<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Please answer the following questions to see if you qualify for us to produce your group's Travel Event."/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Type Of Proposed Event"/> <field type="select" required="true" label="Personal Group" name="personal-group" multiple="multiple" className="form-control"> <option label="Friends and Family" value="friends-and-family">Friends and Family</option> <option label="Community" value="community">Community</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Retirement" value="retirement">Retirement</option> <option label="Recognition" value="recognition">Recognition</option> <option label="Hobby" value="hobby">Hobby</option> <option label="Church" value="church">Church</option> <option label="Facebook Friends" value="facebook-friends">Facebook Friends</option> <option label="Meetup" value="meetup">Meetup</option> <option label="Other - Describe Below" value="other-describe-below">Other - Describe Below</option> </field> <field type="select" required="true" label="Company Group" name="company-group" multiple="multiple" className="form-control"> <option label="Seminar-at-Sea" value="seminaratsea">Seminar-at-Sea</option> <option label="Workshops / Training" value="workshops-training">Workshops / Training</option> <option label="Networking" value="networking">Networking</option> <option label="Team Building" value="team-building">Team Building</option> <option label="Other - Describe Below" value="other-describe-below">Other - Describe Below</option> </field> <field type="select" required="true" label="Organization Group" name="organization-group" multiple="multiple" className="form-control"> <option label="Eductaion" value="eductaion">Eductaion</option> <option label="Charity / Fundraiser" value="charity-fundraiser">Charity / Fundraiser</option> <option label="Other - Describe Below" value="other-describe-below">Other - Describe Below</option> </field> <field type="textarea" label="Tell Us About Your Idea Here" name="tell-us-about-your-idea-here" className="form-control"/> <field type="checkbox-group" required="true" label="Have You Ever Cruised Before?" name="have-you-ever-cruised-before"> <option label="Yes, But Not With My OWN Group" value="yes-but-not-with-my-own-group">Yes, But Not With My OWN Group</option> <option label="We've Done Group Events At Hotels" value="weve-done-group-events-at-hotels">We've Done Group Events At Hotels</option> <option label="No, But It Sure Sounds Like FUN!" value="no-but-it-sure-sounds-like-fun">No, But It Sure Sounds Like FUN!</option> </field> <field type="checkbox-group" required="true" label="For This Trip, Which Do You Prefer?" name="for-this-trip-which-do-you-prefer" other="true"> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="All-Inclusive / Land Destination" value="allinclusive-land-destination">All-Inclusive / Land Destination</option> </field> <field type="radio-group" required="true" label="Ideal Length of Trip to Include Enough Time to Facilitate Group Activities and Special Gatherings" name="ideal-length-of-cruise-to-include-enough-time-during-days-on-water-to-facilitate-group-activities-and-special-gatherings"> <option label="5 or 6 Days" value="5-or-6-days">5 or 6 Days</option> <option label="7 to 12 Days" value="7-to-12-days">7 to 12 Days</option> <option label="14 Days or Longer" value="14-days-or-longer">14 Days or Longer</option> </field> <field type="checkbox-group" required="true" label="Do you want a ..." name="do-you-want-a-"> <option label="Pre-Stay" value="prestay">Pre-Stay</option> <option label="Post-Stay" value="poststay">Post-Stay</option> </field> <field type="header" subtype="h2" label="I Think THIS Would Make For A Great Trip..."/> <field type="select" required="true" label="Preferred River Cruise" name="select-1631922026579" multiple="multiple" className="form-control"> <option label="AmaWaterways" value="amawaterways" selected="selected">AmaWaterways</option> <option label="Avalon" value="avalon">Avalon</option> <option label="Crystal" value="crystal">Crystal</option> <option label="Uniworld" value="uniworld">Uniworld</option> <option label="Scenic" value="scenic">Scenic</option> <option label="Viking" value="viking">Viking</option> <option label="Tauck" value="tauck">Tauck</option> </field> <field type="select" required="true" label="Preferred River Cruise Itinerary" name="select-1631923476666" multiple="multiple" className="form-control"> <option label="Africa" value="africa">Africa</option> <option label="Colombia" value="colombia">Colombia</option> <option label="Egypt" value="egypt">Egypt</option> <option label="Europe" value="europe">Europe</option> <option label="Vietnam & Cambodia" value="vietnam-cambodia">Vietnam & Cambodia</option> <option label="Other" value="other">Other</option> </field> <field type="select" required="true" label="Preferred Ocean Cruise" name="preferred-ocean-cruise" multiple="multiple" className="form-control"> <option label="Azamara" value="azamara">Azamara</option> <option label="Carnival" value="carnival">Carnival</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Crystal" value="crystal">Crystal</option> <option label="Cunard" value="cunard">Cunard</option> <option label="Disney" value="disney">Disney</option> <option label="Holland America" value="holland-america">Holland America</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="Oceana" value="oceana">Oceana</option> <option label="Princess" value="princess">Princess</option> <option label="Regent" value="regent">Regent</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Viking Ocean Cruise" value="viking-ocean-cruise">Viking Ocean Cruise</option> <option label="Seabourn" value="seabourn">Seabourn</option> <option label="SilverSea" value="silversea">SilverSea</option> <option label="Other" value="other">Other</option> </field> <field type="select" required="true" label="Preferred Ocean Cruise Itinerary" name="preferred-ocean-cruise-itinerary" multiple="multiple" className="form-control"> <option label="Alaska" value="alaska">Alaska</option> <option label="Asia" value="asia">Asia</option> <option label="Australia & New Zealand" value="australia-new-zealand">Australia & New Zealand</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="North America" value="north-america">North America</option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Not Sure" value="not-sure">Not Sure</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="All-Inclusive Resort, Different Cruise or Land Destinations (Please Specify)" name="other-such-as-allinclusive-resort-or-group-tour-please-specify" className="form-control"/> <field type="radio-group" required="true" label="When Do You Want To Go?" name="when-do-you-want-to-go"> <option label="7 Months out" value="7-months-out">7 Months out</option> <option label="12 Months out" value="12-months-out">12 Months out</option> <option label="18 Months out or Longer" value="18-months-out-or-longer">18 Months out or Longer</option> </field> <field type="select" required="true" label="Select Month" name="select-month" className="form-control"> <option label="January" value="january" selected="selected">January</option> <option label="February" value="february">February</option> <option label="March" value="march">March</option> <option label="April" value="april">April</option> <option label="May" value="may">May</option> <option label="June" value="june">June</option> <option label="July" value="july">July</option> <option label="August" value="august">August</option> <option label="September" value="september">September</option> <option label="October" value="october">October</option> <option label="November" value="november">November</option> <option label="December" value="december">December</option> <option label="Not Sure" value="not-sure">Not Sure</option> </field> <field type="radio-group" label="What is the size of your prospect list (database of invitees)? For companies, this can be your subscribers, students, customers, patients, clients, etc. For individuals, this can be your facebook friends and fans, guest list of family invitees, church members, hobby club members, groups you belong to, etc." name="what-is-the-size-of-your-prospect-list-database-of-invitees-for-companies-this-can-be-your-subscribers-students-customers-patients-clients-etc-for-individuals-this-can-be-your-facebook-friends-and-fans-guest-list-of-family-invitees-church-members-hobby-club-members-groups-you-belong-to-etc"> <option label="3 to 5" value="3-to-5">3 to 5</option> <option label="5 to 10" value="5-to-10">5 to 10</option> <option label="10 to 25" value="10-to-25">10 to 25</option> <option label="25 to 50" value="25-to-50">25 to 50</option> <option label="50 to 100" value="50-to-100">50 to 100</option> <option label="100 or Larger" value="100-or-larger">100 or Larger</option> </field> <field type="header" subtype="h1" label="Our Top Priorities"/> <field type="select" required="true" label="Select All That are Important to You" name="select-all-that-are-important-to-you" multiple="multiple" className="form-control"> <option label="Top of the Line Experience" value="top-of-the-line-experience">Top of the Line Experience</option> <option label="Group Activities" value="group-activities">Group Activities</option> <option label="Enrichment Program" value="enrichment-program">Enrichment Program</option> <option label="Faith Based Travel" value="faith-based-travel">Faith Based Travel</option> <option label="Fun & Adventure" value="fun-adventure">Fun & Adventure</option> <option label="Private Tours" value="private-tours">Private Tours</option> <option label="Private Receptions" value="private-receptions">Private Receptions</option> <option label="No Risk / Out of Pocket Expense" value="no-risk-out-of-pocket-expense">No Risk / Out of Pocket Expense</option> <option label="Earn Money for Charity" value="earn-money-for-charity">Earn Money for Charity</option> <option label="Earn Money for Our Organization" value="earn-money-for-our-organization">Earn Money for Our Organization</option> <option label="Group Leader Complimentary" value="group-leader-complimentary">Group Leader Complimentary</option> <option label="Help With Promoting" value="help-with-promoting">Help With Promoting</option> <option label="Someone from Our Staff to Go Along" value="someone-from-our-staff-to-go-along">Someone from Our Staff to Go Along</option> <option label="Make this an Annual Event" value="make-this-an-annual-event" selected="selected">Make this an Annual Event</option> </field> <field type="select" required="true" label="How Soon Would You Like to Get Started?" name="how-soon-would-you-like-to-get-started" className="form-control"> <option label="Right Away!" value="right-away">Right Away!</option> <option label="This Week" value="this-week">This Week</option> <option label="This Month" value="this-month">This Month</option> <option label="Within 3 Months" value="within-3-months">Within 3 Months</option> <option label="Not Sure" value="not-sure">Not Sure</option> </field> <field type="text" label="Are you celebrating any special occasion? If so, please specify the occasion and date" name="are-you-celebrating-any-special-occasion-if-so-please-specify-the-occasion-and-date" subtype="text" className="form-control"/> <field type="textarea" label="If you have any other needs that the travel advisor should know about, please let below." name="if-you-have-any-other-needs-that-the-travel-advisor-should-know-about-please-let-below" className="form-control"/> <field type="checkbox-group" required="true" label="I confirm all my details are correct and accurate." name="i-confirm-all-my-details-are-correct-and-accurate"> <option label="Yes" value="yes">Yes</option> </field> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Fla. Seller of Travel Ref. No. ST37530"/> </fields> </form-template> </body> </html>
This Sounds Great, Let's Talk!
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