<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="LET'S SET SAIL!"/> <field type="header" subtype="h1" label="All About You..."/> <field type="text" required="true" label="First name" 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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Your birthdate" name="your-birthdate" 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="checkbox-group" required="true" label="How do you prefer to communicate?" inline="true" name="how-do-you-prefer-to-communicate"> <option label="Phone call" value="phone-call">Phone call</option> <option label="Email" value="email">Email</option> <option label="Either way!" value="either-way">Either way!</option> </field> <field type="text" required="true" label="Mailing address - Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Mailing address - Line 2" name="address-line-2" 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="header" subtype="h1" label="All About Your Trip..."/> <field type="radio-group" required="true" label="Have you been or are you currently working with another travel agent for this particular trip?" inline="true" name="have-you-been-or-are-you-currently-working-with-another-travel-agent-for-this-particular-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="How soon are you wanting to book?" name="how-soon-are-you-wanting-to-book"> <option label="ASAP!" value="asap">ASAP!</option> <option label="Within 7 days of an agreeable quote" value="within-7-days-of-an-agreeable-quote">Within 7 days of an agreeable quote</option> <option label="In a few months - I'll need some time to plan" value="in-a-few-months-ill-need-some-time-to-plan">In a few months - I'll need some time to plan</option> <option label="I'm just considering my options" value="im-just-considering-my-options">I'm just considering my options</option> </field> <field type="text" required="true" label="Please list the full legal name of each ADULT traveler as shown on ID/passport." name="please-list-the-full-legal-name-of-each-adult-traveler-as-shown-on-idpassport" subtype="text" className="form-control"/> <field type="text" required="true" label="Please list the full legal name of each MINOR traveler and age at the time of travel." name="please-list-the-full-legal-name-of-each-minor-traveler-and-age-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you the parent or legal guardian of all minors in your traveling party?" inline="true" name="are-you-the-parent-or-legal-guardian-of-all-minors-in-your-traveling-party"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not traveling with children" value="im-not-traveling-with-children">I'm not traveling with children</option> </field> <field type="radio-group" required="true" label="Do ALL travelers have a PASSPORT BOOK (not card) that will remain valid for a MINIMUM of 6 MONTHS after your estimated return date?" inline="true" name="do-all-travelers-have-a-passport-book-not-card-that-will-remain-valid-for-a-minimum-of-6-months-after-your-estimated-return-date"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="We're awaiting passport book arrival" value="were-awaiting-passport-book-arrival">We're awaiting passport book arrival</option> </field> <field type="date" required="true" label="Around what date would you prefer to embark?" name="around-what-date-would-you-prefer-to-embark" className="form-control"/> <field type="radio-group" required="true" label="Are your travel dates flexible in order to meet all of your trip criteria?" inline="true" name="are-your-travel-dates-flexible-in-order-to-meet-all-of-your-trip-criteria"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="What can I help you book?" name="what-can-i-help-you-book" other="true"> <option label="Cruise" value="cruise">Cruise</option> <option label="Cruise & Flight Package, if available" value="cruise-flight-package-if-available">Cruise & Flight Package, if available</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Pre-Voyage Hotel Reservation" value="prevoyage-hotel-reservation">Pre-Voyage Hotel Reservation</option> <option label="Post-Voyage Hotel Reservation" value="postvoyage-hotel-reservation">Post-Voyage Hotel Reservation</option> <option label="Pre or Post Voyage Land Tour" value="pre-or-post-voyage-land-tour">Pre or Post Voyage Land Tour</option> <option label="Port Excursions" value="port-excursions">Port Excursions</option> </field> <field type="textarea" label="If you'd like for me to arrange your flights, please tell me from which airport you'd like to depart and your flight preferences..." description="These details can certainly be changed before booking but they give me parameters to help with my search." placeholder="Ex: American Airlines DFW, early morning flights, refundable, premium economy seats" name="if-youd-like-for-me-to-arrange-your-flights-please-tell-me-more-about-the-t" className="form-control"/> <field type="radio-group" required="true" label="What is your CRUISE ONLY budget for all travelers? (or cruise &amp; flight package)" description="Excluding airfare transfers excursions etc." inline="true" name="what-is-your-total-budget-for-all-travelers" other="true"> <option label="$1,500-$2,500" value="15002500">$1,500-$2,500</option> <option label="$2,500-$4,500" value="25004500">$2,500-$4,500</option> <option label="$4,500-$6,500" value="45006500">$4,500-$6,500</option> <option label="$6,500-$8,500" value="65008500">$6,500-$8,500</option> <option label="$8,500-$10,000" value="850010000">$8,500-$10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="Where do you want to go?" description="Select your starting location(s) and then we can narrow down your options." inline="true" name="cruise-destination"> <option label="Caribbean " value="caribbean-">Caribbean </option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Northern Europe" value="northern-europe">Northern Europe</option> <option label="Norwegian Fjords" value="norwegian-fjords">Norwegian Fjords</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="British Isles" value="british-isles">British Isles</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Canada" value="canada">Canada</option> <option label="Mexican Riviera" value="mexican-riviera">Mexican Riviera</option> <option label="Baja " value="baja-">Baja </option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="Transatlantic" value="transatlantic">Transatlantic</option> <option label="Hawai'i" value="hawaii">Hawai'i</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="New Zealand and Australia" value="new-zealand-and-australia">New Zealand and Australia</option> </field> <field type="radio-group" required="true" label="What is the ideal length for this cruise?" inline="true" name="what-is-the-ideal-length-for-this-cruise"> <option label="3-4 nights" value="34-nights">3-4 nights</option> <option label="5-7 nights" value="57-nights">5-7 nights</option> <option label="8-10 nights" value="810-nights">8-10 nights</option> <option label="11-15 nights" value="1115-nights">11-15 nights</option> <option label="15+ nights" value="15-nights">15+ nights</option> </field> <field type="checkbox-group" required="true" label="What is your cruise line preference?" name="what-is-your-cruise-line-preference" other="true"> <option label="Disney Cruise Line (Disney World at sea)" value="disney-cruise-line-disney-world-at-sea">Disney Cruise Line (Disney World at sea)</option> <option label="Royal Caribbean (contemporary fun for all ages)" value="royal-caribbean-contemporary-fun-for-all-ages">Royal Caribbean (contemporary fun for all ages)</option> <option label="Celebrity (modern luxury)" value="celebrity-modern-luxury">Celebrity (modern luxury)</option> <option label="Virgin Voyages (adults only)" value="virgin-voyages-adults-only">Virgin Voyages (adults only)</option> <option label="Norwegian (family friendly fun)" value="norwegian-family-friendly-fun">Norwegian (family friendly fun)</option> <option label="Princess (elegance for the mature crowd)" value="princess-elegance-for-the-mature-crowd">Princess (elegance for the mature crowd)</option> <option label="Carnival (affordable family fun)" value="carnival-affordable-family-fun">Carnival (affordable family fun)</option> <option label="Luxury Lines (Silversea/Regent/Seabourn/Holland/Cunard)" value="luxury-lines-silversearegentseabournhollandcunard">Luxury Lines (Silversea/Regent/Seabourn/Holland/Cunard)</option> <option label="Smaller Ships (Azamara/Oceania, Atlas)" value="smaller-ships-azamaraoceania-atlas">Smaller Ships (Azamara/Oceania, Atlas)</option> <option label="I'm not sure... please help me decide" value="im-not-sure-please-help-me-decide">I'm not sure... please help me decide</option> </field> <field type="radio-group" required="true" label="What is your preferred stateroom category?" inline="true" name="bed-preference"> <option label="Interior " value="interior-">Interior </option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Veranda" value="veranda">Veranda</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="Do you require an ADA compliant stateroom?" inline="true" name="do-you-require-an-ada-compliant-stateroom"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="textarea" label="If you answered YES, are there special accommodations to take into consideration that will make your trip most comfortable and enjoyable?" name="if-you-answered-yes-are-there-special-accommodations-to-take-into-consideration-that-will-make-your-trip-most-comfortable-and-enjoyable" className="form-control"/> <field type="radio-group" label="Do you have a deck preference?" inline="true" name="do-you-have-a-deck-preference"> <option label="Lower Deck" value="lower-deck">Lower Deck</option> <option label="Middle Deck" value="middle-deck">Middle Deck</option> <option label="Higher Deck" value="higher-deck">Higher Deck</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="Do you have a stateroom location preference?&nbsp;" inline="true" name="do-you-have-a-stateroom-location-preference-"> <option label="Forward Stateroom" value="forward-stateroom">Forward Stateroom</option> <option label="Mid-Ship Stateroom" value="midship-stateroom">Mid-Ship Stateroom</option> <option label="Aft Stateroom" value="aft-stateroom">Aft Stateroom</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="checkbox-group" label="Other preferences..." name="other-preferences"> <option label="I want to be close to the action" value="i-want-to-be-close-to-the-action">I want to be close to the action</option> <option label="I want to be in a quiet location" value="i-want-to-be-in-a-quiet-location">I want to be in a quiet location</option> <option label="I want to be close to the elevators/stairs" value="i-want-to-be-close-to-the-elevatorsstairs">I want to be close to the elevators/stairs</option> <option label="I don't want to be close to the elevators/stairs" value="i-dont-want-to-be-close-to-the-elevatorsstairs">I don't want to be close to the elevators/stairs</option> </field> <field type="checkbox-group" label="What details are important to you? Please check all that apply." name="what-details-are-important-to-you-please-check-all-that-apply" other="true"> <option label="Concierge-Level Service and Priority Embarkation/Disembarkation" value="conciergelevel-service-and-priority-embarkationdisembarkation">Concierge-Level Service and Priority Embarkation/Disembarkation</option> <option label="Specialty Dining Reservations" value="specialty-dining-reservations">Specialty Dining Reservations</option> <option label="Pre-Paid Drinks Package" value="prepaid-drinks-package">Pre-Paid Drinks Package</option> <option label="Pre-Paid Gratuities" value="prepaid-gratuities">Pre-Paid Gratuities</option> <option label="Pre-Paid Internet Service" value="prepaid-internet-service">Pre-Paid Internet Service</option> <option label="Anytime Dining" value="anytime-dining">Anytime Dining</option> <option label="Early Dinner Seating" value="early-dinner-seating">Early Dinner Seating</option> <option label="Late Dinner Seating" value="late-dinner-seating">Late Dinner Seating</option> </field> <field type="text" label="Will you be celebrating anything special during this cruise?" name="will-you-be-celebrating-anything-special-during-this-cruise" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else I should know in order to help you create a trip you'll never forget?" name="anything-youd-like-me-to-know" className="form-control"/> <field type="checkbox-group" required="true" label="Pricing and availability is subject to change at any time and can only be locked in with a deposit. If a deposit is not placed before a courtesy hold expires (if a hold is available), a quote will be considered null and void at the time of the hold expiration. Please also note that depending on the number of days between booking and departure, vendors may require payment in full at the time of booking. Flights that are not included with a package must be paid in full at the time of booking, and prices and availability can be expected to change quickly." name="pricing-and-availability-is-subject-to-change-at-any-time-and-can-only-be-locked-in-with-a-deposit-if-a-deposit-is-not-placed-before-a-courtesy-hold-expires-if-a-hold-is-available-a-quote-will-be-considered-null-and-void-at-the-time-of-the-hold-expiration-please-also-note-that-depending-on-the-number-of-days-between-booking-and-embarkation-vendors-may-require-payment-in-full-at-the-time-of-booking"> <option label="I understand" value="i-understand">I understand</option> </field> <field type="checkbox-group" required="true" label="I try my best to respond to your request as soon as possible, but please expect 2-3 business days to receive your custom quote. I use the information you've provided to create options that are unique to you, which takes a bit of time. If you do need a quote right away, please understand that the level of customization will be limited in order to allow for a quick turn around." inline="true" name="i-try-my-best-to-respond-to-your-request-as-soon-as-possible-but-please-expect-23-business-days-to-receive-your-custom-quote-i-use-the-information-youve-provided-to-create-options-that-are-unique-to-you-which-takes-a-bit-of-time-if-you-do-need-a-quote-right-away-please-understand-that-the-level-of-customization-will-be-limited-in-order-to-allow-for-a-quick-turn-around"> <option label="I'm ok with 2-3 business days" value="im-ok-with-23-business-days">I'm ok with 2-3 business days</option> <option label="I need to book ASAP!" value="i-need-to-book-asap">I need to book ASAP!</option> </field> </fields> </form-template> </body> </html>
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