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VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

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Primary Traveler

INCOMPLETE

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Plan Your Cruise!"/>&#13;
		<field type="paragraph" subtype="p" label="To get started, I will need some basic inforamtion on the cruise we will be planning.&amp;nbsp; Once you submit this form, I will reach out to you asap."/>&#13;
		<field type="header" subtype="h1" label="Contact Information"/>&#13;
		<field type="paragraph" subtype="p" label="This section is for the person that will be handling the communication for the trip planning."/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Party Information"/>&#13;
		<field type="paragraph" subtype="p" label="If you would like to add someone other than yourself as the lead guest please leave their name and email below.&amp;nbsp;"/>&#13;
		<field type="text" label="Lead Guest Name" description="If you would like to add someone other than yourself as the lead guest  please leave their name and email below." name="text-1709567347176" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State of Residency" name="text-1709567349746" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="text-1709567350570" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Full names and date of birth for ALL guests" description="Ex.  Danielle Moonstar  01/11/1983  Samuel Guthrie, 02/12/1983, Rahne Sinclair, 03/13/1983, Roberto DaCosta 04/14/1983, and  Xian Coy Manh 05/15/1983" name="text-1709567351372" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms (staterooms) will you need?" name="text-1709567352785" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This simply provides me with a general idea of when you would like to go.  It can be changed later." name="date-1709567368770" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This simply provides me with a general idea of when you would like to return.  It can be changed later." name="date-1709567369957" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="For all cruises that travel interantionally, do you have a current passport?" description="This would include all ports that are not a part of the United States or U.S. Territories." inline="true" name="radio-group-1709567373414">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Not Yet! " value="not-yet-">Not Yet! </option>&#13;
			<option label="I'd like to travel without one." value="id-like-to-travel-without-one">I'd like to travel without one.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What are your preferred departure ports for the cruise?" name="text-1709567378308" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which cruise lines are you interested in traveling with?&amp;nbsp; (Select all that apply)" inline="true" name="which-cruise-lines-are-you-interested-in-traveling-with-select-all-that-apply" other="true">&#13;
			<option label="AmaWaterways" value="amawaterways">AmaWaterways</option>&#13;
			<option label="Atlas Ocren Voyages" value="atlas-ocren-voyages">Atlas Ocren Voyages</option>&#13;
			<option label="Azamara Club Cruises" value="azamara-club-cruises">Azamara Club Cruises</option>&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option>&#13;
			<option label="Costa Cruises" value="costa-cruises">Costa Cruises</option>&#13;
			<option label="Cunard Line" value="cunard-line">Cunard Line</option>&#13;
			<option label="Holland America Line" value="holland-america-line">Holland America Line</option>&#13;
			<option label="MSC Cruises" value="msc-cruises">MSC Cruises</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Oceania Cruises" value="oceania-cruises">Oceania Cruises</option>&#13;
			<option label="Princess Cruises" value="princess-cruises">Princess Cruises</option>&#13;
			<option label="Regent Seven Seas Cruises" value="regent-seven-seas-cruises">Regent Seven Seas Cruises</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Seabourn Cruise Line" value="seabourn-cruise-line">Seabourn Cruise Line</option>&#13;
			<option label="Silversea Cruises" value="silversea-cruises">Silversea Cruises</option>&#13;
			<option label="Viking Cruises" value="viking-cruises">Viking Cruises</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Windstar Cruises" value="windstar-cruises">Windstar Cruises</option>&#13;
			<option label="Whatever is Available, I just need to go on a cruise!" value="whatever-is-available-i-just-need-to-go-on-a-cruise">Whatever is Available, I just need to go on a cruise!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What type of stateroom are you interested in? (select all that apply)" inline="true" name="what-type-of-stateroom-are-you-interested-in-select-all-that-apply" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total trip budget? (excluding airfare)" description="This just gives me a general starting point and can always be changed later." inline="true" name="radio-group-1709567383311">&#13;
			<option label="$1,500 to $3,000" value="1500-to-3000">$1,500 to $3,000</option>&#13;
			<option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option>&#13;
			<option label="$5,000 to $7,500 " value="5000-to-7500-">$5,000 to $7,500 </option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else can you tell me about your trip?" description="Include anything that will help me create the best itinerary experience for you." name="textarea-1709567390498" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Which of these statements best describes where you are in the planning stages?" inline="true" name="radio-group-1709567393092">&#13;
			<option label="I'm not sure about anything." value="im-not-sure-about-anything">I'm not sure about anything.</option>&#13;
			<option label="I've researched the destination and need some other options." value="ive-researched-the-destination-and-need-some-other-options">I've researched the destination and need some other options.</option>&#13;
			<option label="I'm pretty sure I know what I want, but I want to book it with you." value="im-pretty-sure-i-know-what-i-want-but-i-want-to-book-it-with-you">I'm pretty sure I know what I want, but I want to book it with you.</option>&#13;
			<option label="I've ALREADY BOOKED and I want to transfer it to you to utilize all of the awesome benefits that come with having you as my travel agent." value="ive-already-booked-and-i-want-to-transfer-it-to-you-to-utilize-all-of-the-awesome-benefits-that-come-with-having-you-as-my-travel-agent">I've ALREADY BOOKED and I want to transfer it to you to utilize all of the awesome benefits that come with having you as my travel agent.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="radio-group-1709567394395" other="true">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Within the next 2 weeks." value="within-the-next-2-weeks">Within the next 2 weeks.</option>&#13;
			<option label="Within a couple of months." value="within-a-couple-of-months">Within a couple of months.</option>&#13;
			<option label="Really just considering my options right now." value="really-just-considering-my-options-right-now">Really just considering my options right now.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="When is the best time to follow up with you?" inline="true" name="radio-group-1709567395409" other="true">&#13;
			<option label="Anytime " value="anytime-">Anytime </option>&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Weekends" value="weekends">Weekends</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in Travel/Trip Protection?" description="For most travel  you can add trip protection before final payment is made." name="are-you-interested-in-traveltrip-protection">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Please Read"/>&#13;
		<field type="text" required="true" label="The best compliment you can give is a referral. Where did you hear about me?" name="text-1709567401262" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you currently working with a Travel Agent?" inline="true" name="radio-group-1709567403189">&#13;
			<option label="Nope." value="nope">Nope.</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand that Tony Gilkinson is not compensated for his time until I complete my travels on a booking executed by him." name="radio-group-1709567407139">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
			<option label="I need more clarification on this statement." value="i-need-more-clarification-on-this-statement">I need more clarification on this statement.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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Final payment of $9,038.00 is due on April 6, 2026

$6,000.00

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$15,038.00

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VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

Seriously Suite —

—

Total —

Due now —

Continue to traveler info

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VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

Seriously Suite —

—

Total —

Due now —

Continue to traveler info

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit

Final payment of $9,038.00 is due on April 6, 2026

$6,000.00

Authorize full amount

$15,038.00

VIRGIN ECLIPSE OF THE HEART

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

Select travelers

Select your package

Add extra options

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $9,038.00 is due on April 6, 2026

$6,000.00

Authorize full amount

$15,038.00

VIRGIN ECLIPSE OF THE HEART

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

VIRGIN ECLIPSE OF THE HEART

Aug 5, 2026 to Aug 20, 2026

Eclipse in the Land of Fire and Ice

Authorize deposit

Final payment of $9,038.00 is due on April 6, 2026