&amp;nbsp;" name="are-you-celebrating-anything-" subtype="text" className="form-control"/>&#13;
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I understand that any quote(s) I receive from Totally Booked Dude are for reference purposes only and any pricing is subject to change before booking due to availability and price programs.

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