Share your information with Becki Arnold

Becki Arnold

Becki Arnold, Travel Agent - Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Cruise Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your dream cruise vacation! &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Full Name As It Appears on Identification (Passport/Drivers License)"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of Birth" name="date-of-birt" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Mailing Address"/>&#13;
		<field type="text" required="true" 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" 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="header" subtype="h1" label="Will you be traveling with other adults? Please list their names and date of birth below (Example: Bill Smith 08/20/1969)."/>&#13;
		<field type="textarea" label="Will you be traveling with other adults? Please list their names and date of birth below (Example: Bill Smith 08/20/1969)." name="will-you-be-traveling-with-other-adults-please-list-their-names-and-date-of-birth-below-example-bill-smith-08201969" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="**Please note that cruise lines do NOT allow women past 24 weeks pregnant to sail.*"/>&#13;
		<field type="checkbox-group" label="Are you planning this trip as part of a group vacation?" name="are-you-planning-this-trip-as-part-of-a-group-vacation">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="date" label="Desired departure date?" name="desired-departure-date" className="form-control"/>&#13;
		<field type="date" label="Desired return date?" name="desired-return-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you need airfare?" name="do-you-need-airfare">&#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="Do you have a valid passport?" name="do-you-have-a-valid-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If airfare is needed, what airport(s) are you willing to depart from?" name="if-airfare-is-needed-what-airports-are-you-willing-to-depart-from" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have a certain cruise line that you want to go on? (Example: Carnival, Royal Caribbean, etc.)" name="do-you-have-a-certain-cruise-line-that-you-want-to-go-on-example-carnival-royal-caribbean-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Have you ever been on a cruise before?" name="have-you-ever-been-on-a-cruise-before">&#13;
			<option label="No, this will be my first cruise" value="no-this-will-be-my-first-cruise">No, this will be my first cruise</option>&#13;
			<option label="Yes, I'm a cruising expert" value="yes-im-a-cruising-expert">Yes, I'm a cruising expert</option>&#13;
		</field>&#13;
		<field type="text" label="How many nights would you like to be onboard?" name="how-many-nights-would-you-like-to-be-onboard" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What port would you want to sail from and return to?" name="what-port-would-you-want-to-sail-from-and-return-to" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What destination do you want to cruise to?" name="what-destination-do-you-want-to-cruise-to" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What type of atmosphere/ambiance would best describe what you are looking for? (Example: quiet, family-friendly, social, fun, adults only, active, etc.)" name="what-type-of-atmosphereambiance-would-best-describe-what-you-are-looking-for-example-quiet-familyfriendly-social-fun-adults-only-active-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any specific excursions you would like to do while you are on your cruise? (Example: Snorkeling, Tours, Shopping, etc.)" name="are-there-any-specific-excursions-you-would-like-to-do-while-you-are-on-your-cruise-example-snorkeling-tours-shopping-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of cabin do you prefer to have?" name="what-type-of-cabin-do-you-prefer-to-have" other="true">&#13;
			<option label="Interior Cabin" value="interior-cabin">Interior Cabin</option>&#13;
			<option label="Exterior Cabin" value="exterior-cabin">Exterior Cabin</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you have a cabin location preference?" name="do-you-have-a-cabin-location-preference" other="true">&#13;
			<option label="Aft (Rear)" value="aft-rear">Aft (Rear)</option>&#13;
			<option label="Midship" value="midship">Midship</option>&#13;
			<option label="Forward (Front)" value="forward-front">Forward (Front)</option>&#13;
			<option label="Lower Deck" value="lower-deck">Lower Deck</option>&#13;
			<option label="Upper Deck" value="upper-deck">Upper Deck</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Meal Times. What time do you prefer to eat?" name="meal-times-what-time-do-you-prefer-to-eat">&#13;
			<option label="Earlier Dinners" value="earlier-dinners">Earlier Dinners</option>&#13;
			<option label="Late Dinners" value="late-dinners">Late Dinners</option>&#13;
			<option label="A mixture of both" value="a-mixture-of-both">A mixture of both</option>&#13;
		</field>&#13;
		<field type="text" label="Will anyone traveling need accessibility accommodations?" name="will-anyone-traveling-need-accessibility-accommodations" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Anything you &quot;must have&quot; on the cruise?" name="anything-you-must-have-on-the-cruise" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Is there anything that you do &quot;not want&quot; on the cruise?" name="is-there-anything-that-you-do-not-want-on-the-cruise" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What travel components do you want my help with? **Please note that if you would like help with your flights, I will still help you and be there for you, yet, I will be directing that to our Travelmation Flights Team. While I DO NOT charge my clients for my assistance, Travelmation Flights does charge a small fee for thier booking, as they are their own company within Travelmation. I moved to them now with so many flight changes happening daily I was barely keeping up and this is what they dedicate to help clients with." name="what-travel-components-do-you-want-my-help-with-please-note-that-if-you-would-like-help-with-your-flights-i-will-still-help-you-and-be-there-for-you-yet-i-will-be-directing-that-to-our-travelmation-flights-team-while-i-do-not-charge-my-clients-for-my-assistance-travelmation-flights-does-charge-a-small-fee-for-thier-booking-as-they-are-their-own-company-within-travelmation-i-moved-to-them-now-with-so-many-flight-changes-happening-daily-i-was-barely-keeping-up-and-this-is-what-they-dedicate-to-help-clients-with">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Excursions &amp; Tours" value="excursions-tours">Excursions &amp; Tours</option>&#13;
			<option label="Insurance" value="insurance">Insurance</option>&#13;
			<option label="Accomodations " value="accomodations-">Accomodations </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your cruise vacation budget? This does not include air flight" name="what-is-your-cruise-vacation-budget">&#13;
			<option label="$1,500 - $2,500" value="1500-2500">$1,500 - $2,500</option>&#13;
			<option label="$2,500 - $4,500" value="2500-4500">$2,500 - $4,500</option>&#13;
			<option label="$4,500 - $6,500" value="4500-6500">$4,500 - $6,500</option>&#13;
			<option label="$6,500 - $8,500" value="6500-8500">$6,500 - $8,500</option>&#13;
			<option label="$8,500 - $10,000" value="8500-10000">$8,500 - $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" label="Will you be celebrating anything during your vacation? &amp;nbsp;(Example: Birthday, Anniversary, Honeymoon, etc.)" name="will-you-be-celebrating-anything-during-your-vacation-example-birthday-anniversary-honeymoon-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there anything else I need to know about your vacation needs?" name="is-there-anything-else-i-need-to-know-about-your-vacation-needs" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>