<form-template>
	<fields>
		<field type="header" subtype="h2" label="Full name - Lead Passenger (Additional Guests will be sent their own form)"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Lead Passenger First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Lead Passenger&amp;nbsp;Middle name" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Lead Passenger&amp;nbsp;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="Lead Passenger&amp;nbsp;Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Address"/>
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Lead Passenger&amp;nbsp;Birth Date" name="lead-passenger-birth-date" className="form-control"/>
		<field type="date" label="Lead Passenger Passport Expiration" name="lead-passenger-passport-expiration" className="form-control"/>
		<field type="text" required="true" label="Lead Passenger&amp;nbsp;Cell number" name="phone-number" subtype="text" className="form-control"/>
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Preferred Travel Date &amp;nbsp;" name="preferred-travel-date-" className="form-control"/>
		<field type="checkbox-group" required="true" label="How will you be arriving to the Port?" name="how-will-you-be-arriving-to-the-port" other="true">
			<option label="Driving" value="driving">Driving</option>
			<option label="Flying" value="flying">Flying</option>
		</field>
		<field type="text" required="true" label="If you have a preferred port, itinerary or ship - Please advise.&amp;nbsp;" name="if-you-have-a-preferred-port-itinerary-or-ship-please-advise-" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Have you cruised before?" name="have-you-cruised-before">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="If you or any other guest have cruised before, please advise what cruise line and indicate any &quot;loyalty&quot; numbers. &amp;nbsp;If Group, &amp;nbsp;please forwards spreadsheet." name="if-you-or-any-other-guest-have-cruised-before-please-advise-what-cruise-line-and-indicate-any-loyalty-numbers-if-group-please-forwards-spreadsheet" subtype="text" className="form-control"/>
		<field type="text" label="If traveling with others, will connecting rooms be required?" name="if-traveling-with-others-will-connecting-rooms-be-required" subtype="text" className="form-control"/>
		<field type="textarea" label="Please list the &quot;Ports of Call&quot; you would you like to visit" name="please-list-the-ports-of-call-you-would-you-like-to-visit" subtype="textarea" className="form-control"/>
		<field type="checkbox-group" required="true" label="Preferred Stateroom (You may choose more than one)" name="preferred-stateroom-you-may-choose-more-than-one" other="true">
			<option label="Inside (No Window)" value="inside-no-window">Inside (No Window)</option>
			<option label="Port Size Window" value="port-size-window">Port Size Window</option>
			<option label="Window Only" value="window-only">Window Only</option>
			<option label="Balcony" value="balcony">Balcony</option>
			<option label="Balcony with obstructed view" value="balcony-with-obstructed-view">Balcony with obstructed view</option>
			<option label="Suite" value="suite">Suite</option>
			<option label="Presidential (largest suite available)" value="presidential-largest-suite-available">Presidential (largest suite available)</option>
		</field>
		<field type="checkbox-group" required="true" label="Would you like to include Pre-Paid Gratuties?" name="would-you-like-to-include-prepaid-gratuties">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" required="true" label="Would you like to include an Alcohol Package? &amp;nbsp;" name="would-you-like-to-include-an-alcohol-package-">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" required="true" label="Would you like to include a Beverage Package? &amp;nbsp;(No alcohol)" name="checkbox-group-1601592524395">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" required="true" label="Would you like a Pre-Cruise Hotel?&amp;nbsp;" name="would-you-like-a-precruise-hotel-">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="If yes, how many nights (Pre-Cruise)" name="if-yes-how-many-nights-precruise" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Would you like a Post-Cruise Hotel?&amp;nbsp;" name="checkbox-group-1601592836350">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="If yes, how many nights (Post-Cruise)" name="if-yes-how-many-nights-postcruise" subtype="text" className="form-control"/>
		<field type="text" label="What type of hotel accommodations do you prefer" name="what-type-of-hotel-accommodations-do-you-prefer" subtype="text" className="form-control"/>
		<field type="checkbox-group" label="What type of hotel accommodations do you prefer? (if you have a hotel brand preference, please enter in other)" name="what-type-of-hotel-accommodations-do-you-prefer-if-you-have-a-hotel-brand-preference-please-enter-in-other" other="true">
			<option label="3 Star" value="3-star">3 Star</option>
			<option label="4 Star" value="4-star">4 Star</option>
			<option label="5 Star" value="5-star">5 Star</option>
		</field>
		<field type="checkbox-group" required="true" label="Will you and/or any of your guests need flights?" name="will-you-andor-any-of-your-guests-need-flights">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="If yes, please indicate from what airport.&amp;nbsp;" name="if-yes-please-indicate-from-what-airport-" subtype="text" className="form-control"/>
		<field type="checkbox-group" label="Flights - Class of Seats" name="flights-class-of-seats">
			<option label="First/Business Class" value="firstbusiness-class">First/Business Class</option>
			<option label="Economy Plus" value="economy-plus">Economy Plus</option>
			<option label="Economy" value="economy">Economy</option>
			<option label="Basic Economy (no carry/baggage allowed-Seats will be assigned at check-in" value="basic-economy-no-carrybaggage-allowedseats-will-be-assigned-at-checkin">Basic Economy (no carry/baggage allowed-Seats will be assigned at check-in</option>
		</field>
		<field type="checkbox-group" required="true" label="Travel Insurance is always quoted with ALL quotes. &amp;nbsp;If you DO NOT want to purchase a WAIVER is required to be signed. &amp;nbsp;Do you agree?" name="travel-insurance-is-always-quoted-with-all-quotes-if-you-do-not-want-to-purchase-a-waiver-is-required-to-be-signed-do-you-agree">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" required="true" label="Budget Per Traveler" name="budget-per-traveler">
			<option label="$500-$1000" value="5001000">$500-$1000</option>
			<option label="$1000-$2000" value="10002000">$1000-$2000</option>
			<option label="$2000-$3000" value="20003000">$2000-$3000</option>
			<option label="$3000-$5000" value="30005000">$3000-$5000</option>
			<option label="$5000-$7000" value="50007000">$5000-$7000</option>
			<option label="$7000-$10000" value="700010000">$7000-$10000</option>
			<option label="Unlimited" value="unlimited">Unlimited</option>
		</field>
		<field type="checkbox-group" required="true" label="Would you like information on excursions for your cruise" name="would-you-like-information-on-excursions-for-your-cruise">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="textarea" label="Please provide any other information you'd like to give to help us prepare your quote.&amp;nbsp;" name="please-provide-any-other-information-youd-like-to-give-to-help-us-prepare-your-quote-" subtype="textarea" className="form-control"/>
	</fields>
</form-template>