TravelJoy

Patrick Ketelaar

Montgomery Travel Partners LLC

Norwegian Cruise Lines

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Norwegian Cruise Quote Request"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" 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="text" label="Best Time to Contact (When is the best day/time to call)" name="text-1698258323634" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="textarea" label="Names and Birthdates of your cabinmates" name="textarea-1697991641030" className="form-control"/>&#13;
		<field type="text" label="Norwegian Cruise Line Ship Preference" name="text-1698189316554" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?&amp;nbsp; what's your dream destination" name="text-1697572685335" subtype="text" className="form-control"/>&#13;
		<field type="text" label="When would you like to go? (Please provide date or date&amp;nbsp; range)" name="text-1697572732130" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to Depart from ( Miami, Port Canaveral (Orlando)...)" name="text-1697991713399" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Cabin Choice" name="cabin-choice">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="textarea" label="Notes or Instructions" description="If you have exact instructions as for cabin type or room # place it here along with anything else you may want us to know when preparing your quote" name="notes-or-instructions" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>