TravelJoy

Tim Elrod

Travelmation

Beauty and the Beats Cruise 2026

Mar 2, 2026 to Mar 7, 2026

Key West and Bahamas

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		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" 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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" 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="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" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler #2 Legal Name and&amp;nbsp; Date of Birth" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND DOB" name="traveler-2-legal-name-and-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler #3 Legal Name and Date of Birth" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND DOB" name="traveler-3-legal-name-and-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler #4 Legal Name and Date of Birth" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND DOB" name="traveler-4-legal-name-and-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler #5 Legal Name and Date of Birth" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND DOB" name="traveler-5-legal-name-and-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs (Including TSA Precheck)" description="If providing for other passengers  please indicate which passenger next to Loyalty 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) ***"/>&#13;
		<field type="select" label="Preferred Bedding Configuration" name="preferred-bedding-configuration" className="form-control">&#13;
			<option label="Together (King/Queen)" value="together-kingqueen">Together (King/Queen)</option>&#13;
			<option label="Apart (2 Twins)" value="apart-2-twins">Apart (2 Twins)</option>&#13;
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		<field type="select" label="Preferred Dining Time" name="preferred-dining-time" className="form-control">&#13;
			<option label="Early" value="early">Early</option>&#13;
			<option label="Late" value="late">Late</option>&#13;
			<option label="My Time Dining" value="my-time-dining">My Time Dining</option>&#13;
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		<field type="checkbox-group" required="true" label="Preferred Stateroom Category" name="preferred-room-stateroom-category" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View (Window Only)" value="ocean-view-window-only">Ocean View (Window Only)</option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Suite " value="suite-">Suite </option>&#13;
			<option label="Concierge (Haven, Retreat, Neptune, etc)" value="concierge-haven-retreat-neptune-etc">Concierge (Haven, Retreat, Neptune, etc)</option>&#13;
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		<field type="radio-group" required="true" label="Preferred Rate" name="preferred-rate">&#13;
			<option label="Refundable Deposit Rate" value="refundable-deposit-rate">Refundable Deposit Rate</option>&#13;
			<option label="Non- Refundable Deposit Rate" value="non-refundable-deposit-rate">Non- Refundable Deposit Rate</option>&#13;
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		<field type="checkbox-group" required="true" label="Would you like to add prepaid gratuities?" name="would-you-like-to-add-prepaid-gratuities">&#13;
			<option label="Yes please!" value="yes-please">Yes please!</option>&#13;
			<option label="Not at this time" value="not-at-this-time">Not at this time</option>&#13;
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		<field type="checkbox-group" required="true" label="Would you like to add travel protection?" name="would-you-like-to-add-travel-protection">&#13;
			<option label="Yes, please add Celebrity CruiseCare to my reservation!" value="yes-please-add-celebrity-cruisecare-to-my-reservation">Yes, please add Celebrity CruiseCare to my reservation!</option>&#13;
			<option label="Yes, please send me a quote from your fantastic third party provider!" value="yes-please-send-me-a-quote-from-your-fantastic-third-party-provider">Yes, please send me a quote from your fantastic third party provider!</option>&#13;
			<option label="No, not at this time" value="no-not-at-this-time">No, not at this time</option>&#13;
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		<field type="checkbox-group" required="true" label="Are you an active-duty member, retired member, or veteran of the U.S. military?" name="are-you-an-activeduty-member-retired-member-or-veteran-of-the-us-military">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="checkbox-group" label="Would you like help planning your pre/post cruise air and accommodations?" name="would-you-like-help-planning-your-prepost-cruise-air-and-accommodations">&#13;
			<option label="Yes please!" value="yes-please">Yes please!</option>&#13;
			<option label="Nope! I've got it!" value="nope-ive-got-it">Nope! I've got it!</option>&#13;
			<option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option>&#13;
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		<field type="textarea" label="Are there any other details or requests you would like to share?" name="are-there-any-other-details-or-requests-you-would-like-to-share" className="form-control"/>&#13;
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