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Remarkable Cruises and Vacations by Shante
Shante Hayward
FB or IG Deal Form
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="This form is to purchase vacation packages that are promoted by Remarkable Cruises and Vacations by Shante on Facebook and Instagram. &nbsp;Please complete the form to have the full&nbsp; itinerary and invoice sent to you so that you can book your trip. Your itinerary/invoice will include full details of the Facebook or Instagram deal such as airline company, flight times, name of hotel, type of room and any additional information that is needed to make an informed decision. If you have any questions about the travel deal you saw or this form, please send us an email at info@remarkablecruisesandvacations.com or text us at 407-219-1167..&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Date of Birth"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Mobile number" name="text-1709955373066" subtype="text" className="form-control"/> <field type="textarea" label="Traveler #2 First and Last Name" name="textarea-1683519902828" className="form-control"/> <field type="textarea" label="Traveler #2 Date of Birth" name="traveler-2-date-of-birth" className="form-control"/> <field type="textarea" required="true" label="Which Facebook or Instagram deal do you want to book? Please include trip number listed on the travel deal post you saw." name="textarea-1683520310682" className="form-control"/> <field type="textarea" label="Please list full name and date of birth of any additional travelers" name="textarea-1683520003332" className="form-control"/> <field type="radio-group" required="true" label="Include Trip Protection? Please note that this will increase the total amount of the trip and the required deposit" name="include-trip-protection-please-note-that-this-will-increase-the-amount-of-the-required-deposit"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Would you like to apply for uplift? If you select yes we will automatically send you an application for you to apply and receive a decision in minutes." name="would-you-like-to-apply-for-uplift-if-you-select-yes-we-will-automatically-send-you-an-application-for-you-to-apply-and-receive-a-decision-in-minutes"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Are you interested in upgrading your room for an additional cost if available or mentioned in the Facebook or Instagram deal post?" name="text-1715712132039" subtype="text" className="form-control"/> <field type="select" label="Select" name="select-1729312121705" className="form-control"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> <option label="Option 2" value="option-2">Option 2</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="select" required="true" label="What is the name of the referral customer who sent you this trip? Please select the referral customer who referred you so that we can give you a discount on their behalf." name="what-is-the-name-of-the-referral-customer-who-sent-you-this-trip-please-select-the-referral-customer-who-referred-you-so-that-we-can-give-you-a-discount-on-their-behalf" className="form-control"> <option label="Tracy Hayward" value="tracy-hayward" selected="selected">Tracy Hayward</option> <option label="I was not referred by anyone" value="i-was-not-referred-by-anyone">I was not referred by anyone</option> </field> </fields> </form-template> </body> </html>
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