TravelJoy

Gabrielle Johnson

Beyond Luxe Vacations

BLV at Sea: Eastern Mediterranean 2025

Jul 13, 2025 to Jul 20, 2025

Rome, Greece, Turkey, Italy

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		<field type="header" subtype="h2" label="Beyond Luxe Vacations Client Profile - 7 Night Eastern Mediterranean Cruise 2025"/>&#13;
		<field type="header" subtype="h3" label="Full Name (as it appears on your passport)"/>&#13;
		<field type="text" required="true" label="Prefix" placeholder="Mr./ Ms./Mrs." name="prefix" subtype="text" className="form-control"/>&#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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="&amp;nbsp;Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" 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="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" 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;
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		<field type="radio-group" required="true" label="Do you currently have a visa?" name="do-you-currently-have-a-visa">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="text" required="true" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any dietary restrictions or food allergies? Favorite beverages?" name="dietary-restrictions" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any medical conditions we need to be aware of?" name="medical-conditions" className="form-control"/>&#13;
		<field type="textarea" label="Anything else you think we should know? (Special requests, traveling with a group, comments, notes, etc.)" name="additional-notes" className="form-control"/>&#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="radio-group" required="true" label="Choose a cabin type" name="choose-a-cabin-type">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
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