<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Start Planning Your Dream Cruise Vacation"/> <field type="header" subtype="h2" label="Traveler Details"/> <field type="text" required="true" label="First name (As shown on ID)" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name (As shown on ID)" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country of Residence" name="address-country" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Additional Traveler Information"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" label="Names &amp; Ages of Additional Travelers" name="names-ages-of-additional-travelers" className="form-control"/> <field type="select" label="Any active military/veteran guests?" name="select-1661054066922" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="About Your Cruise"/> <field type="text" label="Are you celebrating a special occasion?" description="Provide some details so we can make sure you celebrate in style." name="are-you-celebrating-a-special-occasion" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Cruiseline(s)" name="preferred-cruiselines" other="true"> <option label="Carnival Cruises" value="carnival-cruises">Carnival Cruises</option> <option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option> <option label="Disney Cruises" value="disney-cruises">Disney Cruises</option> <option label="Holland America Line" value="holland-america-line">Holland America Line</option> <option label="MSC Cruises" value="msc-cruises">MSC Cruises</option> <option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option> <option label="Princess Cruises" value="princess-cruises">Princess Cruises</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> </field> <field type="clientLoyaltyPrograms" label="Cruise Loyalty Programs" description="Enter any known loyalty numbers here." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="select" required="true" label="Destination" name="destination" className="form-control"> <option label="Alaska" value="alaska">Alaska</option> <option label="Asia" value="asia">Asia</option> <option label="Australia/South Pacific" value="australiasouth-pacific">Australia/South Pacific</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada/New England" value="canadanew-england">Canada/New England</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Hawaii" value="hawaii">Hawaii</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="checkbox-group" label="Are you interested in a Cruisetour?" name="are-you-interested-in-a-cruisetour"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Departure Port" name="departure-port" other="true"> <option label="Miami, Florida" value="miami-florida">Miami, Florida</option> <option label="Fort Lauderdale, Florida" value="fort-lauderdale-florida">Fort Lauderdale, Florida</option> <option label="Port Canaveral, Florida" value="port-canaveral-florida">Port Canaveral, 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="Mobile, Alabama" value="mobile-alabama">Mobile, Alabama</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="San Francisco, California" value="san-francisco-california">San Francisco, California</option> <option label="Seattle, Washington" value="seattle-washington">Seattle, Washington</option> <option label="Honolulu, Hawaii" value="honolulu-hawaii">Honolulu, Hawaii</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Vancouver, Canada" value="vancouver-canada">Vancouver, Canada</option> <option label="Sydney, Australia" value="sydney-australia">Sydney, Australia</option> <option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option> </field> <field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your budget per person for the cruise?" name="what-is-your-budget-per-person-for-the-cruise" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Dining Preferences"/> <field type="select" required="true" label="Dinner time Preference" name="dining-preference" className="form-control"> <option label="First Seating (Early)" value="first-seating-early">First Seating (Early)</option> <option label="Second Seating (Late)" value="second-seating-late">Second Seating (Late)</option> <option label="Anytime Dining" value="anytime-dining">Anytime Dining</option> </field> <field type="select" required="true" label="Drinks Package" name="drinks-package" className="form-control"> <option label="Soda Package" value="soda-package">Soda Package</option> <option label="Premium Non-alcoholic Package" value="premium-nonalcoholic-package">Premium Non-alcoholic Package</option> <option label="Standard Drinks Package (Incl alcohol)" value="standard-drinks-package-incl-alcohol">Standard Drinks Package (Incl alcohol)</option> <option label="Premium Drinks Package (top shelf alcohol)" value="premium-drinks-package-top-shelf-alcohol">Premium Drinks Package (top shelf alcohol)</option> <option label="No Drinks Package" value="no-drinks-package">No Drinks Package</option> </field> <field type="header" subtype="h2" label="Stateroom Preferences"/> <field type="text" label="Number of staterooms needed" name="number-of-staterooms-needed" subtype="text" className="form-control"/> <field type="select" required="true" label="Stateroom Category Preference" name="stateroom-category-preference" className="form-control"> <option label="Suite" value="suite">Suite</option> <option label="Mini Suite" value="mini-suite">Mini Suite</option> <option label="Balcony (private balcony)" value="balcony-private-balcony">Balcony (private balcony)</option> <option label="Inside Balcony (balcony over inner ship areas ie Central Park)" value="inside-balcony-balcony-over-inner-ship-areas-ie-central-park">Inside Balcony (balcony over inner ship areas ie Central Park)</option> <option label="Outside Cabin (window or port hole)" value="outside-cabin-window-or-port-hole">Outside Cabin (window or port hole)</option> <option label="Inside Cabin (no window or porthole)" value="inside-cabin-no-window-or-porthole">Inside Cabin (no window or porthole)</option> </field> <field type="select" required="true" label="Deck Location" name="deck-location" className="form-control"> <option label="Upper Deck" value="upper-deck">Upper Deck</option> <option label="Mid Deck" value="mid-deck">Mid Deck</option> <option label="Lower Level" value="lower-level">Lower Level</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="select" required="true" label="Cabin location" name="cabin-location" className="form-control"> <option label="Forward (Front)" value="forward-front">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="h2" label="Cruise Ports"/> <field type="text" label="Are there any ports you absolutely MUST visit?" name="are-there-any-ports-you-absolutely-must-visit" subtype="text" className="form-control"/> <field type="textarea" label="What shore excursions/activities are you interested in doing?" name="what-shore-excursionsactivities-are-you-interested-in-doing" className="form-control"/> <field type="checkbox-group" label="Activity preferences" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="header" subtype="h2" label="Pre/Post Cruise Hotel"/> <field type="select" required="true" label="Pre-Cruise Hotel Preference" description="Please check all that apply" name="precruise-hotel-preference" multiple="multiple" className="form-control"> <option label="Close to Port" value="close-to-port">Close to Port</option> <option label="Close to Airport" value="close-to-airport">Close to Airport</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Heart of the City" value="heart-of-the-city">Heart of the City</option> <option label="Ocean Views" value="ocean-views">Ocean Views</option> <option label="Moderate Rating (3 or 4 star)" value="moderate-rating-3-or-4-star">Moderate Rating (3 or 4 star)</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option> <option label="Breakfast Included" value="breakfast-included">Breakfast Included</option> <option label="Resort Facilities" value="resort-facilities">Resort Facilities</option> <option label="Not Required" value="not-required">Not Required</option> </field> <field type="text" label="How many rooms do you require?" name="how-many-rooms-do-you-require" subtype="text" className="form-control"/> <field type="text" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/> <field type="select" required="true" label="Post-Cruise Hotel Preference" description="Please check all that apply" name="postcruise-hotel-preference" multiple="multiple" className="form-control"> <option label="Close to Port" value="close-to-port">Close to Port</option> <option label="Close to Airport" value="close-to-airport">Close to Airport</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Heart of the City" value="heart-of-the-city">Heart of the City</option> <option label="Ocean Views" value="ocean-views">Ocean Views</option> <option label="Moderate Rating (3 or 4 star)" value="moderate-rating-3-or-4-star">Moderate Rating (3 or 4 star)</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option> <option label="Breakfast Included" value="breakfast-included">Breakfast Included</option> <option label="Resort Facilities" value="resort-facilities">Resort Facilities</option> <option label="Not Required" value="not-required">Not Required</option> </field> <field type="text" label="How many rooms do you require?" name="text-1661033538892" subtype="text" className="form-control"/> <field type="text" label="How many nights?" name="text-1661033541352" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Transport Requirements"/> <field type="checkbox-group" required="true" label="Do you need flights booked?" name="do-you-need-flights-booked"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Sure" value="not-sure">Not Sure</option> </field> <field type="text" label="Preferred Departure Airport" name="preferred-departure-airport" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do you need transfers?" name="do-you-need-transfers"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Special Needs"/> <field type="checkbox-group" label="Does anybody in your travelling party have any special needs I should be aware of?" description="Check all that apply." name="does-anybody-in-your-travelling-party-have-any-special-needs-i-should-be-aware-of" other="true"> <option label="Mobility - Limited Walking" value="mobility-limited-walking">Mobility - Limited Walking</option> <option label="Mobility - Wheelchair" value="mobility-wheelchair">Mobility - Wheelchair</option> <option label="Hearing Impaired" value="hearing-impaired">Hearing Impaired</option> <option label="Vision Impaired" value="vision-impaired">Vision Impaired</option> <option label="Oxygen Required" value="oxygen-required">Oxygen Required</option> <option label="Service Animal" value="service-animal">Service Animal</option> </field> <field type="textarea" label="Details" description="Please include any equipment rental you would like help planning." name="details" className="form-control"/> <field type="header" subtype="h2" label="Important Notes"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways