TravelJoy

Maria LaDuca

The Agency Chic

Norwegian Breakaway Cruise April 2024

Apr 21, 2024 to Apr 28, 2024

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Welcome to the Norwegian Breakaway Cruise Booking Form!"/>&#13;
		<field type="paragraph" subtype="p" label="Get ready to embark on a once-in-a-lifetime journey filled with boundless adventures, stunning destinations, and unforgettable moments at sea. We are thrilled to present you with the opportunity to sail through the Caribbean aboard the magnificent Norwegian Breakaway, departing from Miami in April 2024. This booking form is your gateway to an extraordinary cruise experience, where you can explore vibrant ports of call, indulge in world-class dining and entertainment, and create cherished memories with your loved ones. So, let's set sail together on this thrilling voyage of a lifetime - simply fill out the following details, and get ready to immerse yourself in the wonders of the Caribbean with Norwegian Cruise Line!"/>&#13;
		<field type="header" subtype="h1" label="Let's Get Started!"/>&#13;
		<field type="select" required="true" label="How many people will be in your stateroom?" description="Most stateroom options fit up to 4 people." name="how-many-people-will-be-in-your-stateroom" className="form-control">&#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;
			<option label="other" value="other">other</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Select Stateroom Type" description="Please select your preferred cabin type" name="select-stateroom-type" className="form-control">&#13;
			<option label="Interior (No Window)" value="interior-no-window">Interior (No Window)</option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Suite with Balcony" value="suite-with-balcony">Suite with Balcony</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Is everyone in the reservation a US citizen?" name="is-everyone-in-the-reservation-a-us-citizen" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Passenger Name &amp;nbsp;Like On Passport or Drivers License"/>&#13;
		<field type="paragraph" subtype="p" label="Please include the below information for all passengers."/>&#13;
		<field type="text" required="true" label="First passenger name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="First passenger Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First passenger Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="First passenger Date of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="textarea" label="If you have additional passengers please include names and birth dates here." name="if-you-have-additional-passengers-please-include-names-and-birth-dates-here" rows="5" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Passenger Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Cell Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" 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="clientLoyaltyPrograms" label="Do you have an NCL Latitudes Number?" description="If so please enter your 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) ***" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Select Your Agent Below" name="select-your-agent-below" other="true">&#13;
			<option label="Adrienne Marroquin" value="adrienne-marroquin">Adrienne Marroquin</option>&#13;
			<option label="Amy Pagan" value="amy-pagan">Amy Pagan</option>&#13;
			<option label="Anthony Perez" value="anthony-perez">Anthony Perez</option>&#13;
			<option label="Bianca Lugo" value="bianca-lugo">Bianca Lugo</option>&#13;
			<option label="Brenda Barragan" value="brenda-barragan">Brenda Barragan</option>&#13;
			<option label="Jessmarie Caez" value="jessmarie-caez">Jessmarie Caez</option>&#13;
			<option label="Maria LaDuca" value="maria-laduca">Maria LaDuca</option>&#13;
			<option label="It's my first time working with your team" value="its-my-first-time-working-with-your-team">It's my first time working with your team</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>