Share your information with Mike La Charite

Mike La Charite

Together Again Travel & Events

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		<field type="header" subtype="h1" label="2026 Sous Vide Cruise Booking Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your interest in our 2026 Sous Vide Cruise aboard the beautiful Virgin Voyages Scarlet Lady! Please complete this form with your information and Mike will get back to you with a confirmed price quote to finalize your booking!"/>&#13;
		<field type="header" subtype="h3" label="ITINERARY"/>&#13;
		<field type="paragraph" subtype="p" label="Departs from &amp;amp; Returns To Miami, FL"/>&#13;
		<field type="paragraph" subtype="p" label="Thursday, April 9th, 2026 - Cooking Demonstrations at Florida International University, 9:30am - 3:30pm"/>&#13;
		<field type="paragraph" subtype="p" label="Friday, April 10th, 2026 - Cruise Departs 5pm (must be on board no later than 3pm)."/>&#13;
		<field type="paragraph" subtype="p" label="Saturday, April 11th, 2026 - At Sea"/>&#13;
		<field type="paragraph" subtype="p" label="Sunday, April 12th, 2026 - Puerto Plata, Dominican Republic"/>&#13;
		<field type="paragraph" subtype="p" label="Monday, April 13th, 2026 - At Sea"/>&#13;
		<field type="paragraph" subtype="p" label="Tuesday, April 14th, 2026 - The Beach Club at Bimini"/>&#13;
		<field type="paragraph" subtype="p" label="Wednesday, April 15th, 2026 - Miami, FL (disembark after 7:30am)"/>&#13;
		<field type="header" subtype="h2" label="Passenger Name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger #2 Name (if applicable)" name="passenger-2-name-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Cabin Choice" name="cabin-choice">&#13;
			<option label="SOLD OUT - Interior Cabin - From $2,975 per cabin (double occupancy)" value="sold-out-interior-cabin-from-2975-per-cabin-double-occupancy">SOLD OUT - Interior Cabin - From $2,975 per cabin (double occupancy)</option>&#13;
			<option label="SOLD OUT - Ocean View Cabin - From $3,275 per cabin (double occupancy)" value="sold-out-ocean-view-cabin-from-3275-per-cabin-double-occupancy" selected="selected">SOLD OUT - Ocean View Cabin - From $3,275 per cabin (double occupancy)</option>&#13;
			<option label="Balcony Cabin - From $3,775 per cabin (double occupancy)" value="balcony-cabin-from-3775-per-cabin-double-occupancy">Balcony Cabin - From $3,775 per cabin (double occupancy)</option>&#13;
			<option label="Seriously Suite - From $6,225 per cabin (double occupancy)" value="seriously-suite-from-6225-per-cabin-double-occupancy">Seriously Suite - From $6,225 per cabin (double occupancy)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="IMPORTANT PRICING NOTE"/>&#13;
		<field type="paragraph" subtype="p" label="These rates do NOT include the current LOCK IT IN rates that you may see online. While they are less expensive, they are completely nonrefundable and so we chose to use the flexible rates for our pricing. If you prefer to book the lower / nonrefundable rate please let us know and we are happy to quote it with that."/>&#13;
		<field type="text" required="true" label="Where did you hear about this event?" name="where-did-you-hear-about-this-event" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Any additional comments you&#39;d like to share?" name="any-additional-comments-youd-like-to-share" className="form-control"/>&#13;
	</fields>&#13;
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