<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Carnival Spring Break Cruise&nbsp;"/> <field type="paragraph" subtype="p" label="Please review and complete the below information to receive your personalized quote.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="checkbox-group" required="true" label="PLEASE NOTE: Some countries may refuse entry to individuals with criminal records, such as DUIs. It's your responsibility to research and comply with the entry laws of your destination and to determine if you or anyone in your group has a criminal record. That Vacation Lady does not inquire about an individual’s criminal record in the interest of respecting our Clients’ privacy.&nbsp;" name="please-note-some-countries-may-refuse-entry-to-individuals-with-criminal-records-such-as-duis-its-your-responsibility-to-research-and-comply-with-the-entry-laws-of-your-destination-and-to-determine-if-you-or-anyone-in-your-group-has-a-criminal-record-that-vacation-lady-does-not-inquire-about-an-individuals-criminal-record-in-the-interest-of-respecting-our-clients-privacy-"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="header" subtype="h2" label="Your Contact Information"/> <field type="paragraph" subtype="p" label="Please Note: The name and date of birth on your identification must exactly match the information listed on your booking for this trip."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <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="Preferred name" name="preferred-name" 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="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="header" subtype="h1" label="Cruise Information"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="text" required="true" label="How many other people will be cruising with you?&nbsp;" name="how-many-other-people-will-be-cruising-with-you-" subtype="text" className="form-control"/> <field type="text" required="true" label="How many cabins would you like to book?&nbsp;" name="how-many-cabins-would-you-like-to-book-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Please select the cabin type you would like to book.&nbsp;" name="please-select-the-cabin-type-you-would-like-to-book-"> <option label="Interior (no window or balcony)" value="interior-no-window-or-balcony">Interior (no window or balcony)</option> <option label="Oceanview (window only)" value="oceanview-window-only">Oceanview (window only)</option> <option label="Balcony" value="balcony">Balcony</option> </field> <field type="radio-group" required="true" label="What dining time do you prefer? Please note: Times are subject to availability.&nbsp;" name="what-dining-time-do-you-prefer-please-note-times-are-subject-to-availability-"> <option label="Early (6 pm)" value="early-6-pm">Early (6 pm)</option> <option label="Late (8:15 pm)" value="late-815-pm">Late (8:15 pm)</option> <option label="Your Time (5:30 pm - 9:00 pm)" value="your-time-530-pm-900-pm">Your Time (5:30 pm - 9:00 pm)</option> </field> <field type="radio-group" label="Are you celebrating any special occasions?&nbsp;" name="are-you-celebrating-any-special-occasions-" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Reunion" value="reunion">Reunion</option> <option label="Wedding/Honeymoon" value="weddinghoneymoon">Wedding/Honeymoon</option> </field> <field type="text" label="Do you have any accommodation needs/requests?" description="Visual Auditory Mobility issues/wheelchair use cribs etc." name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="Do you have a Carnival VIFP number? If yes, please list it here.&nbsp;" name="do-you-have-a-carnival-vfip-number-if-yes-please-list-it-here-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Does anyone in your group qualify for a military rate?&nbsp;" name="does-anyone-in-your-group-qualify-for-a-military-rate-"> <option label="Yes- Once booked, eligibility documents must be submitted to Carnival for confirmed reservations within 72 hours for cruises outside one week prior to sailing and 24 hours for cruises within one week prior to sailing. Failure to comply with this policy will result in Carnival rescinding the Military discount." value="yes-once-booked-eligibility-documents-must-be-submitted-to-carnival-for-confirmed-reservations-within-72-hours-for-cruises-outside-one-week-prior-to-sailing-and-24-hours-for-cruises-within-one-week-prior-to-sailing-failure-to-comply-with-this-policy-will-result-in-carnival-rescinding-the-military-discount">Yes- Once booked, eligibility documents must be submitted to Carnival for confirmed reservations within 72 hours for cruises outside one week prior to sailing and 24 hours for cruises within one week prior to sailing. Failure to comply with this policy will result in Carnival rescinding the Military discount.</option> </field> <field type="checkbox-group" label="Would you like to add any of the following items to your quote?&nbsp;" name="would-you-like-to-add-any-of-the-following-items-to-your-quote-"> <option label="Travel Insurance- HIGHLY RECOMMENDED" value="travel-insurance-highly-recommended">Travel Insurance- HIGHLY RECOMMENDED</option> <option label="Pre-Cruise Stay " value="precruise-stay-">Pre-Cruise Stay </option> <option label="Post-Cruise Stay" value="postcruise-stay">Post-Cruise Stay</option> <option label="Transfers to port from pre-cruise hotel" value="transfers-to-port-from-precruise-hotel">Transfers to port from pre-cruise hotel</option> <option label="Transfers from port to post-cruise hotel" value="transfers-from-port-to-postcruise-hotel">Transfers from port to post-cruise hotel</option> </field> <field type="textarea" label="Anything else you would like me to know?&nbsp;" name="anything-else-you-would-like-me-to-know-" className="form-control"/> <field type="paragraph" subtype="p" label="Thank you for completing the above information. My office hours are M - Th 9 am - 5 pm, Fri 9 am - 4 pm, Sat by appointment only. Please allow me 2 business days from the date you submit this form to review your information and send your personalized quote. If you have not received a response within 2 business days please check your promotions and/or spam/junk mail folders as some email providers will route my emails there. I'm looking forward to working with you!&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="That Vacation Lady, LLC is an independent agent of Outside Agents/Cruises and Tours Unlimited. Florida Seller of Travel Ref. No. ST15578 – CST 2090937-50 – Washington UBID No. 603189022"/> </fields> </form-template> </body> </html>
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