<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Please Fill Out All Fields"/> <field type="text" required="true" label="First name" placeholder="Legal Name on License or Passport" 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" 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="header" subtype="h2" label="Address"/> <field type="text" required="true" label="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="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="text" label="Guest 2 Full Name:" name="guest-2-full-name" value="Legal Name on License or Passport" subtype="text" className="form-control"/> <field type="text" label="Guest 2 email:" name="guest-2-email" value="If left blank use Guest 1's email" subtype="text" className="form-control"/> <field type="date" label="Guest 2 Birthday:" name="guest-2-dob" className="form-control"/> <field type="text" label="Guest 3 Full Name:" name="guest-3-full-name" value="Legal Name on License or Passport" subtype="text" className="form-control"/> <field type="text" label="Guest 3 email:" name="guest-3-email" value="If left blank use Guest 1's email" subtype="text" className="form-control"/> <field type="date" label="Guest 3 Birthday:" name="guest-3-birthday" className="form-control"/> <field type="text" label="Guest 4 Full Name:" name="guest-4-full-name" value="Legal Name on License or Passport" subtype="text" className="form-control"/> <field type="text" label="Guest 4 email:" name="guest-4-email" value="If left blank use Guest 1's email" subtype="text" className="form-control"/> <field type="date" label="Guest 4 Birthday:" name="guest-4-birthday" className="form-control"/> <field type="radio-group" label="Have you cruised Norwegian before?" inline="true" name="radio-group-1724871414394" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="No, but I've cruised with others" value="no-but-ive-cruised-with-others">No, but I've cruised with others</option> </field> <field type="radio-group" label="Do you want Free at Sea - Unlimited Beverage Package &amp; Specialty Dining. (Gratuities are added for these 2 options!)" inline="true" name="do-you-want-free-at-sea-unlimited-beverage-package-specialty-dining-gratuities-are-added-for-these-2-options" other="true"> <option label="Yes, please include FAS" value="yes-please-include-fas">Yes, please include FAS</option> <option label="No, I do not want FAS" value="no-i-do-not-want-fas">No, I do not want FAS</option> <option label="Unsure, price both ways" value="unsure-price-both-ways">Unsure, price both ways</option> </field> <field type="select" label="Some cruises offer additional discounts, select any that apply to you:" name="some-cruises-offer-additional-discounts-select-any-that-apply-to-you" multiple="multiple" className="form-control"> <option label="Military" value="military">Military</option> <option label="Teacher" value="teacher">Teacher</option> <option label="First Responder" value="first-responder">First Responder</option> <option label="55+" value="55">55+</option> </field> <field type="text" label="Do you have any Future Cruise Credits or Credit Certificates to be applied to this booking?" placeholder="ex: CruiseFirst Certificate # XXXXXXXX CruiseNext Certificate # XXXXXXX" name="do-you-have-any-future-cruise-credits-or-credit-certificates-to-be-applied-to-this-booking" subtype="text" className="form-control"/> <field type="textarea" label="Preferred Cabin Area:" placeholder="Use words like: Forward/Mid/Aft. Upper Decks/Mid Decks, Lower Decks. Port Side/Starboard Side. Near Spa/Elevator/Smoking/Casino/Kids Club/Eateries etc" name="preferred-cabin-area" className="form-control"/> <field type="text" label="Any Food Allergy / Restrictions list here:" name="any-food-allergy-restrictions-list-here" subtype="text" className="form-control"/> <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="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your preferred departure and return city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many total travelers with your family or group?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="What is your target budget for EACH TRAVELER? This is just an estimate and can be changed." name="what-is-your-target-budget-for-each-traveler-this-is-just-an-estimate-and-can-be-changed" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like to add Travel Protection to your quote?" description="Travel Protection is highly recommended for your trip. For the low cost you incur it is definitely worth it." name="would-you-like-to-add-travel-protection-to-your-quote" other="true"> <option label="Yes, I would like to add Travel Protection thru the Cruiseline" value="yes-i-would-like-to-add-travel-protection-thru-the-cruiseline">Yes, I would like to add Travel Protection thru the Cruiseline</option> <option label="Yes, I would like to add 3rd Party Travel Protection" value="yes-i-would-like-to-add-3rd-party-travel-protection">Yes, I would like to add 3rd Party Travel Protection</option> <option label="No, I would not like to add Travel Protection to my quote. I fully understand that by not purchasing protection, my trip may not be refundable and I will not be protected in the event of a travel emergency." value="no-i-would-not-like-to-add-travel-protection-to-my-quote-i-fully-understand-that-by-not-purchasing-protection-my-trip-may-not-be-refundable-and-i-will-not-be-protected-in-the-event-of-a-travel-emergency">No, I would not like to add Travel Protection to my quote. I fully understand that by not purchasing protection, my trip may not be refundable and I will not be protected in the event of a travel emergency.</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Exotic" value="exotic">Exotic</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Fun In The Sun" value="fun-in-the-sun">Fun In The Sun</option> <option label="In The States" value="in-the-states">In The States</option> <option label="LQBTQ Friendly" value="lqbtq-friendly">LQBTQ Friendly</option> <option label="Party" value="party">Party</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Solo" value="solo">Solo</option> <option label="Theme Parks" value="theme-parks">Theme Parks</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Beach and Water" value="beach-and-water">Beach and Water</option> <option label="Dinner and Movies" value="dinner-and-movies">Dinner and Movies</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Golf" value="golf">Golf</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Horseback Riding" value="horseback-riding">Horseback Riding</option> <option label="Motorsports" value="motorsports">Motorsports</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Scuba Diving" value="scuba-diving">Scuba Diving</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Is this a special occasion? Please check the appropriate box." name="is-this-a-special-occasion-please-check-the-appropriate-box"> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelor" value="bachelor">Bachelor</option> <option label="Bachelorette" value="bachelorette">Bachelorette</option> <option label="Baecation" value="baecation">Baecation</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Girl's Trip" value="">Girl's Trip</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="Guy's Trip" value="guys-trip">Guy's Trip</option> <option label="Holiday" value="holiday">Holiday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Leisure" value="leisure">Leisure</option> <option label="Proposal" value="proposal">Proposal</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Work Trip" value="work-trip">Work Trip</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Are you in need of a hotel?" inline="true" name="are-you-in-need-of-a-hotel"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option> </field> <field type="text" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="radio-group" label="Are you in need of flights?" inline="true" name="are-you-in-need-of-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option> </field> <field type="radio-group" label="Do you need a rental car?" inline="true" name="do-you-need-a-rental-car"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option> </field> <field type="text" label="If a rental car is needed, please list what type of vehicle you are looking for." name="if-a-rental-car-is-needed-please-list-what-type-of-vehicle-you-are-looking-for" subtype="text" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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