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Robin Schelling
Schelling Consulting Services
Whimsical Holiday Cruises
Cruise Choices: 14-day Enchanted Holiday (NYC-Ft. Lauderdale), 7-day Romantic Holiday (Port Canaveral), 4-night Magical Moments (Port Canaveral)
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Vacations by Robin (Schelling Consulting Services) has selected the perfect Holiday cruises anyone who loves Christmas, and Romantic adventures, to book alongside like-minded individuals. Choose from three different voyages. The 14-day Enchanted Holiday Voyage&nbsp;sailing from New York to Fort Lauderdale, November 2-16, 2024; or The 7-night Romantic Caribbean Voyage sailing from Port Canaveral, December 7-14, 2024, or the 4-night Magical Moments Bahamas sailing from Port Canaveral, December 18-22, 2024. All cruises will be tailored with a romantic theme fitting for a holiday enthusiast! Group amenities will be provided and each passenger will receive a gift package after final payment is made.&nbsp;"/> <field type="paragraph" subtype="p" label="Privacy Assurance: Safeguarding your personal data is our utmost priority. Rest assured that this form is integrated into a secure system with limited access. Your information will never be sold or utilized for any purposes other than crafting your ideal vacation experience. Should you prefer an alternative method to receive this form, kindly reach out to your dedicated travel agent directly at 281-936-0513 or submit your request via email to schellingconsultingservices@gmail.com. Your privacy matters, and we are committed to ensuring your information remains confidential and protected."/> <field type="header" subtype="h2" label="Contact Information"/> <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="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="date" label="Date of birth" name="birthday" className="form-control"/> <field type="radio-group" 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="header" subtype="h2" label="Additional Traveler Information (can be added later. Fees may apply)"/> <field type="text" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthdate" name="birthdate" className="form-control"/> <field type="text" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/> <field type="text" label="Email Address" name="emergency-contact-relationship" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="radio-group" required="true" label="Voyage Selection" name="voyage-selection"> <option label="Nov 2-16, 2024: 14-day Enchanted Holiday: New York to Ft. Lauderdale" value="nov-216-2024-14day-enchanted-holiday-new-york-to-ft-lauderdale">Nov 2-16, 2024: 14-day Enchanted Holiday: New York to Ft. Lauderdale</option> <option label="Dec 7-14, 2024: 7-day Romantic Caribbean: Port Canaveral" value="dec-714-2024-7day-romantic-caribbean-port-canaveral">Dec 7-14, 2024: 7-day Romantic Caribbean: Port Canaveral</option> <option label="Dec 18-22, 2024: 4-night Magical Moments (Port Canaveral)" value="dec-1822-2024-4night-magical-moments-port-canaveral">Dec 18-22, 2024: 4-night Magical Moments (Port Canaveral)</option> </field> <field type="radio-group" label="Do you need flights?" name="do-you-need-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="text" label="Flight City or Airport Code" name="flight-city-or-airport-code" subtype="text" className="form-control"/> <field type="radio-group" label="Do you need Pre-cruise Hotel Accommodations?" name="do-you-need-precruise-hotel-accommodations"> <option label="Yes, Pre-Cruise only" value="yes-precruise-only">Yes, Pre-Cruise only</option> <option label="Yes, Post-Cruise only" value="yes-postcruise-only">Yes, Post-Cruise only</option> <option label="Yes, Pre & Post Cruise" value="yes-pre-post-cruise">Yes, Pre & Post Cruise</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Stateroom Preference" name="stateroom-preference"> <option label="Inside " value="inside-">Inside </option> <option label="Oceanview " value="oceanview-">Oceanview </option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Suite " value="suite-">Suite </option> </field> <field type="radio-group" required="true" label="Stateroom Location" name="stateroom-location"> <option label="Front" value="front">Front</option> <option label="Middle" value="middle">Middle</option> <option label="Aft" value="aft">Aft</option> </field> <field type="radio-group" label="Bed Arrangement Preference" name="bed-arrangement-preference"> <option label="Together" value="together">Together</option> <option label="Separate" value="separate">Separate</option> </field> <field type="radio-group" required="true" label="Dining Preference" name="dining-preference"> <option label="Early " value="early-">Early </option> <option label="Late" value="late">Late</option> <option label="Anytime" value="anytime">Anytime</option> </field> <field type="radio-group" label="Do you need ground transportation?" name="do-you-need-ground-transportation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="radio-group" required="true" label="Are you interested in being an on-ship planning assistant? Discounts and benefits may apply!" name="are-you-interested-in-being-an-onship-planning-assistant-discounts-and-benefits-may-apply"> <option label="YES, Please" value="yes-please">YES, Please</option> <option label="No thank you!" value="no-thank-you">No thank you!</option> <option label="Tell me more!" value="tell-me-more">Tell me more!</option> </field> <field type="radio-group" required="true" label="Payment Options" description="Please mark the preferred method of payment" name="payment-options"> <option label="Pay in Full 10% discount" value="pay-in-full-10-discount">Pay in Full 10% discount</option> <option label="Deposit + monthly payments" value="deposit-monthly-payments">Deposit + monthly payments</option> <option label="Financing " value="financing-">Financing </option> </field> <field type="radio-group" required="true" label="How did you hear about this cruise?" name="how-did-you-hear-about-this-cruise"> <option label="Social Media Post" value="social-media-post">Social Media Post</option> <option label="Referral: All referrals that result in a booking will receive a bonus. Details will be emailed after submission. " value="referral-all-referrals-that-result-in-a-booking-will-receive-a-bonus-details-will-be-emailed-after-submission-">Referral: All referrals that result in a booking will receive a bonus. Details will be emailed after submission. </option> <option label="Other" value="other">Other</option> </field> <field type="paragraph" subtype="p" label="Upon submission, you will receive a customized quote based on your preferences. Once approved, you will receive an invoice. Cruise fare is paid directly to the supplier. Cancellation information will be noted on the quote. As a full-service agent, I can provide quotes on air travel, hotels for pre-post stays, transfers, rental cars, etc. All my clients receive custom appreciation gifts and we offer a referral bonus when you refer others that book any travel with us.&nbsp;"/> </fields> </form-template> </body> </html>
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