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<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Acknowledgement Required:"/> <field type="checkbox-group" required="true" label="By completing this form I certify that I am NOT working with another Travel Agent/Advisor or booking directly." name="by-completing-this-form-i-certify-that-i-am-not-working-with-another-travel-agentadvisor-or-booking-directly"> <option label="I acknowledge" value="i-acknowledge">I acknowledge</option> </field> <field type="header" subtype="h1" label="Contact Information"/> <field type="text" required="true" label="First name" name="first-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="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Method of Contact" inline="true" name="preferred-method-of-contact"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h1" label="Trip Information"/> <field type="checkbox-group" label="Are you celebrating a special occasion on this trip?" name="are-you-celebrating-a-special-occasion-on-this-trip" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="checkbox-group" required="true" label="Preferred Cruise Line" name="where-would-you-like-to-visit" other="true"> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Carnival" value="carnival">Carnival</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Princess" value="princess">Princess</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="MSC" value="msc">MSC</option> <option label="Holland" value="holland">Holland</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> </field> <field type="select" required="true" label="Have you cruised with this cruise line before?" placeholder="Select One" name="have-you-visited-this-park-before" className="form-control"> <option label="1st Cruise" value="1st-cruise">1st Cruise</option> <option label="2nd or 3rd Cruise" value="2nd-or-3rd-cruise">2nd or 3rd Cruise</option> <option label="4th or 5th Cruise" value="4th-or-5th-cruise">4th or 5th Cruise</option> <option label="6th Cruise or More" value="6th-cruise-or-more">6th Cruise or More</option> </field> <field type="checkbox-group" required="true" label="Cruise Destination" name="what-would-you-like-to-book" other="true"> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Europe" value="europe">Europe</option> <option label="Australia/New Zealand" value="australianew-zealand">Australia/New Zealand</option> <option label="Asia" value="asia">Asia</option> <option label="Mexico" value="mexico">Mexico</option> <option label="South America" value="south-america">South America</option> </field> <field type="text" label="Preferred Departure Port" name="preferred-departure-port" subtype="text" className="form-control"/> <field type="select" required="true" label="How many guests ages 18 or older?" placeholder="Select One" name="how-many-guests-ages-18-or-older" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="select" label="How many guests ages 11-17?" placeholder="Select One" name="how-many-guests-ages-1017" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="select" label="How many guests ages 3-10?" placeholder="Select One" name="how-many-guests-ages-39" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="select" label="How many guests ages 0-2?" placeholder="Select One" name="how-many-guests-ages-02" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="textarea" required="true" label="First &amp; Last Names of all Guests - For Guests Under 18 Include Ages at Time of Travel&nbsp;" name="first-last-names-for-all-guests-and-birthdates-for-all-guests-under-18" rows="2" className="form-control"/> <field type="select" required="true" label="Estimated budget without airfare" placeholder="Select One" name="select-1726350309296" className="form-control"> <option label="Under $3,000" value="under-3000">Under $3,000</option> <option label="$3,000 - $7,000" value="3000-7000">$3,000 - $7,000</option> <option label="$7,000 - $11,000" value="7000-11000">$7,000 - $11,000</option> <option label="$11,000 - $15,000" value="11000-15000">$11,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="select" required="true" label="Will anyone in your travel party require accessibility accommodations?" description="Physical or cognitive" placeholder="Select One" name="will-anyone-in-your-travel-party-require-handicap-accessible-accommodations" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="checkbox-group" label="Is anyone in your party eligible for any of the following possible discounts?" name="are-you-eligible-for-any-of-the-following-possible-discounts" other="true"> <option label="Loyalty Member" value="loyalty-member">Loyalty Member</option> <option label="Age 55+" value="age-55">Age 55+</option> <option label="U.S. or Canadian Law Enforcement" value="us-or-canadian-law-enforcement">U.S. or Canadian Law Enforcement</option> <option label="Fire Department or EMT" value="fire-department-or-emt">Fire Department or EMT</option> <option label="U.S. Military or Canadian Forces" value="us-military-or-canadian-forces">U.S. Military or Canadian Forces</option> <option label="Interline" value="interline">Interline</option> </field> <field type="clientLoyaltyPrograms" label="If Loyalty Member, include number(s)" 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="text" required="true" label="State/Province of Residency" name="address-state" subtype="text" className="form-control"/> <field type="checkbox-group" label="How many nights would you like to cruise?" inline="true" name="checkbox-group-1726350092700" other="true"> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10" value="10">10</option> </field> <field type="select" required="true" label="How many rooms would you like?" placeholder="Select One" name="select-1726350034373" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5+" value="5">5+</option> </field> <field type="text" required="true" label="Month/Year of Sailing" name="text-1726350502522" subtype="text" className="form-control"/> <field type="date" label="Preferred Cruise Start Date" name="preferred-checkin-date" className="form-control"/> <field type="date" label="Preferred Cruise End Date" name="preferred-checkout-date" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Preferred Ship" name="preferred-resorthotel" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Cabin/Stateroom Type" name="checkbox-group-1726350621858" other="true"> <option label="Inside" value="inside">Inside</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="checkbox-group" label="Transportation Needed" name="transportation-needed" other="true"> <option label="Flight" value="flight">Flight</option> <option label="Shuttle/Car Service from Airport to Cruise Terminal Round Trip" value="shuttlecar-service-from-airport-to-cruise-terminal-round-trip">Shuttle/Car Service from Airport to Cruise Terminal Round Trip</option> <option label="Shuttle/Car Service from Airport to Cruise Terminal One-Way" value="shuttlecar-service-from-airport-to-cruise-terminal-oneway">Shuttle/Car Service from Airport to Cruise Terminal One-Way</option> <option label="Shuttle/Car Service from Cruise Terminal to Airport One-Way" value="shuttlecar-service-from-cruise-terminal-to-airport-oneway">Shuttle/Car Service from Cruise Terminal to Airport One-Way</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="text" label="Departure Airport" name="departure-airport" subtype="text" className="form-control"/> <field type="checkbox-group" label="Hotel Needed" inline="true" name="hotel-needed" other="true"> <option label="Before Cruise" value="before-cruise">Before Cruise</option> <option label="After Cruise" value="after-cruise">After Cruise</option> </field> <field type="checkbox-group" label="Additional Options" name="additional-options" other="true"> <option label="Wi-Fi Package" value="wifi-package">Wi-Fi Package</option> <option label="Drink Package" value="drink-package">Drink Package</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Specialty Dining Reservations" value="specialty-dining-reservations">Specialty Dining Reservations</option> <option label="Spa Reservations" value="spa-reservations">Spa Reservations</option> </field> <field type="radio-group" required="true" label="Do all guests have passports that expire at least 6 months after return date?" inline="true" name="do-all-guests-have-passports-that-expire-at-least-6-months-after-return-date" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Additional Information"/> <field type="textarea" label="Anything additional you would like to include in your vacation package?" name="anything-additional-you-would-like-to-include-in-your-vacation-package" className="form-control"/> <field type="textarea" label="Please provide any additional information I need to know about this trip" name="please-provide-any-additional-information-i-need-to-know-about-this-trip" className="form-control"/> <field type="text" label="Who may I thank for referring you?" name="referred-by" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> </fields> </form-template> </body> </html>
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