TravelJoy

Norwegian Jewel

Nov 21, 2025 to Dec 1, 2025

Panama Canal: Mexico, Belize & Costa Rica

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Primary 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="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="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;
		</field>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="radio-group" required="true" label="Do you have a passport?" description="A passport is highly recommended for cruising  but not necessarily required in some cases." inline="true" name="passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="In process" value="In process">In process</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Cabin Preferences"/>&#13;
		<field type="radio-group" required="true" label="Total Number of Adults" inline="true" name="total-number-of-adults">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please enter the name(s) of the other adults exactly as it appears on the government issued ID and DOB." placeholder="Example: Second Passenger Name; DOB" name="please-enter-the-names-of-the-other-adults-exactly-as-it-appears-on-the-government-issued-id-and-dob" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Total Number of Children" inline="true" name="total-number-of-children">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please enter the name(s) of the other guests exactly as it appears on the government issued ID and DOBs." placeholder="Example: Second Passenger Name; DOB" name="please-enter-the-names-of-the-other-guests-exactly-as-it-appears-on-the-government-issued-id-and-dobs" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Please select your preferred cabin category." name="please-select-your-preferred-cabin-category">&#13;
			<option label="Interior" value="Interior">Interior</option>&#13;
			<option label="Oceanview (No balcony)" value="Oceanview (No balcony)">Oceanview (No balcony)</option>&#13;
			<option label="Balcony" value="Balcony">Balcony</option>&#13;
			<option label="Club Balcony" value="Club Balcony">Club Balcony</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Would you like airfare included in your quote?" inline="true" name="include-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Preferred Airline" name="preferred-airline" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option>&#13;
			<option label="Delta Airlines" value="delta-airlines">Delta Airlines</option>&#13;
			<option label="Spirit" value="spirit">Spirit</option>&#13;
			<option label="United Airlines" value="united-airlines">United Airlines</option>&#13;
			<option label="American Airlines" value="american-airlines">American Airlines</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure airport code?" description="Provide airport code (ex. DCA  BWI   etc.)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Have you sailed with Norwegian before?" name="have-you-sailed-with-carnival-before" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I have sailed with another cruise line" value="i-have-sailed-with-another-cruise-line">I have sailed with another cruise line</option>&#13;
			<option label="I have never cruised before" value="i-have-never-cruised-before">I have never cruised before</option>&#13;
		</field>&#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="checkbox-group" label="Cabin Location Preference" description="Cabin Location Preference are treated as requests and are NOT guaranteed" name="cabin-location-preference">&#13;
			<option label="Front of ship" value="front-of-ship">Front of ship</option>&#13;
			<option label="Mid ship" value="mid-ship">Mid ship</option>&#13;
			<option label="Back of ship" value="back-of-ship">Back of ship</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like transfers included in your quote?" name="would-you-like-transfers-included-in-your-quote">&#13;
			<option label="Yes, Private" value="Yes, Private">Yes, Private</option>&#13;
			<option label="Yes, Shared" value="Yes, Shared">Yes, Shared</option>&#13;
			<option label="No" value="Transfers on own">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like travel insurance or travel protection included in your invoice?" description="Travel Insurance will be offered by Allianz Global Assistance; Travel protection will be offered by Royal Caribbean." name="would-you-like-travel-insurance-or-travel-protection-included-in-your-invoice">&#13;
			<option label="Yes, I would like Allianz Classic Plan included." value="Allianz Classic Plan">Yes, I would like Allianz Classic Plan included.</option>&#13;
			<option label="Yes, I would like Allianz Classic Plan with Cancel Anytime included." value="Allianz Classic Plan with Cancel Anytime">Yes, I would like Allianz Classic Plan with Cancel Anytime included.</option>&#13;
			<option label="Yes, I would like Norwegian's Travel Protection included." value="yes-i-would-like-norwegians-travel-protection-included">Yes, I would like Norwegian's Travel Protection included.</option>&#13;
			<option label="Please do not add travel insurance or protection." value="No Insurance - Send Waiver">Please do not add travel insurance or protection.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Additional Info"/>&#13;
		<field type="radio-group" label="How did you hear about us?" name="how-did-you-hear-about-us">&#13;
			<option label="Referred by a friend/family member" value="referred-by-a-friendfamily-member">Referred by a friend/family member</option>&#13;
			<option label="Social Media (Facebook, Instagram)" value="social-media-facebook-instagram">Social Media (Facebook, Instagram)</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Website" value="website">Website</option>&#13;
		</field>&#13;
		<field type="text" label="If referred by a friend/family member, include the name here." name="referral-name" value="First and Last Name" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="text" label="Any dietary needs, restrictions, or special needs?" description="Special diet  or require a wheelchair? Let me know!" name="any-dietary-needs-restrictions-or-special-needs" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>