TravelJoy

Tillie James

Tillie James Travel, LLC

Music on the Seas Cruise 2019

9 Nov 2019 to 16 Nov 2019

Caribbean islands

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Music on the Seas Cruise 2019&amp;nbsp; - Reservation Form&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; "/>
		<field type="date" required="true" label="Today&#39;s Date" name="date-1533928664820" className="form-control"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<field type="text" required="true" label="First name (as it appears on your passport or driver&#39;s license)" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name (as it appears on your passport or driver&#39;s license)" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name (as it appears on your passport or driver&#39;s license)" 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 type="header" subtype="h2" label="Address"/>
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" required="true" 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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Royal Caribbean Loyalty Number (if applicable)" name="royal-caribbean-loyalty-number-if-applicable" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Roommate&#39;s Information"/>
		<field type="text" required="true" label="Roommate&#39;s name (if booking a single occupancy - type in N/A)" description="Roommate&#39;s name" name="roommates-name-if-booking-a-single-occupancy-type-in-na" subtype="text" className="form-control"/>
		<field type="radio-group" label="Will you be responsible for making all the payments for you and your roommate(s)?" description="Payments for roommates" name="will-you-be-responsible-for-making-all-the-payments-for-you-and-your-roommates">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no" selected="true">No</option>
		</field>
		<field type="header" subtype="h2" label="Important Dates"/>
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>
		<field type="header" subtype="h2" label="Travel Preferences"/>
		<field type="checkbox-group" label="Stateroom - Interior staterooms are available" name="stateroom-only-oceanview-staterooms-are-still-available">
			<option label="Interior  Stateroom" value="interior-stateroom" selected="true">Interior  Stateroom</option>
		</field>
		<field type="radio-group" required="true" label="Bedding Configuration" description="How would you like your beds set up in your cabin?" name="bed-preference">
			<option label="Apart" value="Apart">Apart</option>
			<option label="Together" value="Together">Together</option>
		</field>
		<field type="header" subtype="h2" label="Passport Info"/>
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
		<field type="header" subtype="h2" label="Additional Contact Info (required to make the reservation)"/>
		<field type="radio-group" required="true" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		<option label="X" value="other">X</option>
		</field>
		<field type="text" required="true" label="Place of birth (City, State and Country)" name="place-of-birth" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Emergency Contact Name" description="Provide emergency contact information" name="emergency-contact-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Emergency Contact Phone Number" description="Emergency Contact Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Payment Options for per person (double occupancy)"/>
		<field type="radio-group" label="Payment Options" description="Which payment option would you like" name="payment-options">
			<option label="Full Payment (pay invoice in full when you receive it) (includes a $250.00 non-refundable deposit)" value="full-payment-pay-invoice-in-full-when-you-receive-it-includes-a-25000-nonrefundable-deposit" selected="true">Full Payment (pay invoice in full when you receive it) (includes a $250.00 non-refundable deposit)</option>
			<option label="N/A" value="na">N/A</option>
		</field>
		<field type="header" subtype="h2" label="Payment Options for per person (single occupancy)"/>
		<field type="radio-group" label="Payment Options" description="Which payment option would you like" name="radio-group-1540217338886">
			<option label="Full Payment (pay invoice in full when you receive it) (includes a $500.00 non-refundable deposit)" value="full-payment-pay-invoice-in-full-when-you-receive-it-includes-a-50000-nonrefundable-deposit" selected="true">Full Payment (pay invoice in full when you receive it) (includes a $500.00 non-refundable deposit)</option>
			<option label="N/A" value="na">N/A</option>
		</field>
		<field type="header" subtype="h2" label="Group Tours"/>
		<field type="radio-group" required="true" label="Would you be interested in signing up for any of the group tours/excursions being offered (at an additional cost)?" description="Group tours/excursions" name="radio-group-1539954974150">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="header" subtype="h2" label="Travel Insurance"/>
		<field type="radio-group" required="true" label="Would you like to purchase travel insurance for $59.00 per person (double occupancy) or $89.00 per person (single occupancy)? (We will include the cost in your total costs.)" description="Travel insurance" name="radio-group-1540080034223">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="header" subtype="h2" label="Gratuities"/>
		<field type="radio-group" required="true" label="Would you like to include the cruise gratuities in your payments?&amp;nbsp; The total cost would be $101.50 per person for the 7 night cruise. (We will include the cost in your total costs.)" description="Gratuities" name="radio-group-1540310082910">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="header" subtype="h2" label="Do you have any Special Needs?"/>
		<field type="radio-group" required="true" label="Special Needs?" description="Special Needs" name="radio-group-1540447518768">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="textarea" label="Please add your special needs here." name="please-add-your-special-needs-here" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h2" label="Do you have any Special Requests?"/>
		<field type="radio-group" required="true" label="Special Requests?" description="Special Requests?" name="radio-group-1540447785022">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="textarea" label="Please add your special requests here." name="textarea-1540447802482" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h2" label="Do you have any Special Dietary Needs?"/>
		<field type="radio-group" required="true" label="Dietary Needs" description="Dietary Needs" name="radio-group-1543075125738">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no" selected="true">No</option>
		</field>
		<field type="textarea" label="Please add your special dietary needs here." name="please-add-your-special-dietary-needs-here" subtype="textarea" className="form-control"/>
		<field type="radio-group" label="How did you hear about the Music on the Seas Cruise?" name="how-did-you-hear-about-the-music-on-the-seas-cruise">
			<option label="Attended a performance" value="attended-a-performance">Attended a performance</option>
			<option label="Facebook" value="facebook">Facebook</option>
			<option label="Instagram" value="instagram">Instagram</option>
			<option label="Email from Brencore" value="email-from-brencore">Email from Brencore</option>
			<option label="Word of mouth" value="word-of-mouth" selected="true">Word of mouth</option>
		</field>
		<field type="textarea" label="Questions or Comments" name="questions" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h1" label="Additional Information"/>
		<field type="paragraph" subtype="p" label="Thank you for your reservation.&amp;nbsp; Your reservation is important to us.&amp;nbsp; You will be receiving an invoice very soon after you submit this form.&amp;nbsp; Upon receipt of your payment authorization, we will send you a confirmation.&amp;nbsp; Included with that confirmation will be your Royal Caribbean ID number.&amp;nbsp; After you receive this number, you will be able to go to www.rccl.com (Royal Caribbean) and create an account where you be able to review onboard activities and more.&amp;nbsp; You will also be able to make reservations for spa treatments, shore excursions (excluding the group excursions), specialty dining and more."/>
		<field type="paragraph" subtype="p" label="Code (MUSIC2019)"/>
	</fields>
</form-template>

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