TravelJoy

Annette M. Benjamin

sublimeXcursions LLC

2024 Greece Takeover - 1504500

Jun 5, 2024 to Jun 14, 2024

Greece

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  <body>
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	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information - Primary Passenger"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name as it appears on your passport" 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 as it appears on your passport" 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 (nickname)" name="text-1543278469347" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="date-1543278360972" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="NCL Latitudes Frequent Cruiser #" name="text-1543278629143" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#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="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport." name="text-1543278393167" 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="date-1543278333429" 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="radio-group" required="true" label="Cabin Type" name="cabin-type">&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Mini-Suite" value="minisuite">Mini-Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Single" value="2-single">2 Single</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="sublimeXcursions Travel Agent" name="sublimexcursions-travel-agent">&#13;
			<option label="Annette" value="annette">Annette</option>&#13;
			<option label="Carole" value="carole">Carole</option>&#13;
			<option label="Kendra" value="kendra">Kendra</option>&#13;
			<option label="Alicia" value="alicia">Alicia</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Name and date of birth&amp;nbsp; of additional travelers sharing your cabin. Additional Comments/Special Needs" name="additional-commentsspecial-needs" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>