<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Personal Information"/> <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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Traveler Information"/> <field type="textarea" label="Name and Ages of Additional Guest (Ages for children under 18)" name="name-and-ages-of-additional-guest-ages-for-children-under-18" className="form-control"/> <field type="header" subtype="h1" label="Cruise Information"/> <field type="date" required="true" label="Travel Date" name="travel-date" className="form-control"/> <field type="select" label="Cruise Line" name="cruise-line" className="form-control"> <option label="" value="" selected="selected"/> <option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option> <option label="Celebrity Cruise Line" value="celebrity-cruise-line">Celebrity Cruise Line</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Holland America" value="holland-america">Holland America</option> <option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option> <option label="Royal Caribbean Cruise Line" value="royal-caribbean-cruise-line">Royal Caribbean Cruise Line</option> <option label="Princess Cruises" value="princess-cruises">Princess Cruises</option> <option label="Virgin Voyages Adult Only Cruise Line" value="virgin-voyages-adult-only-cruise-line">Virgin Voyages Adult Only Cruise Line</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Cruise Line Loyalty Number" name="cruise-line-loyalty-number" subtype="text" className="form-control"/> <field type="select" required="true" label="Cruise Length&nbsp;" name="cruise-length-" className="form-control"> <option label="1 to 4" value="1-to-4" selected="selected">1 to 4</option> <option label="5 to 6" value="5-to-6">5 to 6</option> <option label="7" value="7">7</option> <option label="8 to 13" value="8-to-13">8 to 13</option> <option label="14 or More" value="14-or-more">14 or More</option> </field> <field type="select" required="true" label="Destination" name="destination" className="form-control"> <option label="Alaska" value="alaska" selected="selected">Alaska</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean (Eastern or Western)" value="caribbean-eastern-or-western">Caribbean (Eastern or Western)</option> <option label="Caribbean (Southern)" value="caribbean-southern">Caribbean (Southern)</option> <option label="Europe" value="europe">Europe</option> <option label="Hawai'i" value="hawaii">Hawai'i</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="Transatlantic " value="transatlantic-">Transatlantic </option> </field> <field type="select" required="true" label="Departure Port" name="departure-port" className="form-control"> <option label="" value="" selected="selected"/> <option label="Port Canaveral, Florida" value="port-canaveral-florida">Port Canaveral, Florida</option> <option label="Miami, Florida" value="miami-florida">Miami, Florida</option> <option label="Galveston, Texas" value="galveston-texas">Galveston, Texas</option> <option label="New Orleans, Louisiana" value="new-orleans-louisiana">New Orleans, Louisiana</option> <option label="New York, New York " value="new-york-new-york-">New York, New York </option> <option label="San Diego, California" value="san-diego-california">San Diego, California</option> <option label="Honolulu, Hawai'i" value="honolulu-hawaii">Honolulu, Hawai'i</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Vancouver (British Columnia), Canada" value="vancouver-british-columnia-canada">Vancouver (British Columnia), Canada</option> <option label="San Francisco, California" value="san-francisco-california">San Francisco, California</option> <option label="Mobile, Alabama" value="mobile-alabama">Mobile, Alabama</option> <option label="International Port" value="international-port">International Port</option> </field> <field type="select" label="Holiday &amp; Specialty Cruise Options" name="holiday-specialty-cruise-options" className="form-control"> <option label="" value="" selected="selected"/> <option label="Halloween " value="halloween-">Halloween </option> <option label="Thanksgiving" value="thanksgiving">Thanksgiving</option> <option label="Christmas" value="christmas">Christmas</option> <option label="New Year's Eve" value="new-years-eve">New Year's Eve</option> <option label="Marvel Day at Sea (Disney)" value="marvel-day-at-sea-disney">Marvel Day at Sea (Disney)</option> <option label="Star Wars Day at Sea (Disney)" value="star-wars-day-at-sea-disney">Star Wars Day at Sea (Disney)</option> <option label="Carnival Journeys" value="carnival-journeys">Carnival Journeys</option> </field> <field type="select" label="Dining Preference&nbsp;" name="dining-preference-" className="form-control"> <option label="Main Seating (First)" value="main-seating-first" selected="selected">Main Seating (First)</option> <option label="Second Seating (Late)" value="second-seating-late">Second Seating (Late)</option> <option label="Any Time Dining" value="any-time-dining">Any Time Dining</option> </field> <field type="header" subtype="h1" label="Stateroom Specifics"/> <field type="radio-group" label="Number of Staterooms Needed" name="number-of-staterooms-needed"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="How many Guest in your Stateroom" name="how-many-guest-in-your-stateroom"> <option label="1-4" value="14">1-4</option> <option label="5 (Deluxe Family Stateroom)" value="5-deluxe-family-stateroom">5 (Deluxe Family Stateroom)</option> <option label="6-7 (Concierge-level Suites)" value="67-conciergelevel-suites">6-7 (Concierge-level Suites)</option> </field> <field type="select" label="Stateroom Category Preference" name="stateroom-category-preference" className="form-control"> <option label="Interior Room (No window or port hole)" value="interior-room-no-window-or-port-hole" selected="selected">Interior Room (No window or port hole)</option> <option label="Ocean View Room (Window or port hole)" value="ocean-view-room-window-or-port-hole">Ocean View Room (Window or port hole)</option> <option label="Verandah Room (Balcony)" value="verandah-room-balcony">Verandah Room (Balcony)</option> <option label="Concierge Level (Family suites with living areas)" value="concierge-level-family-suites-with-living-areas">Concierge Level (Family suites with living areas)</option> </field> <field type="select" label="Deck Location&nbsp;" name="deck-location-" className="form-control"> <option label="Lower Deck " value="lower-deck-" selected="selected">Lower Deck </option> <option label="Mid Deck" value="mid-deck">Mid Deck</option> <option label="Upper Deck " value="upper-deck-">Upper Deck </option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="select" label="Stateroom Location" name="stateroom-location" className="form-control"> <option label="Forward (Front)" value="forward-front" selected="selected">Forward (Front)</option> <option label="Middle " value="middle-">Middle </option> <option label="AFT (Back)" value="aft-back">AFT (Back)</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="header" subtype="h1" label="Ground or Air Transporation"/> <field type="select" label="Will you need Ground Transporation?" name="will-you-need-ground-transporation" className="form-control"> <option label="" value="" selected="selected"/> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Will you need Air?" name="will-you-need-air" className="form-control"> <option label="" value="" selected="selected"/> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Other"/> <field type="select" required="true" label="Travel Protection Insurance&nbsp;" name="travel-protection-insurance-" className="form-control"> <option label="" value="" selected="selected"/> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Additional Questions" name="additional-questions" className="form-control"/> </fields> </form-template> </body> </html>
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