TravelJoy

Annette M. Benjamin

sublimeXcursions LLC

KJ's THIRD Birthday Cruise!! - V0D3F7

Jul 7, 2024 to Jul 13, 2024

Grand Turk, Amber Cove - DR and Nassau

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		<field type="header" subtype="h2" label="Contact Information - Primary Passenger"/>&#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 (nickname)" name="text-1543278469347" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Carnival Cruise Line VIFP #" name="text-1543278629143" 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="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport is required if you do not have your birth certificate with a raised seal and an enhanced Real ID Drivers License."/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" 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="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="Cabin Type" name="cabin-type">&#13;
			<option label="Inside" value="Inside">Inside</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony/Veranda" value="balconyveranda">Balcony/Veranda</option>&#13;
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		<field type="radio-group" required="true" label="Is anyone in your cabin a member of Military?" name="is-anyone-in-your-cabin-a-member-of-military">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Is anyone in your cabin a Police/Firefighter?" name="is-anyone-in-your-cabin-a-policefirefighter">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Number of Adults" name="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="radio-group" label="Number of Children (0-12yrs)&amp;nbsp;" name="number-of-children-012yrs-">&#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="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Single" value="2-single">2 Single</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to add the prepaid gratuities of $96 per person to your quote?" name="would-you-like-to-add-the-prepaid-gratuities-of-96-per-person-to-your-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to add Carnival Cruise Lines Optional Vacation Protection Plan to your quote?" name="would-you-like-to-add-carnival-cruise-lines-optional-vacation-protection-plan-to-your-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="ARE YOU FULLY VACCINATED!" name="are-you-fully-vaccinated">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Please provide date of birth and names as they appear on the legal documents for additional passengers sharing your cabin." name="additional-commentsspecial-needs" className="form-control"/>&#13;
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  </body>
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