×
Create Trip
Loading...
×
Create Group
Loading...
Type
Draw
×
By signing, I understand that this is a legally binding contract.
×
Enter Credit Card
Card number
Name on card
Expiration date
Security Code
Billing phone
Billing address
Michael SantaLucia
SantaLucia Travel, LLC
EPIC Italy, Malta & Greek Isles cruise (May 14-24, 2025)
May 14, 2025 to May 24, 2025
Italy, Malta & Greece
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="EPIC Italy, Malta &amp; Greek Isles Cruise May 14-24, 2025"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="We're heading to the Mediterranean in 2025!&nbsp; SAIL WITH US to explore Italy, Malta, and the Greek Isles on this outstanding 10-day itinerary out of Rome that visits 8 exciting ports in 3 countries!&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Save up to 15% off current cruise fares and receive a bonus $100 in onboard credit along with other amenities!&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="We have group space with price advantaged fares for a limited number of Inside Cabins, Balcony Cabins, and Club Balcony Suites (which are the cabins we ourselves have booked and recommend).&nbsp; &nbsp;Studio (solo) Cabins and Haven Suites are also available at prevailing fares.&nbsp; &nbsp;The Norwegian Epic does not have Oceanview cabins."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" label="Group pricing is available for the following Cabin Categories:" name="group-pricing-is-available-for-the-following-cabin-categories"> <option label="from $1,462.25 per guest* for Inside Cabins" value="from-146225-per-guest-for-inside-cabins">from $1,462.25 per guest* for Inside Cabins</option> <option label="from $2,208.89 per guest* for Balcony Cabins" value="from-220889-per-guest-for-balcony-cabins">from $2,208.89 per guest* for Balcony Cabins</option> <option label="from $2,514.98 per guest* for Club Balcony Suite Cabins" value="from-251498-per-guest-for-club-balcony-suite-cabins">from $2,514.98 per guest* for Club Balcony Suite Cabins</option> </field> <field type="paragraph" subtype="p" label="*Pricing is based on double occupancy, excluding Port Fees/Taxes of $222.15 per adult, and Stateroom Service Charges of $200 per guest.&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Please complete the form below for a specific quote:"/> <field type="paragraph" subtype="p" label="&nbsp;This form must be completed separately for EACH guest on the reservation with their own individual email addresses (unless they are already in our system). If this form is completed more than once with the same email the data is overwritten by the most recent submission. If you have guests who don't have their own email, please advise and we will provide you with a separate form invite to complete their information under your email address.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="How many guests will be sharing a cabin with you on this reservation." inline="true" name="how-many-guests-will-be-sharing-a-cabin-on-this-reservation"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> </field> <field type="text" required="true" label="Guest 2's Name, Date of Birth and Email address" description="Please write-in guest 2's full name date of birth, and email address (enter NA if Not Applicable)" placeholder="Please write-in guest 2's full name date of birth, and email address (enter NA if Not Applicable)" name="guest-2s-name-and-email-address" subtype="text" className="form-control"/> <field type="text" label="Guest 3's Name, Date of Birth, and Email address" description="enter NA if Not Applicable" placeholder="Please write-in guest 3's full name date of birth, and email address" name="guest-3s-name-and-email-address" subtype="text" className="form-control"/> <field type="text" label="Guest 4's Name Date of Birth, and Email address" description="enter NA if Not Applicable" placeholder="Please write-in guest 4's full name date of birth and email address" name="guest-4s-name-and-email-address" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Please enter Guest 1's name (the lead guest on the reservation) exactly as it appears in your Passport Book"/> <field type="header" subtype="h3" label="Spelling of names must 100% match your Passport Book."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" name="birthday" 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 or Province" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip / Postal Code" name="address-zip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Country" inline="true" name="country" other="true"> <option label="United States of America" value="united-states-of-america">United States of America</option> <option label="Canada" value="canada">Canada</option> </field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Can SMS text messages been sent to this phone?" inline="true" name="can-sms-text-messages-been-sent-to-this-phone" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Passport Info"/> <field type="paragraph" subtype="p" label="PASSPORT BOOKS ARE REQUIRED for this itinerary and cannot expire prior to November 24, 2025 at the earliest (they must be good for at least 6 months past the return date of travel).&nbsp; &nbsp; IF YOUR PASSPORT WILL EXPIRE BEFOER THIS DATE,&nbsp; IT WILL NEED TO BE RENEWED WELL IN ADVANCE OF TRAVEL (we strongly recommended they be renewed before flights are booked).&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="A photo of your current passport's information page showing your picture, the passport number and expiration date is required in order to submit this form.&nbsp; If you do NOT currently have a Passport Book, fill in your name and date of birth and write-in TBD for the passport number and be sure to get the application process started as they can take 2-6 months depending on how busy the Passport office is.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="text" required="true" label="Full name of guest 1 (the lead guest) as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" inline="true" 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="text" required="true" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" required="true" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="file" required="true" label="Photo of passport ID page" description="please attach a legible photo of the passport page containing your photo passport number and expiration dates" name="passport_photo" subtype="file" className="form-control"/> <field type="header" subtype="h1" label="Travel Details"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="What is your preferred departure city for flights?" description="Where do you prefer to fly in and out of?" name="what-is-your-preferred-departure-city-for-flights" other="true"> <option label="Buffalo" value="buffalo">Buffalo</option> <option label="Toronto" value="toronto">Toronto</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="Have you sailed on Norwegian Cruise Line in the past?" inline="true" name="have-you-sailed-on-a-cruise-in-the-past"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="STATEROOM TYPE SELECTION"/> <field type="paragraph" subtype="p" label="&nbsp;NOTE: prices below don't include mandatory port fees/taxes of $222.15 per guest, or mandatory service charges of $200 per guest for the stateroom. The complimentary beverage and/or dining packages require mandatory service charges of $218 per adult for the beverage package, and $19.80 per guest for the dining package. All adults in the cabin must select the same options for the Beverage package. The dining and internet packages are only applicable to the first two guests on each reservation.&nbsp;"/> <field type="radio-group" required="true" label="WHAT TYPE OF STATEROOM ARE YOU INTERESTED IN?" description="Select 1 preferred category. The Epic does not have Oceanview cabins." name="if-cruising-what-type-of-cabin-are-you-interested-in"> <option label="Solo Studio (prevailing fares for single guests)" value="solo-studio-prevailing-fares-for-single-guests">Solo Studio (prevailing fares for single guests)</option> <option label="Inside (group fares from $1,462.25 per guest based on double occupancy)" value="inside-group-fares-from-146225-per-guest-based-on-double-occupancy">Inside (group fares from $1,462.25 per guest based on double occupancy)</option> <option label="Balcony (group fares from $2,208.89 per guest based on double occupancy)" value="balcony-group-fares-from-220889-per-guest-based-on-double-occupancy">Balcony (group fares from $2,208.89 per guest based on double occupancy)</option> <option label="Club Balcony Suite* (prevailing fares only, GROUP FARES ARE SOLD OUT!)" value="club-balcony-suite-prevailing-fares-only-group-fares-are-sold-out">Club Balcony Suite* (prevailing fares only, GROUP FARES ARE SOLD OUT!)</option> <option label="Suite (prevailing fares)" value="suite-prevailing-fares">Suite (prevailing fares)</option> </field> <field type="paragraph" subtype="output" label="* We recommend the Club Balcony Suites.&nbsp; This is the category we ourselves have booked."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h2" label="Amenity Options"/> <field type="header" subtype="h1" label="Guests sailing within our group will receive the following Amenities:"/> <field type="paragraph" subtype="p" label="- $100 in Onboard Credit per cabin (not per guest)"/> <field type="paragraph" subtype="p" label="- a choice of Amenities from either PACKAGE A or PACKAGE B below:"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="PACKAGE A - If you choose Package A, Balcony Staterooms and above may select up to 4 options, Insides and Studios may select 2, otherwise select PACKAGE B CHOSEN.&nbsp; NOTE: you can not mix and match between packages." description="Balcony Staterooms and above select up to 4 from either package A or Package B. Inside Staterooms and Studios may select 2 options from either package. NOTE: you can not mix and match between Packages)" name="package-a-if-you-choose-package-a-balcony-staterooms-and-above-may-select-up-to-4-options-insides-and-studios-may-select-2-otherwise-select-package-b-chosen-note-you-can-not-mix-and-match-between-packages"> <option label="Unlimited Open Bar* ($990 value per adult)" value="unlimited-open-bar-990-value-per-adult">Unlimited Open Bar* ($990 value per adult)</option> <option label="Specialty Dining Package*^ ($59-$99 value applicable to the first 2 guests on each reservation)" value="specialty-dining-package-5999-value-applicable-to-the-first-2-guests-on-each-reservation">Specialty Dining Package*^ ($59-$99 value applicable to the first 2 guests on each reservation)</option> <option label="150 minute Internet Package ($150 value applicable to the first 2 guests on each reservation)" value="150-minute-internet-package-150-value-applicable-to-the-first-2-guests-on-each-reservation">150 minute Internet Package ($150 value applicable to the first 2 guests on each reservation)</option> <option label="Shore Excursion Credits (up to $200 value applicable to the first guest on each reservation)" value="shore-excursion-credits-up-to-200-value-applicable-to-the-first-guest-on-each-reservation">Shore Excursion Credits (up to $200 value applicable to the first guest on each reservation)</option> <option label="PACKAGE B CHOSEN" value="package-b-chosen">PACKAGE B CHOSEN</option> </field> <field type="paragraph" subtype="p" label="* guests are responsible for 20% service charges on the retail value of the Beverage and Specialty Dining packages. These service charges will automatically be added to the total amount due for your cruise."/> <field type="paragraph" subtype="p" label="^ Balcony cabins and higher recieve 2 Specialty Meals ($99 value) for guests 1 and 2 on each reservation ise."/> <field type="paragraph" subtype="p" label="^ Studios and Inside cabins recieve 1 Specialty Meal ($59 value) for guest 1 and 2 on each reservation&nbsp;"/> <field type="paragraph" subtype="p" label="- Unlimited Open Bar Package Service charges are $218 per adult for this sailing (applicable to all adults on each reservation)"/> <field type="paragraph" subtype="p" label="- Specialty Dining Packages apply to the first 2 guests in each cabin. Mandatory Service charges for Balcony cabins or higher are $19.80 per adult for this sailing (applicable to the first 2 guests on each reservation). For Studio or Inside cabins the mandatory Specialty Dining Package Service charge is $11.80 for the 1st and 2nd guest on each reservation."/> <field type="paragraph" subtype="p" label="- the 150 Minute Internet Package is applicable to guests 1 &amp; 2 on each reservation"/> <field type="paragraph" subtype="p" label="- the Shore Excursion Credits (up to $200 value) are applicable only to guest 1 on each reservation"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="PACKAGE B - If you choose Package B, Balcony Staterooms and above may select up to 4 options, Insides and Studios may select 2, otherwise select PACKAGE A CHOSEN. NOTE: you can not mix and match between packages." description="Balcony Staterooms and above select up to 4 from either package A or Package B. Inside Staterooms and Studios may select 2 options from either package. NOTE: you can not mix and match between Packages)" name="package-b-if-you-choose-package-b-balcony-staterooms-and-above-may-select-up-to-4-options-insides-and-studios-may-select-2-otherwise-select-package-a-chosen-note-you-can-not-mix-and-match-between-packages"> <option label="$100 in additional Onboard Credit^" value="100-in-additional-onboard-credit">$100 in additional Onboard Credit^</option> <option label="Shore Excursion Credits (up to $200 value applicable to the first guest on each reservation)" value="shore-excursion-credits-up-to-200-value-applicable-to-the-first-guest-on-each-reservation">Shore Excursion Credits (up to $200 value applicable to the first guest on each reservation)</option> <option label="150 minute Internet Package ($150 value applicable to the first 2 guests on each reservation)" value="150-minute-internet-package-150-value-applicable-to-the-first-2-guests-on-each-reservation">150 minute Internet Package ($150 value applicable to the first 2 guests on each reservation)</option> <option label="10 Photo Package per cabin ($300 value)" value="10-photo-package-per-cabin-300-value">10 Photo Package per cabin ($300 value)</option> <option label="PACKAGE A CHOSEN" value="package-a-chosen">PACKAGE A CHOSEN</option> </field> <field type="paragraph" subtype="p" label="* Additional Onboard Credit and the Photo package cannot be selected if the Beverage and/or Dining packages are selected."/> <field type="paragraph" subtype="p" label="^ additional Onboard Credit is an additional $100 for the cabin (for a total of $200 per cabin when combined with the groups $100 Bonus Onboard credit).&nbsp;"/> <field type="paragraph" subtype="p" label="- the Shore Excursion Credits (up to $200 value) are applicable only to guest 1 on each reservation"/> <field type="paragraph" subtype="p" label="- the 150 Minute Internet Package is applicable to guests 1 &amp; 2 on each reservation"/> <field type="paragraph" subtype="p" label="- the Photo Package is a choice of 10 photos per cabin.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Unlimited Open Bar Details"/> <field type="paragraph" subtype="p" label="- You must be at least 21 years of age at time of sailing to purchase any alcoholic package and to consume alcohol. See the terms of our guest alcohol policy."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Applicable to guests 1-8 on the reservation for the entire length of the cruise. If 3-8 guest is under 21 years of age, Unlimited Open Bar Package does not apply, and soda package will not be given as a substitution."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Packages may not be shared and are non-transferable and non-refundable."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Eligible guests are entitled to two beverages per person per transaction."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Includes a variety of spirits and cocktails, wines by the glass and bottled or draft beer up to $15 USD retail price. Includes fountain soda, juice, and non-alcoholic beer"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- A 20% discount will be given on bottles of wine (champagne and sparkling included), Wine and Spirit Experiences, tastings or Flights purchased on board"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Offer is not applicable at Harvest Caye bars, restaurants, or venues"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Does not include: Wine and Spirit Experiences, tastings or Flights, Starbucks, Ice Bars, room service, package sales, bottled water, ship specific promotions or beer buckets, designated super premium brands (subject to change), bottled wine, mini bar purchases, fresh squeezed juices, wine dispenser, energy drinks or vending machines"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Guest who receives the Soda Package may obtain fountain soda at any bar, lounge, or restaurant throughout the duration of the cruise, excluding Harvest Caye bars, restaurants, or venues"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Guest's check may reflect applicable VAT and/or taxes for certain ports or itineraries."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Offer is not applicable on Harvest Caye, sailings that are two (2) days or less, on selected charters, or on Pride of America."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- A 20% gratuity and beverage service charge will be added to all package purchases."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Brand availability may vary by ship and season."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- No substitute for package if guest cannot consume all beverages included."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Other terms and conditions may apply."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="- Please note that rates are subject to change at any time at the discretion of Norwegian Cruise Line."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Deposit Options"/> <field type="paragraph" subtype="p" label="You can either book a Refundable deposit for $250 per guest on the reservation, or a nonrefundable Cruise First Certificate* for $150 which acts as your full deposit and credits $300 off the balance of the cruise.&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="With the purchase of a CruiseFirst certificate for $150 from Norwegian Cruise Line, they will match your $150 nonrefundable payment so you receive $300 towards your cruise by only paying $150*, Use of a CruiseFirst certificate will fulfill your deposit requirement for the cabin.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;Norwegian also occasionally runs a CruiseFirst DoubleUp promotion where you pay $250 for the CruiseFirst Certificate and receive $500 off the balance of the cruise."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="CruiseFirst Certificates are purchased directly from Norwegian Cruise Line at https://www.ncl.com/cruisefirst-program"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="*CruiseFirst Certificates are non-refundable and fulfill the full deposit requirement on the cruise for Club Balcony Suites and lower categories.&nbsp; CruiseFirst Certificates may only be used on new reservations that are 6 days or longer and booked at least 120 days in advance. Must sail within 3 years of purchase.&nbsp; No more than 1 CruiseFirst Certificate can be applied per reservation."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="WHAT TYPE OF DEPOSIT DO YOU PREFER?&nbsp;&nbsp;" name="if-cruising-what-type-of-cruise-fare-do-you-prefer"> <option label="Refundable Deposit ($250 per guest)" value="refundable-deposit-250-per-guest">Refundable Deposit ($250 per guest)</option> <option label="Nonrefundable CruiseFirst Certificate ($150)" value="nonrefundable-cruisefirst-certificate-150">Nonrefundable CruiseFirst Certificate ($150)</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs &amp; Trusted Traveler Programs&nbsp;- Please use the dropdown menu and the "add loyalty program "link below to enter the numbers for each applicable program you participate with, including Global Entry, Nexus, TSA Precheck, Norwegian Latitude's and each of your preferred airlines &amp; hotel brands)." description="Please use the dropdown menu and the "add loyalty program "link below to enter the numbers for each applicable program you participate with including Global Entry Nexus TSA Precheck Norwegian Latitude's and each of your preferred airlines & hotel brands)." 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"/> <field type="checkbox-group" required="true" label="Do you have a preferred airline or airlines? If so, please check the boxes as applicable, otherwise select "No Preference"" name="do-you-have-a-preferred-airline-or-airlines-if-so-please-check-the-boxes-as-applicable-otherwise-select-no-preference" other="true"> <option label="No Preference" value="">No Preference</option> <option label="American Airlines" value="american-airlines">American Airlines</option> <option label="Delta Airlines" value="delta-airlines">Delta Airlines</option> <option label="JetBlue" value="jetblue">JetBlue</option> <option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option> <option label="United Airlines" value="united-airlines">United Airlines</option> </field> <field type="radio-group" required="true" label="Airline Seat preference" name="seat-preference" other="true"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="How Many Nights would you like to stay in Rome Pre-Cruise?" name="how-many-nights-would-you-like-to-stay-in-rome-precruise" other="true"> <option label="None (we strongly recommend against same day arrivals)" value="none-we-strongly-recommend-against-same-day-arrivals">None (we strongly recommend against same day arrivals)</option> <option label="1 night" value="1-night">1 night</option> <option label="2 nights (recommended so you can experience a full day in Rome)" value="2-nights-recommended-so-you-can-experience-a-full-day-in-rome">2 nights (recommended so you can experience a full day in Rome)</option> </field> <field type="radio-group" required="true" label="How Many Nights would you like to stay in Rome Post-Cruise?" name="how-many-nights-would-you-like-to-stay-in-rome-postcruise" other="true"> <option label="None (we strongly recommend that flights depart no earlier than noon)" value="none-we-strongly-recommend-that-flights-depart-no-earlier-than-noon">None (we strongly recommend that flights depart no earlier than noon)</option> <option label="1 night" value="1-night">1 night</option> <option label="2 nights" value="2-nights">2 nights</option> </field> <field type="radio-group" required="true" label="Would you be interested in a 2 or 3 night post cruise extension to Venice?&nbsp; Internal transfers will likely be by rail between Civitavecchia (Rome) and Venice." name="would-you-be-interested-in-a-2-or-3-night-pre-or-post-cruise-extension-to-venice-internal-transfers-will-likely-be-by-rail-between-rome-and-venice" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="PRE OR POST CRUISE HOTEL PREFERENCE?&nbsp; We recommend flying into Rome at least 2 days prior to the cruise so you will have a full day to experience Rome.&nbsp;" description="We recommend flying into Rome at least 2 days prior to the cruise so you will have a full day to experience Rome." inline="true" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" label="Hotel Room preferences?" inline="true" name="hotel-room-preferences" other="true"> <option label="Standard Room" value="standard-room">Standard Room</option> <option label="Junior Suite" value="junior-suite">Junior Suite</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Bed preference?" inline="true" name="bed-preference" other="true"> <option label="King" value="king">King</option> <option label="Queen" value="queen">Queen</option> <option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option> </field> <field type="radio-group" label="Hotel View preferences?" inline="true" name="hotel-view-preferences" other="true"> <option label="Standard View" value="standard-view">Standard View</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Oceanfront" value="oceanfront">Oceanfront</option> </field> <field type="checkbox-group" label="Vibe preferences?" description="Select all that apply" inline="true" name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Activity preferences" description="Select all that applyh" inline="true" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="text" label="Meal preference" description="Do you have any meal restrictions/requests" placeholder="Indicate any meal restrictions/requests ?" name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="Please Indicate any special needs (if applicable)" description="ex. Behavioral/Emotional / CPAP / Developmental / Diabetic / Dietary / Physical or Sensory Impaired / etc." placeholder="ex. Behavioral/Emotional / CPAP / Developmental / Diabetic / Dietary / Physical or Sensory Impaired / etc." name="please-indicate-any-special-needs-if-applicable" subtype="text" className="form-control"/> <field type="text" label="What else would you like us to know?" description="Are there any special occasion's special requests or anything additional that you want to share with us?" placeholder="Are there any special occasion's special requests or anything additional that you want to share with us?" name="what-else-would-you-like-me-to-know" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="SANTALUCIA TRAVEL, LLC Client Agreement"/> <field type="paragraph" subtype="p" label="When you retain SantaLucia Travel, LLC (“SANTALUCIA TRAVEL” and/or “us/our”) and you, the purchaser and/or traveler (“Client” and “passenger” and “you/your”) to help plan your travel, you're hiring a professional travel advisor to ensure that your trip is tailored to your taste, preferences, and budget. You get the benefit of our skill, experience and training, our professional relationships, and our industry connections.&nbsp; Our Professional Services Fee covers your consultation, our research and recommendations, preparation of quotes and itineraries, reserving and booking each element of your trip, securing quotes for comprehensive travel insurance, administration of your booking from deposit to departure, and follow-up post-trip with suppliers (as needed)."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="By checking the box below and submitting this form, you acknowledge that you are hiring us to plan your trip and that you have read and agree to our Terms and Conditions of booking, which are located at: http://www.santaluciatravel.com/about-us/agency-terms--conditions.aspx"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="Client Agreement Acknowledgement" name="client-agreement"> <option label="I Agree" value="i-agree">I Agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Professional Service Fees"/> <field type="paragraph" subtype="p" label="The year plus global travel shutdown that occurred due to the COVID-19 pandemic was devastating to small and large travel businesses, including ours. The pandemic resulted in hundreds of thousands of dollars of booking cancellations for our agency, as well as hundreds of hours of unpaid work that was performed on behalf of our clients . As a commission based industry we generally receive payment from suppliers AFTER guests complete travel. In order to continue to provide the excellent personalized service we're known for, we have implemented Professional Service Fees to partially compensate for the time we invest in our client's trips before, during and after travel. We have made an effort to keep these fees as minimal as possible. We hope you can understand the reasoning behind them. Professional Service Fees will be invoiced separately and due prior to booking."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="Our Professional Service Fees cover our research and recommendations, preparation of quotes and itineraries, reserving and booking each element of your trip, securing quotes for comprehensive travel insurance, administration of your booking from deposit to departure, and follow-up post-trip with suppliers (as needed). Professional Service Fees are non-refundable and due prior to any research or quotes unless otherwise indicated. Professional Service Fees vary based on type of travel product and complexity of travel according to the schedule below:&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; - International Departure and one-way Cruises - $50 per passenger (Waived for all bookings within this group)"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; - International Pre Post Custom Land Travel - according to quote"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; - International Air Travel - $100 per passenger"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="Professional Services Fee Acknowledgement" name="professional-services-fee-acknowledgement"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Change and Cancellation Fees"/> <field type="paragraph" subtype="p" label="Once arrangements are confirmed and under deposit, SantaLucia Travel reserves the right to charge a change fee of $25 for each change to a reservation (in addition to any Supplier change fees), and a cancellation fee of $50 for bookings that are canceled (in addition to any Supplier cancellation penalties).&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="Change and Cancellation Fees Acknowledgement" name="change-and-cancellation-fees-acknowledgement"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Travel Insurance Acknowledgement"/> <field type="paragraph" subtype="p" label="Emergencies can happen when you least expect them. SANTALUCIA TRAVEL highly recommends that all clients purchase a travel insurance policy to protect their investment in their travel. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And, keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, and Emergency Medical Transportation, among other unforeseen circumstances. "/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="Please also note that in order for you to obtain coverage for certain pre-existing conditions, or for supplier default, your policy must be purchased at the time of booking or shortly thereafter (depending on the terms of the policy)."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="Please understand that we are not registered insurance agents and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if SANTALUCIA TRAVEL&nbsp; does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own. "/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="Would you like a Travel Insurance Quote for your trip?" inline="true" name="would-you-like-a-travel-insurance-quote-for-your-trip" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="I acknowledge that SANTALUCIA TRAVEL has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="checkbox-group" required="true" label="Travel Insurance Acknowledgment" inline="true" name="travel-insurance-acknowledgment"> <option label="I Agree" value="i-agree">I Agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="By signing below, I am confirming my acceptance above of SantaLucia Travel's Client Agreement, Terms and Conditions, and Travel Insurance Acknowledgment. I further understand that declining travel insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred."/> <field type="paragraph" subtype="p" label="&nbsp;"/> </fields> </form-template> </body> </html>
Signature
Click to sign
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways