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Carlene Reid
See It With C Travel Boutique
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Cruise Quote Request Form"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control field-hidden"/> <field type="date" 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-hidden"/> <field type="date" 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-hidden"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible" className="field-hidden"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control field-hidden"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control field-hidden"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true" className="field-hidden"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</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" className="field-hidden"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true" className="field-hidden"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control field-hidden"/> <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 field-hidden"/> <field type="paragraph" subtype="p" label="Thank you for choosing See It With C Travel Boutique to help plan your next cruise adventure! We are thrilled to assist you in creating unforgettable memories. As a valued client, you’ll enjoy professional travel planning services completely free of charge. These services including finding&nbsp; cruise deals to meet your budget,&nbsp; itinerary recommendations, excursion planning, and expert tips to make your vacation smooth and stress-free. Please complete the form below and you will receive a quote tailored to your preferences within 3 business days."/> <field type="date" label="Date" placeholder="MM/DD/YYYY" name="date" value="04/04/2026" className="form-control"/> <field type="text" required="true" label="First Name" placeholder="First Name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name" placeholder="Last Name" name="last-name" subtype="text" className="form-control"/> <field type="text" subtype="tel" required="true" label="Phone Number" description="Format: (000) 000-0000." placeholder="(000) 000-0000" name="phone-number" className="form-control"/> <field type="text" subtype="email" required="true" label="Email" placeholder="example@example.com" name="email" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred cabin style of interest?" name="preferred-cabin-style-of-interest" className="checkbox-group"> <option label="Interior (No window)" value="Interior (No window)">Interior (No window)</option> <option label="Ocean View (window)" value="Ocean View (window)">Ocean View (window)</option> <option label="Balcony" value="Balcony">Balcony</option> <option label="Suite" value="Suite">Suite</option> </field> <field type="textarea" required="true" label="What are your preferred departure dates?" description="When would you like to depart? When would you like to return?" name="preferred-departure-dates" className="form-control"/> <field type="radio-group" required="true" label="Are these dates flexible?" name="are-these-dates-flexible" className="radio-group"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="select" required="true" label="What length cruise are you interested in?" name="length-cruise-interested-in" className="form-control"> <option label="Please Select" value="" selected="selected">Please Select</option> <option label="1-2" value="1-2">1-2</option> <option label="3-5" value="3-5">3-5</option> <option label="6-9" value="6-9">6-9</option> <option label="10-14" value="10-14">10-14</option> <option label="Over 14 nights" value="Over 14 nights">Over 14 nights</option> </field> <field type="checkbox-group" required="true" label="Preferred destination?" name="preferred-destination" className="checkbox-group"> <option label="Caribbean (includes Mexico)" value="Caribbean (includes Mexico)">Caribbean (includes Mexico)</option> <option label="Mediterranean" value="Mediterranean">Mediterranean</option> <option label="Alaska" value="Alaska">Alaska</option> <option label="Africa" value="Africa">Africa</option> <option label="Asia" value="Asia">Asia</option> <option label="Hawaii" value="Hawaii">Hawaii</option> <option label="Australia" value="Australia">Australia</option> <option label="Antarctica" value="Antarctica">Antarctica</option> </field> <field type="radio-group" required="true" label="Do you have a preferred type of cruise?" name="preferred-type-of-cruise" other="true" className="radio-group"> <option label="Ocean Cruise" value="Ocean Cruise">Ocean Cruise</option> <option label="River Cruise" value="River Cruise">River Cruise</option> <option label="World Cruise" value="World Cruise">World Cruise</option> <option label="Transatlantic (i.e. New York to London)" value="Transatlantic (i.e. New York to London)">Transatlantic (i.e. New York to London)</option> <option label="Small Ship" value="Small Ship">Small Ship</option> <option label="Yacht" value="Yacht">Yacht</option> <option label="Repositioning (in between season)" value="Repositioning (in between season)">Repositioning (in between season)</option> </field> <field type="text" required="true" label="How many passengers?" placeholder="ex: 4" name="how-many-passengers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many Cabins?" placeholder="ex: 4" name="how-many-cabins" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Name, Date of Birth, and Gender of each passenger" name="namedob-gender-each-passenger" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="Think about about how much you are willing to pay per cabin? You may also want to consider the cost of flights, precruise hotels, transfers in your planned spending. This information just gives me a general starting point and can always be changed later." name="budget"> <option label="$1000 to $1500" value="1000-to-1500">$1000 to $1500</option> <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="text" required="true" label="How many guests per cabin?" name="how-many-guests-per-cabin" subtype="text" className="form-control"/> <field type="text" required="true" label="How many Adults? How many Children" placeholder="ex: 2 adults 1 child" name="how-many-adults-children" subtype="text" className="form-control"/> <field type="text" label="Is there a port, state, or country you'd prefer to sail from?" placeholder="Miami Texas, Spain?" name="preferred-port-state-country-to-sail-from" subtype="text" className="form-control"/> <field type="text" required="true" label="Country of Residence?" placeholder="United States, Mexico, Canada?" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="State of Residence?" placeholder="Florida, New York, California" name="address-state" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Select the configurations you'll need" name="select-configurations-youll-need" className="checkbox-group"> <option label="Adjoining rooms" value="Adjoining rooms">Adjoining rooms</option> <option label="Bunk Beds" value="Bunk Beds">Bunk Beds</option> <option label="Neither" value="Neither">Neither</option> </field> <field type="radio-group" required="true" label="Do you need an accessible cabin?" name="need-accessible-cabin" className="radio-group"> <option label="No" value="No">No</option> <option label="Yes, mobility" value="Yes, mobility">Yes, mobility</option> <option label="Yes, Vision/hearing impaired" value="Yes, Vision/hearing impaired">Yes, Vision/hearing impaired</option> </field> <field type="checkbox-group" required="true" label="Preferred cabin style of interest?" name="preferred-cabin-style-of-interest-2" className="checkbox-group"> <option label="Interior (No window)" value="Interior (No window)">Interior (No window)</option> <option label="Ocean View (window)" value="Ocean View (window)">Ocean View (window)</option> <option label="Balcony" value="Balcony">Balcony</option> <option label="Suite" value="Suite">Suite</option> </field> <field type="checkbox-group" required="true" label="Type of vacation" name="type-of-vacation" other="true" className="checkbox-group"> <option label="Romantic" value="Romantic">Romantic</option> <option label="Family Friendly" value="Family Friendly">Family Friendly</option> <option label="Party" value="Party">Party</option> <option label="Local Culture" value="Local Culture">Local Culture</option> </field> <field type="textarea" label="Do you have a preferred cruise line you'd like to sail with?" name="preferred-cruise-line" className="form-control"/> <field type="textarea" label="Have you cruised before? If so, which cruise line?" name="have-you-cruised-before" className="form-control"/> <field type="checkbox-group" required="true" label="What deck inside the ship do you prefer your cabin to be?" name="preferred-deck-inside-ship" className="checkbox-group"> <option label="Higher Levels (delux)" value="Higher Levels (delux)">Higher Levels (delux)</option> <option label="Medium (levels 6-9)" value="Medium (levels 6-9)">Medium (levels 6-9)</option> <option label="Lower (levels 1-5)" value="Lower (levels 1-5)">Lower (levels 1-5)</option> <option label="No Preference" value="No Preference">No Preference</option> </field> <field type="checkbox-group" required="true" label="Which position in the ship do you prefer? (note that there may be a price difference for highly sought out ship positions ie midship)" name="preferred-position-in-ship" className="checkbox-group"> <option label="Front" value="Front">Front</option> <option label="Middle" value="Middle">Middle</option> <option label="Back" value="Back">Back</option> <option label="No Preference" value="No Preference">No Preference</option> </field> <field type="radio-group" required="true" label="Would you prefer to be close to or away from the elevator?" name="prefer-close-away-elevator" className="radio-group"> <option label="Close" value="Close">Close</option> <option label="Away" value="Away">Away</option> <option label="No Preference" value="No Preference">No Preference</option> </field> <field type="checkbox-group" required="true" label="Do you have dining preferences?" name="dining-preferences" className="checkbox-group"> <option label="Early dinner (5:30-6PM)" value="Early dinner (5:30-6PM)">Early dinner (5:30-6PM)</option> <option label="Later dinner (8-9PM)" value="Later dinner (8-9PM)">Later dinner (8-9PM)</option> <option label="Anytime dining" value="Anytime dining">Anytime dining</option> </field> <field type="radio-group" label="Are you interested in excursions provided outside of the cruise line?" name="interested-in-excursions-outside-cruise-line" className="radio-group"> <option label="Yes!" value="Yes!">Yes!</option> <option label="No" value="No">No</option> </field> <field type="paragraph" subtype="p" label="IMPORTANT: Driver's License/ID &amp; passports must be up to date. If your passport expiration date is within 6 months before the end of your cruise, you may not be able to leave the country."/> <field type="radio-group" required="true" label="Does everyone have a valid passport or an original copy of a birth certificate? (including children)" name="valid-passport-or-birth-certificate-everyone" className="radio-group"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="radio-group" required="true" label="Would you like to add travel protection to your cruise fare (Recommended)?" name="travel-insurance" className="radio-group"> <option label="Yes" value="Yes">Yes</option> <option label="No," value="No,">No,</option> </field> <field type="radio-group" required="true" label="Would you like to pre-pay your gratuities? Otherwise they will be added to your onboard billing statement" name="pre-pay-gratuities" className="radio-group"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Any additional travel needed?" name="additional-travel-needed" other="true" className="checkbox-group"> <option label="Air" value="Air">Air</option> <option label="Car Rental" value="Car Rental">Car Rental</option> <option label="Airport Transfers" value="Airport Transfers">Airport Transfers</option> <option label="Hotel" value="Hotel">Hotel</option> <option label="N/A" value="N/A">N/A</option> </field> <field type="checkbox-group" label="If applicable, what size car rental will you need?" name="car-rental-size-needed" other="true" className="checkbox-group"> <option label="Luxury" value="Luxury">Luxury</option> <option label="Standard" value="Standard">Standard</option> <option label="Compact, Economy" value="Compact, Economy">Compact, Economy</option> <option label="SUV, Van, Pickup" value="SUV, Van, Pickup">SUV, Van, Pickup</option> <option label="Full Size" value="Full Size">Full Size</option> </field> <field type="text" required="true" label="Are you ready to place your deposit? If not, when?" description="Rates are subject to change until a deposit is placed after receiving your quote." name="ready-to-place-deposit-if-not-when" subtype="text" className="form-control"/> <field type="textarea" label="List any special needs (ie allergens, dietary restrictions, CPAP, medical fridge, sharps container, or wheel chair)" description="What else would you like me to know about your party budget, and/or travel preferences?" name="special-needs" className="form-control"/> <field type="textarea" label="List cruise rewards numbers if applicable (ie VIFP, Crown and Anchor, Captain's Club, Castaway Club, Latitudes Rewards, Mariner Society, Captain's Circle, Virgin Voyages Sailing Club)" description="What else would you like me to know about your party budget, and/or travel preferences?" name="cruise-rewards-numbers-if-applicable" className="form-control"/> <field type="textarea" label="Any extra information I should know about? Also, explain all answers where you selected "other"." description="What else would you like me to know about your party budget, and/or travel preferences?" name="extra-information" className="form-control"/> <field type="header" subtype="h2" label="Disclaimer"/> <field type="paragraph" subtype="p" label="Please be advised that the prices quoted for your cruise are subject to change at the discretion of the cruise line and may fluctuate based on availability, demand, and other factors. To secure your desired rate and protect it from potential increases or decreases, it is highly recommend that a deposit is made as soon as possible. Until a deposit is made, See It With C Travel Boutique cannot guarantee the quoted price or availability. Payment plans are also available. Thank you for choosing See It With C for your travel planning needs!"/> </fields> </form-template> </body> </html>
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