TravelJoy

Kristina Keller

traveladventuresbykristina

2026 Brilliant Lady Cruise

Apr 12, 2026 to Apr 18, 2026

Mexico

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  <body>
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	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="checkbox-group" label="Number of Cabins Needed" name="number-of-cabins-needed">&#13;
			<option label="1 Cabin" value="1-cabin">1 Cabin</option>&#13;
			<option label="2 Cabins" value="2-cabins">2 Cabins</option>&#13;
			<option label="3 Cabins" value="3-cabins">3 Cabins</option>&#13;
			<option label="4 or more Cabins" value="4-or-more-cabins">4 or more Cabins</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Cruise Line" name="preferred-cruise-line">&#13;
			<option label="Carnival" value="Carnival">Carnival</option>&#13;
			<option label="Royal Caribbean" value="Royal Caribbean">Royal Caribbean</option>&#13;
			<option label="Norwegian " value="Norwegian">Norwegian </option>&#13;
			<option label="Virgin" value="Virgin">Virgin</option>&#13;
			<option label="Princess " value="Princess-">Princess </option>&#13;
			<option label="Disney" value="Disney">Disney</option>&#13;
			<option label="MSC" value="MSC">MSC</option>&#13;
			<option label="Other" value="Other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cabin Catergory" name="cabin-catergory">&#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;
			<option label="Spa level" value="Spa Level">Spa level</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Dining time Preference" name="dining-time-preference">&#13;
			<option label="Early Dining" value="early-dining">Early Dining</option>&#13;
			<option label="Late Dining" value="late-dining">Late Dining</option>&#13;
			<option label="Your Time Dining" value="your-time-dining">Your Time Dining</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any Additional Information I need to Know: (If you know and have any loyalty numbers)" name="any-additional-information-i-need-to-know" className="form-control"/>&#13;
		<field type="text" label="Second Passenger First Name&amp;nbsp;" name="second-passenger-first-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Second Passenger Last Name" name="second-passenger-last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Second Passenger DOB" name="second-passenger-dob" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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