<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="Primary Traveler First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary Traveler Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Best Contact Number" placeholder="xxx-xxx-xxxx" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Desired Cruise Package (select all that apply)?" name="desired-vacation-plan-select-all-that-apply"> <option label="Super Bowl 2025" value="super-bowl-2025">Super Bowl 2025</option> <option label="Spring Getaway 2025" value="spring-getaway-2025">Spring Getaway 2025</option> <option label="2026 Eclipse Voyage - Scarlet Lady "Total Eclipse of The Med" (Virgin Voyages)" value="2026-eclipse-voyage-scarlet-lady-total-eclipse-of-the-med-virgin-voyages">2026 Eclipse Voyage - Scarlet Lady "Total Eclipse of The Med" (Virgin Voyages)</option> <option label="Personalized Cruise Package" value="personalized-cruise-package">Personalized Cruise Package</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 depart; it can be changed later." name="date-1724425680574" 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="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Is this a Group or Family Cruise?" description="If you will need 8 or more cabins consider this a "Group Cruise"" placeholder=""Group Cruise" is defined as a cruise the requires 8 or more cabins" name="is-this-a-group-or-family-cruise" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" placeholder="If "Group Cruise" give an approximate number. We will discuss exact amount later." name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Total Number of Adults" placeholder="If "Group Cruise" give an approximate number. We will discuss exact amount later." name="total-number-of-adults" subtype="text" className="form-control"/> <field type="text" required="true" label="Total Number of Children and Their Ages" description="If "Group Cruise" give an approximate number. We will discuss exact amount later." placeholder="ex: 3 children; 8 11 14" name="total-number-of-children-and-their-ages" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Is&nbsp; Anyone Traveling Over the Age of 55?" name="is-anyone-traveling-over-the-age-of-55"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Does Anyone Traveling Have a Military Background?" name="does-anyone-traveling-have-a-military-background"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Are passports up to date? (If required for travel)" name="radio-group-1728003769940"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Applicable" value="not-applicable">Not Applicable</option> </field> <field type="radio-group" label="Do any passengers require assistance with boarding, disembarking, or navigating the ship?" name="radio-group-1728003262404"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="radio-group" label="Are there any specific mobility aids or equipment that need to be accommodated?" name="radio-group-1728003438730"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="radio-group" label="Do any passengers require accessible cabins with features like wider doorways, roll-in showers, or grab bars?" name="radio-group-1728003500612"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is the preferred location of the accessible cabin (e.g., lower deck, near elevators)?" name="text-1728003660595" subtype="text" className="form-control"/> <field type="text" required="true" label="Are there any additional requirements or preferences for accessible cabin amenities?" name="text-1728003708133" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Staterooms/Cabins?" placeholder="ex. 2 Rooms/Staterooms; 2 guests in each room etc." name="number-of-rooms-for-cruisers-number-of-stateroomscabins" subtype="text" className="form-control"/> <field type="text" required="true" label="Room/Stateroom Preference" placeholder="i.e. Interior Ocean View Balcony Suite Grand Suite" name="roomstateroom-preference" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget? (Please specify if per person or total)" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Payment Arrangement?" name="payment-arrangement"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Include Travel Insurance" description="If trip is cancelled/missed you may qualify for full refund or credit of price of trip." name="include-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="How soon can you pay/make a deposit?" name="how-soon-can-you-paymake-a-deposit"> <option label="ASAP" value="asap">ASAP</option> <option label="Next Week" value="next-week">Next Week</option> <option label="2 Weeks " value="2-weeks-">2 Weeks </option> <option label="Unsure" value="unsure">Unsure</option> </field> <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"/> <field type="textarea" label="Special Instructions or Anything else I need to know about your vacation/travel requests?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in subscribing to our monthly newsletter?&nbsp;" name="are-you-interested-in-subscribing-to-our-monthly-newsletter-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="If you have any additional information or inquiries, please send them to yourstyletravels@gmail.com.&nbsp; Please allow 48-72 hours for your quote to be emailed to you."/> </fields> </form-template> </body> </html>
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