TravelJoy

Tim Elrod

Travelmation

Gilly & The Girl Getaway

Jul 19, 2024 to Jul 26, 2024

Celebrity Edge

<html>
  <body>
    <form-template xmlns="http://www.w3.org/1999/xhtml">
      <fields>
        <field type="header" subtype="h2" label="Contact Information"/>
        <field type="header" subtype="h2" label="Full name"/>
        <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
        <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" name="preferred-name" subtype="text" className="form-control"/>
        <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>
        <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
        <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
        <field type="date" required="true" 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="Address"/>
        <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
        <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
        <field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
        <field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
        <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>
        <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>
        <field type="text" label="Traveler #2 Legal Name and Age at Time of Traveling&amp;amp;nbsp;" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND AGE" name="traveler-2-legal-name-and-date-of-birth" subtype="text" className="form-control"/>
        <field type="text" label="Traveler #3 Legal Name and Age at Time of Traveling&amp;amp;nbsp;" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND AGE" name="traveler-3-legal-name-and-date-of-birth" subtype="text" className="form-control"/>
        <field type="text" label="Traveler #4 Legal Name and Age at Time of Traveling" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND AGE" name="traveler-4-legal-name-and-date-of-birth" subtype="text" className="form-control"/>
        <field type="text" label="Traveler #5 Legal Name and Age at Time of Traveling" description="We cannot provide an accurate quote without ages for all passengers" placeholder="PLEASE PROVIDE NAME AND AGE" name="traveler-5-legal-name-and-date-of-birth" subtype="text" className="form-control"/>
        <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) ***"/>
        <field type="select" label="Preferred Bedding Configuration" name="preferred-bedding-configuration" className="form-control">
          <option label="Together (King/Queen)" value="together-kingqueen" selected="selected">Together (King/Queen)</option>
          <option label="Apart (2 Twins)" value="apart-2-twins">Apart (2 Twins)</option>
        </field>
        <field type="select" label="Preferred Dining Time" name="preferred-dining-time" className="form-control">
          <option label="Early" value="early" selected="selected">Early</option>
          <option label="Late" value="late">Late</option>
          <option label="My Time Dining" value="my-time-dining">My Time Dining</option>
        </field>
        <field type="checkbox-group" required="true" label="Preferred Stateroom Category" name="preferred-room-stateroom-category" other="true">
          <option label="Interior" value="interior" selected="selected">Interior</option>
          <option label="Ocean View (Window Only)" value="ocean-view-window-only">Ocean View (Window Only)</option>
          <option label="Balcony " value="balcony-">Balcony </option>
          <option label="Suite " value="suite-">Suite </option>
          <option label="Concierge (Haven, Retreat, Neptune, etc)" value="concierge-haven-retreat-neptune-etc">Concierge (Haven, Retreat, Neptune, etc)</option>
        </field>
        <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">
          <option label="Yes please!" value="yes-please">Yes please!</option>
          <option label="Nope! I've got it!" value="nope-ive-got-it">Nope! I've got it!</option>
          <option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option>
        </field>
        <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"/>
      </fields>
    </form-template>
  </body>
</html>