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Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023

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		<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="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
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		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
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		<field type="text" label="Sailor Number (For Virgin Voyages Past Guest)" name="vifp-number-for-carnival-pass-guest" 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="text" required="true" label="State Of Residence?" name="state-of-residence" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are you celebrating a special occasion for this cruise?" name="are-you-celebrating-a-special-occasion-for-this-cruise">&#13;
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			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Fun Getaway" value="fun-getaway">Fun Getaway</option>&#13;
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			<option label="Fire &amp; Sunset (Key West Florida &amp; Bimini Bahamas)" value="fire-sunset-key-west-florida-bimini-bahamas">Fire &amp; Sunset (Key West Florida &amp; Bimini Bahamas)</option>&#13;
			<option label="Dominican Daze (Puerto Plata &amp; Bimini Bahamas)" value="dominican-daze-puerto-plata-bimini-bahamas">Dominican Daze (Puerto Plata &amp; Bimini Bahamas)</option>&#13;
			<option label="Riviera Maya ( Cozumel-Playa del Carmen &amp; Bimini Bahamas)" value="riviera-maya-cozumelplaya-del-carmen-bimini-bahamas">Riviera Maya ( Cozumel-Playa del Carmen &amp; Bimini Bahamas)</option>&#13;
			<option label="Western Caribbean (Roatan, Costa Maya &amp; Bimini Bahamas)" value="western-caribbean-roatan-costa-maya-bimini-bahamas">Western Caribbean (Roatan, Costa Maya &amp; Bimini Bahamas)</option>&#13;
			<option label="Eastern Caribbean ( St Croix, San Juan, Puerto Plata Bimini Bahamas)" value="eastern-caribbean-st-croix-san-juan-puerto-plata-bimini-bahamas">Eastern Caribbean ( St Croix, San Juan, Puerto Plata Bimini Bahamas)</option>&#13;
			<option label="Mayan Sol (Costa Maya. &amp; Bimini Bahamas)" value="mayan-sol-costa-maya-bimini-bahamas">Mayan Sol (Costa Maya. &amp; Bimini Bahamas)</option>&#13;
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		<field type="text" required="true" label="DATES" placeholder="Ex: April 2023" name="dates" subtype="text" className="form-control"/>&#13;
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			<option label="Mega RockStar Quarters" value="mega-rockstar-quarters">Mega RockStar Quarters</option>&#13;
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			<option label="Insider (Interior)" value="insider-interior">Insider (Interior)</option>&#13;
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		<field type="header" subtype="h2" label="Passport Info: Virgin Voyages REQUIRE Passport Books&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="PASSPORT STATUS" name="passport-status">&#13;
			<option label="I have my Passport (PLEASE ENTER PASSPORT INFO BELOW)" value="i-have-my-passport-please-enter-passport-info-below">I have my Passport (PLEASE ENTER PASSPORT INFO BELOW)</option>&#13;
			<option label="I DO NOT have a passport, by booking this cruise I assume any/all penalties assessed if a cancellation is required due to a Passport not being obtained." value="i-do-not-have-a-passport-by-booking-this-cruise-i-assume-anyall-penalties-assessed-if-a-cancellation-is-required-due-to-a-passport-not-being-obtained">I DO NOT have a passport, by booking this cruise I assume any/all penalties assessed if a cancellation is required due to a Passport not being obtained.</option>&#13;
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		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
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			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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			<option label="WHEELCHAIR ASSISTANCE" value="wheelchair-assistance">WHEELCHAIR ASSISTANCE</option>&#13;
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			<option label="AUTISM  " value="autism-">AUTISM  </option>&#13;
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			<option label="ALLERGIES " value="allergies-">ALLERGIES </option>&#13;
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			<option label="SHARPS CONTAINER" value="sharps-container">SHARPS CONTAINER</option>&#13;
			<option label="DIALYSIS " value="dialysis-">DIALYSIS </option>&#13;
			<option label="WHEELCHAIR " value="wheelchair-">WHEELCHAIR </option>&#13;
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			<option label="OXYGEN " value="oxygen-">OXYGEN </option>&#13;
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		<field type="radio-group" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="Youtube" value="youtube">Youtube</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Group Leader/ Organizer"/>&#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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#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;
		<field type="header" subtype="h2" label="Mailing Address"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Sailor Number (For Virgin Voyages Past Guest)" name="vifp-number-for-carnival-pass-guest" 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="text" required="true" label="State Of Residence?" name="state-of-residence" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are you celebrating a special occasion for this cruise?" name="are-you-celebrating-a-special-occasion-for-this-cruise">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Fun Getaway" value="fun-getaway">Fun Getaway</option>&#13;
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		<field type="radio-group" required="true" label="First Time Cruiser?" name="first-time-cruiser">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="radio-group" required="true" label="What is your budget for this cruise? Applicable to the cruise fare ONLY" name="what-is-your-budget-for-this-cruise-applicable-to-the-cruise-fare-only">&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
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		<field type="radio-group" label="Would you like to apply for Uplift financing with $0 down + interest free?" name="would-you-like-to-use-uplift-financing-with-0-down-interest-free-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="CRUISE INFORMATION (PORT FROM MIAMI ONLY)"/>&#13;
		<field type="text" label="Sail To" placeholder="Ex: The Bahamas" name="sail-to" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="DESTINATION" name="destination">&#13;
			<option label="Fire &amp; Sunset (Key West Florida &amp; Bimini Bahamas)" value="fire-sunset-key-west-florida-bimini-bahamas">Fire &amp; Sunset (Key West Florida &amp; Bimini Bahamas)</option>&#13;
			<option label="Dominican Daze (Puerto Plata &amp; Bimini Bahamas)" value="dominican-daze-puerto-plata-bimini-bahamas">Dominican Daze (Puerto Plata &amp; Bimini Bahamas)</option>&#13;
			<option label="Riviera Maya ( Cozumel-Playa del Carmen &amp; Bimini Bahamas)" value="riviera-maya-cozumelplaya-del-carmen-bimini-bahamas">Riviera Maya ( Cozumel-Playa del Carmen &amp; Bimini Bahamas)</option>&#13;
			<option label="Western Caribbean (Roatan, Costa Maya &amp; Bimini Bahamas)" value="western-caribbean-roatan-costa-maya-bimini-bahamas">Western Caribbean (Roatan, Costa Maya &amp; Bimini Bahamas)</option>&#13;
			<option label="Eastern Caribbean ( St Croix, San Juan, Puerto Plata Bimini Bahamas)" value="eastern-caribbean-st-croix-san-juan-puerto-plata-bimini-bahamas">Eastern Caribbean ( St Croix, San Juan, Puerto Plata Bimini Bahamas)</option>&#13;
			<option label="Mayan Sol (Costa Maya. &amp; Bimini Bahamas)" value="mayan-sol-costa-maya-bimini-bahamas">Mayan Sol (Costa Maya. &amp; Bimini Bahamas)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="DATES" placeholder="Ex: April 2023" name="dates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="CABIN TYPE" name="cabin-type">&#13;
			<option label="Mega RockStar Quarters" value="mega-rockstar-quarters">Mega RockStar Quarters</option>&#13;
			<option label=" RockStar Quarters" value="-rockstar-quarters"> RockStar Quarters</option>&#13;
			<option label="Sea Terrace (Balcony)" value="sea-terrace-balcony">Sea Terrace (Balcony)</option>&#13;
			<option label=" Sea View (Oceanview)" value="-sea-view-oceanview"> Sea View (Oceanview)</option>&#13;
			<option label="Insider (Interior)" value="insider-interior">Insider (Interior)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Passport Info: Virgin Voyages REQUIRE Passport Books&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="PASSPORT STATUS" name="passport-status">&#13;
			<option label="I have my Passport (PLEASE ENTER PASSPORT INFO BELOW)" value="i-have-my-passport-please-enter-passport-info-below">I have my Passport (PLEASE ENTER PASSPORT INFO BELOW)</option>&#13;
			<option label="I DO NOT have a passport, by booking this cruise I assume any/all penalties assessed if a cancellation is required due to a Passport not being obtained." value="i-do-not-have-a-passport-by-booking-this-cruise-i-assume-anyall-penalties-assessed-if-a-cancellation-is-required-due-to-a-passport-not-being-obtained">I DO NOT have a passport, by booking this cruise I assume any/all penalties assessed if a cancellation is required due to a Passport not being obtained.</option>&#13;
		</field>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="CRUISE INFORMATION"/>&#13;
		<field type="radio-group" required="true" label="Do You Need A Wheelchair, Powerchair or Scooter Accessible Cabin?" name="do-you-need-a-handicap-accessible-cabin">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Medical" description="Wheelchair Assistance Is Only Available For Embarkation and Debarkation when Guest Isn&#39;t Bring Their Own Wheelchair" name="medical">&#13;
			<option label="WHEELCHAIR ASSISTANCE" value="wheelchair-assistance">WHEELCHAIR ASSISTANCE</option>&#13;
			<option label="DIABETIC  " value="diabetic-">DIABETIC  </option>&#13;
			<option label="COGNITIVE DISABILITIES " value="cognitive-disabilities-">COGNITIVE DISABILITIES </option>&#13;
			<option label="CONCENTRATOR  " value="concentrator-">CONCENTRATOR  </option>&#13;
			<option label="AUTISM  " value="autism-">AUTISM  </option>&#13;
			<option label="BLIND OR LOW VISION" value="blind-or-low-vision">BLIND OR LOW VISION</option>&#13;
			<option label="DEAF " value="deaf-">DEAF </option>&#13;
			<option label="ALLERGIES " value="allergies-">ALLERGIES </option>&#13;
			<option label="PREGNANT LESS 24 FULL WKS " value="pregnant-less-24-full-wks-">PREGNANT LESS 24 FULL WKS </option>&#13;
			<option label="SHARPS CONTAINER" value="sharps-container">SHARPS CONTAINER</option>&#13;
			<option label="DIALYSIS " value="dialysis-">DIALYSIS </option>&#13;
			<option label="WHEELCHAIR " value="wheelchair-">WHEELCHAIR </option>&#13;
			<option label="PREG MORE THAN 24 FULL WKS" value="preg-more-than-24-full-wks">PREG MORE THAN 24 FULL WKS</option>&#13;
			<option label="OXYGEN " value="oxygen-">OXYGEN </option>&#13;
		</field>&#13;
		<field type="radio-group" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="Youtube" value="youtube">Youtube</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
		</field>&#13;
		<field type="textarea" label="Message" name="message" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023

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Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023

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Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023

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INCOMPLETE

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Virgin Voyages Group Cruise

Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023

Virgin Voyages Group Cruise

Jan 3, 2023 to Dec 31, 2023