TravelJoy

Brenda Cornish

HP Travels, LLC

2025 New Years Eve Cruise

Dec 29, 2025 to Jan 2, 2026

4 Night Bahamas Cruise

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" 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="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="radio-group" 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="text" label="Roommate Name:" name="roommate-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Crown &amp;amp; Anchor Number (if you have one):" name="text-1720639523706" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Cabin Type" name="cabin-type">&#13;
			<option label="Inside - $647" value="inside-647">Inside - $647</option>&#13;
			<option label="Ocean View - $794 (Midship)" value="ocean-view-794-midship">Ocean View - $794 (Midship)</option>&#13;
			<option label="Ocean View - $705 (Fwd or Aft)" value="ocean-view-705-fwd-or-aft">Ocean View - $705 (Fwd or Aft)</option>&#13;
			<option label="Balcony - $910" value="balcony-910">Balcony - $910</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed Configuration" name="bed-configuration">&#13;
			<option label="BedsTogether" value="bedstogether">BedsTogether</option>&#13;
			<option label="Beds Separated" value="beds-separated">Beds Separated</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are You A First Time Cruiser?" name="are-you-a-first-time-cruiser">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>