TravelJoy

Celebrity Reflection 4/12/25(E)

Apr 12, 2025 to Apr 20, 2025

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="CELEBRITY REFLECTION CRUISE - APRIL 12, 2025"/>&#13;
		<field type="header" subtype="h2" label="Let's Get Started!"/>&#13;
		<field type="paragraph" subtype="p" label="For extended information hover over the &quot;?&quot; icon where available. Questions?&amp;nbsp; Email: sarah@exploretheworld.travel"/>&#13;
		<field type="header" subtype="h1" label="YOUR INFORMATION"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" placeholder="Legal name as it appears on your passport" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" placeholder="Legal name as it appears on your passport" 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;
		<field type="text" required="true" label="Cell Phone number" placeholder="(area code) xxx - xxxx" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="2nd PASSENGER"/>&#13;
		<field type="text" label="2nd Passenger's First Name" placeholder="Legal name as it appears on your passport" name="2nd-passengers-first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="2nd Passenger's Last Name" placeholder="Legal name as it appears on your passport" name="2nd-passengers-last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="2nd Passenger's Birthday" name="2nd-passengers-birthday" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Citizenship"/>&#13;
		<field type="checkbox-group" required="true" label="Is everyone a U.S. Citizen?" inline="true" name="is-everyone-a-us-citizen">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If No, which country?" name="if-no-which-country" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Does everyone have a passport? (expiration date should be 6 months from departure date)" inline="true" name="does-everyone-have-a-passport-expiration-date-should-be-6-months-from-departure-date">&#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="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="If you need a cabin that will sleep more than two people, a separate quote will be provided with the prevailing rate.&amp;nbsp; Please select the Class category that you wish for me to give you a quote."/>&#13;
		<field type="checkbox-group" label="Additional Guest&amp;nbsp;" name="additional-guest-">&#13;
			<option label="3 passengers total in cabin" value="3-passengers-total-in-cabin">3 passengers total in cabin</option>&#13;
			<option label="4 passengers total in cabin" value="4-passengers-total-in-cabin">4 passengers total in cabin</option>&#13;
		</field>&#13;
		<field type="text" label="Are any of the passengers Children? (Ages 12 and under)" placeholder="Age at the time of sailing." name="text-1695171520294" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="CABIN CHOICE"/>&#13;
		<field type="radio-group" required="true" label="Class" name="class">&#13;
			<option label="Aqua Class - $2901.58 per person" value="aqua-class-290158-per-person">Aqua Class - $2901.58 per person</option>&#13;
			<option label="Concierge Class - $2856.58 per person" value="concierge-class-285658-per-person">Concierge Class - $2856.58 per person</option>&#13;
			<option label="Veranda Class - $2746.58 per person" value="veranda-class-274658-per-person">Veranda Class - $2746.58 per person</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Does anyone need an accessible cabin?" name="does-anyone-need-an-accessible-cabin">&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes, Fully accessible (uses scooter or wheelchair)" value="yes-fully-accessible-uses-scooter-or-wheelchair">Yes, Fully accessible (uses scooter or wheelchair)</option>&#13;
			<option label="Yes, partially accessible (limited mobility)" value="yes-partially-accessible-limited-mobility">Yes, partially accessible (limited mobility)</option>&#13;
			<option label="Yes, hearing or vision impaired" value="yes-hearing-or-vision-impaired">Yes, hearing or vision impaired</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Loyalty Program"/>&#13;
		<field type="paragraph" subtype="p" label="Please provide your loyalty number so we can check for any special promotions you may have.&amp;nbsp;"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="ADDITONAL INFORMATION"/>&#13;
		<field type="text" label="Is the purpose of this trip to celebrate an occasion?" placeholder="Birthday  Honeymoon   Anniversary   Graduation   Retirement   etc." name="is-the-purpose-of-this-trip-to-celebrate-an-occasion" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
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