TravelJoy

LuAnn Lisell

Lisell Travel

European Holiday Markets

Dec 8, 2023 to Dec 15, 2023

<html>
  <body>
    <form-template>
	<fields>
		<field type="header" subtype="h2" label="Passenger 1"/>
		<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="Suffix" name="suffix" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Address"/>
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" required="true" 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="header" subtype="h1" label="Stateroom Occupancy"/>
		<field type="radio-group" required="true" label="How many people in the room?" name="how-many-people-in-the-room">
			<option label="Single Occupancy" value="single-occupancy">Single Occupancy</option>
			<option label="Double Occupancy (fill out passenger 2 information)" value="double-occupancy-fill-out-passenger-2-information">Double Occupancy (fill out passenger 2 information)</option>
		</field>
		<field type="header" subtype="h1" label="Passenger 2"/>
		<field type="text" label="Passenger 2 - Name EXACTLY as it appears on the Passport" name="passenger-2-name-exactly-as-it-appears-on-the-passport" subtype="text" className="form-control"/>
		<field type="text" label="Passenger 2 - Birthday" name="passenger-2-birthday" subtype="text" className="form-control"/>
		<field type="text" label="Passenger 2 - Email Address" name="passenger-2-email-address" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Staterooms Options"/>
		<field type="radio-group" required="true" label="I want to purchase the below room type" name="room-choice">
			<option label="Classic" value="classic">Classic</option>
			<option label="French Balcony" value="french-balcony">French Balcony</option>
			<option label="Deluxe French Balcony" value="deluxe-french-balcony">Deluxe French Balcony</option>
			<option label="Suite" value="suite">Suite</option>
		</field>
		<field type="header" subtype="h1" label="Additional Booking Information"/>
		<field type="radio-group" required="true" label="Have you sailed on Uniworld Boutique River Cruises before?" description="If so  you may qualify to an additional discount or onboard credit." name="have-you-sailed-on-uniworld-boutique-river-cruises-before">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" label="Are you currently working with a Lisell Travel advisor?" name="are-you-currently-working-with-a-lisell-travel-advisor">
			<option label="LuAnn Lisell" value="luann-lisell">LuAnn Lisell</option>
			<option label="Melissa Lisell" value="melissa-lisell">Melissa Lisell</option>
			<option label="Theadis Damewood" value="theadis-damewood">Theadis Damewood</option>
			<option label="Joy Ferguson" value="joy-ferguson">Joy Ferguson</option>
			<option label="Jodie Hoffman" value="jodie-hoffman">Jodie Hoffman</option>
			<option label="I do not currently have a Lisell Travel advisor." value="i-do-not-currently-have-a-lisell-travel-advisor">I do not currently have a Lisell Travel advisor.</option>
		</field>
		<field type="header" subtype="h1" label="Travel Protection"/>
		<field type="radio-group" label="Travel Protection" description="We believe that your upcoming trip is a significant investment.  For this reason  we strongly recommend comprehensive travel protection.  If you choose to decline this valuable coverage  you are assuming any financial loss associated with your travel arrangements." name="travel-protection">
			<option label="I am interested in receiving a quote" value="i-am-interested-in-receiving-a-quote">I am interested in receiving a quote</option>
			<option label="No, I decline to purchase travel protection" value="no-i-decline-to-purchase-travel-protection">No, I decline to purchase travel protection</option>
		</field>
		<field type="header" subtype="h1" label="Payment Terms"/>
		<field type="checkbox-group" required="true" label="A deposit of 10% is due within 72 hours of reservation.&amp;nbsp; Final payment is due by August 10, 2023." description="A deposit of 10% is due within 72 hours of reservation.  Final payment is due by August 10  2023." name="a-deposit-of-10-is-due-within-72-hours-of-reservation-final-payment-is-due-by-august-1-2023">
			<option label="I understand that payment of the deposit constitutes my acceptance of the terms and conditions." value="i-understand-that-payment-of-the-deposit-constitutes-my-acceptance-of-the-terms-and-conditions">I understand that payment of the deposit constitutes my acceptance of the terms and conditions.</option>
		</field>
	</fields>
</form-template>
  </body>
</html>