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Regent Voyages | Elevated Cruise Clients
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Regent Seven Seas Cruise Inquiry Form&nbsp;"/> <field type="paragraph" subtype="p" label="Thank you for your interest in Regent Seven Seas Cruises — where every journey blends immersive exploration with effortless luxury."/> <field type="paragraph" subtype="p" label="At Robbe Luxury Travel, we begin each Elevated Cruise experience with a Discovery Call to understand your vision and preferences. This ensures we create a proposal tailored just for you — with the option for a more in-depth Proposal Call once curated options are prepared."/> <field type="paragraph" subtype="p" label="Please complete the form below so we can prepare for your Discovery Call. You’ll receive a link to schedule your session after submission."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h2" label="Traveler Information"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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 type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the best time to contact you?" inline="true" name="what-is-the-best-time-to-contact-you"> <option label="Mornings - 9am - 12pm" value="mornings-9am-12pm">Mornings - 9am - 12pm</option> <option label="Afternoon - 12pm - 5pm" value="afternoon-12pm-5pm">Afternoon - 12pm - 5pm</option> <option label="Evening - 5pm - 7pm" value="evening-5pm-7pm">Evening - 5pm - 7pm</option> </field> <field type="paragraph" subtype="p" label="Privacy Notice: Your information is never shared with third-party vendors and will only be used to communicate regarding your trip and you will be add to our subscribers list for our emails and newsletters. You can unsubscribe at any time. More information on our privacy policy can be found here: https://seaandsuntravelagency.com/privacy-policy"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Trip Details"/> <field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like assistance with airfare?" inline="true" name="would-you-like-assistance-with-airfare"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please provide the full legal name of each traveler and their DOB." name="please-provide-the-full-legal-name-of-each-traveler-and-their-dob" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Cruise Length" name="preferred-cruise-length"> <option label="7-10 Nights" value="710-nights">7-10 Nights</option> <option label="11-14 Nights" value="1114-nights">11-14 Nights</option> <option label="15+ Nights" value="15-nights">15+ Nights</option> <option label="Grand Voyages (60+ days)" value="grand-voyages-60-days">Grand Voyages (60+ days)</option> <option label="World Cruise (Generally 140+ days)" value="world-cruise-generally-140-days">World Cruise (Generally 140+ days)</option> </field> <field type="checkbox-group" required="true" label="&nbsp;Preferred Destination(s)" name="-preferred-destinations"> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Northern Europe" value="northern-europe">Northern Europe</option> <option label="South America" value="south-america">South America</option> <option label="Asia" value="asia">Asia</option> <option label="South Africa" value="south-africa">South Africa</option> <option label="Pacific/Oceania " value="pacificoceania-">Pacific/Oceania </option> <option label="Middle East/Indian Ocean" value="middle-eastindian-ocean">Middle East/Indian Ocean</option> <option label="Grand Voyage or World Cruise" value="grand-voyage-or-world-cruise">Grand Voyage or World Cruise</option> </field> <field type="radio-group" required="true" label="Regent Experience" name="regent-experience"> <option label="I've sailed with Regent before" value="ive-sailed-with-regent-before">I've sailed with Regent before</option> <option label="I'm new to Regent" value="im-new-to-regent">I'm new to Regent</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs (If you've sailed Regent, please provide your Seven Seas Society Number)" 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"/> <field type="checkbox-group" required="true" label="Ideal Suite Type" name="ideal-suite-type"> <option label="Regent Suite" value="regent-suite">Regent Suite</option> <option label="Distinctive Suite" value="distinctive-suite">Distinctive Suite</option> <option label="Horizon View Suite" value="horizon-view-suite">Horizon View Suite</option> <option label="Penthouse Suite" value="penthouse-suite">Penthouse Suite</option> <option label="Concierge Suite" value="concierge-suite">Concierge Suite</option> <option label="Serenity Suite" value="serenity-suite">Serenity Suite</option> <option label="Deluxe Veranda Suite" value="deluxe-veranda-suite">Deluxe Veranda Suite</option> <option label="Veranda Suite" value="veranda-suite">Veranda Suite</option> <option label="Deluxe Window Suite" value="deluxe-window-suite">Deluxe Window Suite</option> <option label="I'd love guidance based on my preferences" value="id-love-guidance-based-on-my-preferences">I'd love guidance based on my preferences</option> </field> <field type="text" required="true" label="What inspired this journey?" placeholder="(Celebration milestone, once-in-a-lifetime trip, just ready to go, etc.)" name="what-inspired-this-journey" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Approximate Total Travel Budget (cruise, flights, pre- or post-cruise stays, etc.)" name="approximate-total-travel-budget-cruise-flights-pre-or-postcruise-stays-etc"> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000-$25,000" value="1500025000">$15,000-$25,000</option> <option label="$25,000-$50,000" value="2500050000">$25,000-$50,000</option> <option label="$50,000+" value="50000">$50,000+</option> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="radio-group" required="true" label="Would you like to add a pre- or post-cruise experience?" description="We highly recommend you fly in at least one day before your scheduled departure date to ensure you will arrive in time for your cruise." name="would-you-like-to-add-a-pre-or-postcruise-experience"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm open to suggestions" value="im-open-to-suggestions">I'm open to suggestions</option> </field> <field type="textarea" label="If yes: What city or experience(s) do you have in mind?" name="if-yes-what-city-or-experiences-do-you-have-in-mind" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Traveler Preferences"/> <field type="radio-group" required="true" label="Passports: Does everyone traveling have a valid passport with at least 6-months of validity after the time of travel?&nbsp;" name="passports-does-everyone-traveling-have-a-valid-passport-with-at-least-6months-of-validity-after-the-time-of-travel-"> <option label="Yes, we all have valid passports" value="yes-we-all-have-valid-passports">Yes, we all have valid passports</option> <option label="No, some of us have valid passports" value="no-some-of-us-have-valid-passports">No, some of us have valid passports</option> <option label="No, we all need to obtain passports" value="no-we-all-need-to-obtain-passports">No, we all need to obtain passports</option> </field> <field type="radio-group" required="true" label="Are you interested in Travel Protection/Travel Insurance as part of your proposal?" inline="true" name="are-you-interested-in-travel-protectiontravel-insurance-as-part-of-your-proposal"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="checkbox-group" required="true" label="Where on the ship would you like your suite to be located?" description="Please note that we'll do our best to select a location based on your preferences however, some suites are only located on specific decks and locations on the ship." name="where-on-the-ship-would-you-like-your-suite-to-be-located"> <option label="Forward" value="forward">Forward</option> <option label="Mid-Ship" value="midship">Mid-Ship</option> <option label="Aft" value="aft">Aft</option> </field> <field type="checkbox-group" required="true" label="Which deck would you like your suite to be located on?" description="Please note that we'll do our best to select a location based on your preferences however, some suites are only located on specific decks and locations on the ship." name="which-deck-would-you-like-your-suite-to-be-located-on"> <option label="Lower Deck" value="lower-deck">Lower Deck</option> <option label="Mid-Deck" value="middeck">Mid-Deck</option> <option label="Higher Deck" value="higher-deck">Higher Deck</option> </field> <field type="checkbox-group" required="true" label="What is most important for your cruise experience?" name="what-is-most-important-for-your-cruise-experience"> <option label="Dining and Culinary Experiences" value="dining-and-culinary-experiences">Dining and Culinary Experiences</option> <option label="Entertainment and Activities" value="entertainment-and-activities">Entertainment and Activities</option> <option label="Ports of Call" value="ports-of-call">Ports of Call</option> <option label="Relaxation" value="relaxation">Relaxation</option> <option label="Family Activities" value="family-activities">Family Activities</option> <option label="Adults-Only Areas" value="adultsonly-areas">Adults-Only Areas</option> </field> <field type="text" required="true" label="Any food allergies?" name="any-food-allergies" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you or any of the other travelers in your party get sea sick easily?" name="do-you-or-any-of-the-other-travelers-in-your-party-get-sea-sick-easily"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Any mobility or handicap issues we should know about?" name="any-mobility-or-handicap-issues-we-should-know-about" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What else would you like us to know?" name="what-else-would-you-like-us-to-know" className="form-control"/> <field type="radio-group" required="true" label="How soon are you looking to book and confirm your travel experience?" name="how-soon-are-you-looking-to-book-and-confirm-your-travel-experience"> <option label="ASAP - ready to book today!" value="asap-ready-to-book-today">ASAP - ready to book today!</option> <option label="Ready to book within the next few days" value="ready-to-book-within-the-next-few-days">Ready to book within the next few days</option> <option label="Looking to book within next 2 weeks" value="looking-to-book-within-next-2-weeks">Looking to book within next 2 weeks</option> <option label="Looking to book over 2 weeks from now" value="looking-to-book-over-2-weeks-from-now">Looking to book over 2 weeks from now</option> <option label="Not ready to book, just looking for pricing" value="not-ready-to-book-just-looking-for-pricing">Not ready to book, just looking for pricing</option> </field> </fields> </form-template> </body> </html>
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