Share your information with LV Travel Co

LV Travel Co

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		<field type="header" subtype="h2" label="LVTC Med Cruise Group Trip - Alternate Room Request&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="This form is for parties of 1, 3, or 4 guests—or for those requesting a room type outside of our contracted group space, such as suites. Please complete the form in full so we can provide accurate pricing and availability for your preferred option."/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of travelers and their ages:" name="number-of-travelers-and-their-ages" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many cabins do you need?&amp;nbsp; If more than one, please let me know how many guests per cabin." name="how-many-cabins-do-you-need-if-more-than-one-please-let-me-know-how-many-guests-per-cabin" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is everyone in your party a US citizen?" name="is-everyone-in-your-party-a-us-citizen">&#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="Cabin type: choose all that you would like quoted. Note* Not all categories may be available for your party size.&amp;nbsp;" name="cabin-type-choose-all-that-you-would-like-quoted-note-not-all-categories-may-be-available-for-your-party-size-">&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Ocean View with Verandah (porthole balcony)" value="ocean-view-with-verandah-porthole-balcony">Ocean View with Verandah (porthole balcony)</option>&#13;
			<option label="Ocean View (porthole)" value="ocean-view-porthole">Ocean View (porthole)</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Notes about the cabin type(s)" name="notes-about-the-cabin-types" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Promotions you qualify for (if available):" name="promotions-you-qualify-for-if-available">&#13;
			<option label="Past Guest" value="past-guest">Past Guest</option>&#13;
			<option label="Senior (55 or older)" value="senior-55-or-older">Senior (55 or older)</option>&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Fire/EMT/Law Enforcement" value="fireemtlaw-enforcement">Fire/EMT/Law Enforcement</option>&#13;
			<option label="Teacher" value="teacher">Teacher</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What state do you live in (in case there is a resident discount)?" name="what-state-do-you-live-in-in-case-there-is-a-resident-discount" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Who is your LV Travel Co Travel Designer?&amp;nbsp;" name="who-is-your-lv-travel-co-travel-designer-">&#13;
			<option label="Torri" value="torri">Torri</option>&#13;
			<option label="Leanne" value="leanne">Leanne</option>&#13;
			<option label="Heather" value="heather">Heather</option>&#13;
			<option label="This is my first time working with LV Travel Co and I'm not sure who I should be working with." value="this-is-my-first-time-working-with-lv-travel-co-and-im-not-sure-who-i-should-be-working-with">This is my first time working with LV Travel Co and I'm not sure who I should be working with.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Were you referred by someone? If so, please share their name so we can make sure you&#39;re matched with the right member of our team." name="how-were-you-referred-to-us" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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