Ashley Broders

AE Travelers

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h1" label="RE: GIRLS CRUISE TRIP - JULY 2025"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred Contact Method" name="preferred-contact-method">&#13;
			<option label="Call" value="call">Call</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Best Time To Contact You" name="best-time-to-contact-you">&#13;
			<option label="8AM-12PM" value="8am12pm">8AM-12PM</option>&#13;
			<option label="12PM-5PM" value="12pm5pm">12PM-5PM</option>&#13;
			<option label="5PM-8PM" value="5pm8pm">5PM-8PM</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="If you would like a day or 2 prior to the cruise  please list that date" name="date-1604100645098" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="If you would like a day or 2 after the cruise  please list that date" name="date-1730214706230" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Travelers" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If traveling with children under 18, please provide ages at time of travel" name="if-traveling-with-children-under-18-please-provide-ages-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Number of Cabins Requested" name="number-of-cabins-requested" className="form-control">&#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;
			<option label="More than 4" value="more-than-4">More than 4</option>&#13;
		</field>&#13;
		<field type="textarea" label="If you need more than 1 cabin and the number of people per cabin are different, please provide information below. For example, Cabin #1: 2 adults, Cabin #2: 1 Adult, 2 children etc." name="if-you-need-more-than-1-cabin-and-the-number-of-people-per-cabin-are-different-please-provide-information-below-for-example-cabin-1-2-adults-cabin-2-1-adult-2-children-etc" className="form-control"/>&#13;
		<field type="select" required="true" label="Preferred Cabin Location&amp;nbsp; (NOTE:&amp;nbsp; There are pricing differences for cabin locations, higher floors will be higher in price)" name="preferred-cabin-location-note-there-are-pricing-differences-for-cabin-locations-higher-floors-will-be-higher-in-price" className="form-control">&#13;
			<option label="Please select cabin location preference" value="please-select-cabin-location-preference">Please select cabin location preference</option>&#13;
			<option label="Lower Floors" value="lower-floors">Lower Floors</option>&#13;
			<option label="Mid Floors" value="mid-floors">Mid Floors</option>&#13;
			<option label="Higher Floors" value="higher-floors">Higher Floors</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need flights?" name="do-you-need-kmd-travel-to-arrange-your-flights">&#13;
			<option label="Yes - Please book my flight" value="yes-please-book-my-flight">Yes - Please book my flight</option>&#13;
			<option label="No - I will book my own" value="no-i-will-book-my-own">No - I will book my own</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need a hotel arranged before and after the cruise?" name="do-you-need-kmd-travel-to-arrange-for-hotel-stay-before-and-after-the-cruise">&#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="Do you want to include travel protection in the quote?" inline="true" name="include-prepaid-gratuities-in-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Please enter your cruise line loyalty id below, by selecting the drop-down and entering your ID."/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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"/>&#13;
		<field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us">&#13;
			<option label="YouTube" value="youtube">YouTube</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Want to be notified when we announce new travel destination, new group trips, &amp;amp; new blog posts? (Choose all that apply)" name="enjoy-our-content-want-to-be-notified-when-we-announce-new-travel-destination-new-group-trips-new-blog-posts-choose-all-that-apply">&#13;
			<option label="Opt-in To Text Alerts" value="optin-to-text-alerts">Opt-in To Text Alerts</option>&#13;
			<option label="Opt-in To Travel Destination Emails" value="optin-to-travel-destination-emails">Opt-in To Travel Destination Emails</option>&#13;
			<option label="None At This Time" value="none-at-this-time">None At This Time</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like for me to know?" name="additional-information" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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