<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Please enter names EXACTLY as they appear on passport."/> <field type="header" subtype="h2" label="Primary Traveler"/> <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="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="text" required="true" label="Address: Line 1" name="address-line-1" 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="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h2" label="About Your Trip"/> <field type="radio-group" required="true" label="How close are you to being ready to book your vacation?" name="how-close-are-you-to-being-ready-to-book-your-vacation"> <option label="I am ready to pay my deposit once I find what I am looking for." value="i-am-ready-to-pay-my-deposit-once-i-find-what-i-am-looking-for">I am ready to pay my deposit once I find what I am looking for.</option> <option label="I am about 30 days out from paying a deposit." value="i-am-about-30-days-out-from-paying-a-deposit">I am about 30 days out from paying a deposit.</option> <option label="I probably won't be ready to book for more than 30 days." value="i-probably-wont-be-ready-to-book-for-more-than-30-days">I probably won't be ready to book for more than 30 days.</option> </field> <field type="textarea" required="true" label="Please list full names/birthdates for each person traveling with you, grouped by room assignment.&nbsp;" name="please-list-full-namesbirthdates-for-each-person-traveling-with-you-grouped-by-room-assignment-" className="form-control"/> <field type="radio-group" required="true" label="Do all travelers have a valid passport that does not expire within 6 months of the LAST DAY of your trip?" name="do-all-travelers-have-a-valid-passport-that-does-not-expire-within-6-months-of-the-last-day-of-your-trip" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Departure Airport" name="departure-airport" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred length of sailing?&nbsp;" placeholder="How many days/nights?" name="what-is-your-preferred-length-of-sailing-" subtype="text" className="form-control"/> <field type="textarea" label="Do you have any preferred cruise lines, ports of call, or itineraries? If so, please list here." name="do-you-have-a-preferred-cruise-lines-if-so-please-list-them-here" className="form-control"/> <field type="checkbox-group" required="true" label="Destinations" name="destinations" other="true"> <option label="Caribbean " value="caribbean-">Caribbean </option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Europe (Mediterranean)" value="europe-mediterranean">Europe (Mediterranean)</option> <option label="Europe (Northern)" value="europe-northern">Europe (Northern)</option> </field> <field type="checkbox-group" label="Promotional Qualifiers" name="promotional-qualifiers" other="true"> <option label="Military" value="military">Military</option> <option label="Age 55+" value="age-55">Age 55+</option> <option label="Law Enforcement" value="law-enforcement">Law Enforcement</option> <option label="Fire Department/EMT" value="fire-departmentemt">Fire Department/EMT</option> </field> <field type="checkbox-group" label="What Add-Ons should I include in your quote?" name="what-addons-should-i-include-in-your-quote" other="true"> <option label="Pre-paid Gratuities" value="prepaid-gratuities">Pre-paid Gratuities</option> <option label="Trip Insurance" value="trip-insurance">Trip Insurance</option> <option label="Beverage/Wifi/Specialty Dining Packages (if available)" value="beveragewifispecialty-dining-packages-if-available">Beverage/Wifi/Specialty Dining Packages (if available)</option> </field> <field type="checkbox-group" label="Will you need my help booking any other components for this trip?" name="will-you-need-my-help-booking-any-other-components-for-this-trip" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Pre Cruise Hotel" value="pre-cruise-hotel">Pre Cruise Hotel</option> <option label="Post Cruise Hotel" value="post-cruise-hotel">Post Cruise Hotel</option> <option label="Port/Airport Transfers" value="portairport-transfers">Port/Airport Transfers</option> </field> <field type="textarea" label="Will you be celebrating any birthdays, anniversaries, or special occasions on this trip?" name="will-you-be-celebrating-any-birthdays-anniversaries-or-special-occasions-on-this-trip" className="form-control"/> <field type="checkbox-group" label="Stateroom Preferences (Please select all staterooms you'd like a quote for)" name="hotel-room-preferences" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> <option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option> </field> <field type="checkbox-group" label="Preferred Bedding Configuration&nbsp;" name="preferred-bedding-configuration-"> <option label="Two twin beds" value="two-twin-beds">Two twin beds</option> <option label="One double/queen/king bed" value="one-doublequeenking-bed">One double/queen/king bed</option> </field> <field type="checkbox-group" label="Preferred Meal Time" name="preferred-meal-time"> <option label="Earlier seating (around 5 pm)" value="earlier-seating-around-5-pm">Earlier seating (around 5 pm)</option> <option label="Later seating (around 8 pm)" value="later-seating-around-8-pm">Later seating (around 8 pm)</option> <option label="Flexible Seating (make a reservation for each night)" value="flexible-seating-make-a-reservation-for-each-night">Flexible Seating (make a reservation for each night)</option> </field> <field type="header" subtype="h2" label="Other Information"/> <field type="clientLoyaltyPrograms" label="Your Loyalty Programs/Memberships" 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="textarea" label="What else would you like me to know? The more details I have about what you are looking for, the better!" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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