TravelJoy

Your Travel Concierges

10 Day Double Denali Alaska Cruise Tour hosted by Diana and Mark Reuling

Aug 3, 2023 to Aug 13, 2023

Alaska 10 Day Cruise Tour with 2 nights in Denali

<form-template>
	<fields>
		<field type="header" subtype="h2" label="Holland America 10-Day Alaska Cruise Tour"/>
		<field type="select" label="Ship" name="ship" className="form-control">
			<option label="Nieuw Amsterdam" value="nieuw-amsterdam" selected="true">Nieuw Amsterdam</option>
			<option label="" value=""/>
		</field>
		<field type="checkbox-group" required="true" label="Stateroom Type" name="stateroom-type">
			<option label="Pinnacle Suite" value="pinnacle-suite">Pinnacle Suite</option>
			<option label="Neptune Suite" value="neptune-suite">Neptune Suite</option>
			<option label="Signature Suite" value="signature-suite">Signature Suite</option>
			<option label="Verandah" value="verandah">Verandah</option>
			<option label="Ocean View" value="ocean-view">Ocean View</option>
			<option label="Inside" value="inside">Inside</option>
		</field>
		<field type="radio-group" label="Dining Time" inline="true" name="dining-time">
			<option label="Open" value="open">Open</option>
			<option label="Early 5:45 PM" value="early-545-pm">Early 5:45 PM</option>
			<option label="Main 8:00 PM" value="main-800-pm">Main 8:00 PM</option>
		</field>
		<field type="text" label="Preferred Airport" name="preferred-airport" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Passenger 1"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="date" label="Birthday" name="birthday" className="form-control"/>
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Address"/>
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Passenger 2"/>
		<field type="text" label="Full Name (as it appears on your passport)" name="full-name-as-it-appears-on-your-passport" subtype="text" className="form-control"/>
		<field type="text" label="Birthday - Passenger 2" name="birthday-passenger-2" subtype="text" className="form-control"/>
		<field type="text" label="Email - Passenger 2" name="email-passenger-2" subtype="text" className="form-control"/>
		<field type="textarea" label="Comments/Requests" placeholder="Do you need a roommate  have special requests  need a scooter?" name="commentsrequests" className="form-control"/>
	</fields>
</form-template>