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DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

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		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
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		<field type="radio-group" required="true" label="How would you like your payments set up?" name="how-would-you-like-your-future-payment-plan">&#13;
			<option label="Weekly" value="weekly">Weekly</option>&#13;
			<option label="Every 2 Weeks" value="every-2-weeks">Every 2 Weeks</option>&#13;
			<option label="Monthly" value="monthly">Monthly</option>&#13;
			<option label="Pay in Full" value="pay-in-full">Pay in Full</option>&#13;
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		<field type="radio-group" required="true" label="Dinning Time" name="dining-time">&#13;
			<option label="Early Dining - 6pm" value="early-dining-6pm">Early Dining - 6pm</option>&#13;
			<option label="Late Dining - 8:15pm" value="late-dining-815pm">Late Dining - 8:15pm</option>&#13;
			<option label="Your Time - 5:30 pm-9pm" value="your-time-530-pm9pm">Your Time - 5:30 pm-9pm</option>&#13;
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		<field type="text" required="true" label="T-shirt Size" name="tshirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="The address you would like your t-shirt sent to" name="the-address-you-would-like-your-tshirt-sent-to" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Cursing Program VIFP#/ Loyalty#" name="vifp" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is there a specific room or floor you would like to be on?&amp;nbsp; &amp;nbsp; If YES, list below. (PRICES MAY CHANGE)" name="is-there-a-specific-room-or-floor-you-would-like-to-be-on-if-yes-list-below">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
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		<field type="textarea" label="Floor Level" name="any-additional-travelers-or-information" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will you be needing a hotel {Please select as an add-on for transportation when choosing your cabin room}" name="will-you-be-needing-a-hotel-please-select-as-an-addon-when-choosing-your-cabin-room">&#13;
			<option label="NO" value="no">NO</option>&#13;
			<option label="Boynton beach {A Charter Bus Will Be Provided, Roundtrip}" value="boynton-beach-a-charter-bus-will-be-provided-roundtrip">Boynton beach {A Charter Bus Will Be Provided, Roundtrip}</option>&#13;
			<option label="Miami" value="miami">Miami</option>&#13;
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		<field type="pageBreak" name="pageBreak-1770400339082" next="Next" previous="Previous"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for booking DJ Nae&#39;s Birthday Cruise, onboard the Carnival Magic sailing on Jan. 17, 2027.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Drica Travel&#39;s appreciates your business and looks forward to seeing you onboard.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="In order to ensure a stress-free environment, please be advised that Bass Jam DJs has a strict &quot;NO SOLICITATING&quot; Policy."/>&#13;
		<field type="paragraph" subtype="p" label="This policy prohibits any unpaid guest outside the group that did not book with Drica&#39;s Travel to enter the events onboard."/>&#13;
		<field type="paragraph" subtype="p" label="If you have any questions, please don&#39;t hesitate to ask&amp;nbsp;"/>&#13;
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			<option label="YES, I ACCEPT" value="yes-i-accept">YES, I ACCEPT</option>&#13;
			<option label="NO, I DO NOT ACCEPT" value="no-i-do-not-accept">NO, I DO NOT ACCEPT</option>&#13;
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			<option label="Ms." value="ms">Ms.</option>&#13;
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		<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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
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			<option label="No" value="no">No</option>&#13;
			<option label="Boynton beach {A Charter Bus Will Be Provided, Roundtrip}" value="boynton-beach-a-charter-bus-will-be-provided-roundtrip">Boynton beach {A Charter Bus Will Be Provided, Roundtrip}</option>&#13;
			<option label="Miami" value="miami">Miami</option>&#13;
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		<field type="header" subtype="h1" label="Additional Info About Your Cruise"/>&#13;
		<field type="text" required="true" label="T-Shirt Size&amp;nbsp;" name="tshirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" label="The address you would like your t-shirt sent to (IF ITS NOT THE SAME AS THE 1ST TRAVELER)" name="the-address-you-would-like-your-tshirt-sent-to" subtype="text" className="form-control"/>&#13;
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			<option label="Weekly" value="weekly">Weekly</option>&#13;
			<option label="Every 2 Weeks" value="every-2-weeks">Every 2 Weeks</option>&#13;
			<option label="Monthly" value="monthly">Monthly</option>&#13;
			<option label="Paid in Full" value="paid-in-full">Paid in Full</option>&#13;
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		<field type="header" subtype="h2" label="Other Traveler"/>&#13;
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			<option label="Mr." value="mr">Mr.</option>&#13;
			<option label="Mrs." value="mrs">Mrs.</option>&#13;
			<option label="Ms." value="ms">Ms.</option>&#13;
		</field>&#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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
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			<option label="Boynton beach {A Charter Bus Will Be Provided, Roundtrip}" value="boynton-beach-a-charter-bus-will-be-provided-roundtrip">Boynton beach {A Charter Bus Will Be Provided, Roundtrip}</option>&#13;
			<option label="Miami" value="miami">Miami</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Info About Your Cruise"/>&#13;
		<field type="text" required="true" label="T-Shirt Size&amp;nbsp;" name="tshirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" label="The address you would like your t-shirt sent to (IF ITS NOT THE SAME AS THE 1ST TRAVELER)" name="the-address-you-would-like-your-tshirt-sent-to" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How would you like your payments set up? (ONLY IF YOU&#39;RE PAYING INDIVIUALLY)" name="how-would-you-like-your-payments-set-up-only-if-youre-paying-indiviually">&#13;
			<option label="Weekly" value="weekly">Weekly</option>&#13;
			<option label="Every 2 Weeks" value="every-2-weeks">Every 2 Weeks</option>&#13;
			<option label="Monthly" value="monthly">Monthly</option>&#13;
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Authorize deposit

Final payment of $460.00 is due on October 10, 2026

$250.00

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$710.00

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DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

INTERIOR —

—

Total —

Due now —

Continue to traveler info

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DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

INTERIOR —

—

Total —

Due now —

Continue to traveler info

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit

Final payment of $460.00 is due on October 10, 2026

$250.00

Authorize full amount

$710.00

DJ Nae's Birthday Cruise #3 2027

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $460.00 is due on October 10, 2026

$250.00

Authorize full amount

$710.00

DJ Nae's Birthday Cruise #3 2027

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

DJ Nae's Birthday Cruise #3 2027

Jan 17, 2027 to Jan 23, 2027

Authorize deposit

Final payment of $460.00 is due on October 10, 2026