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Adrienne Bibb
Addy and Terry Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Tell Us About Your Cruise"/> <field type="header" subtype="h3" label="Personal Cruise Planning Request"/> <field type="paragraph" subtype="p" label="Tell us who is traveling, what matters most, and what you want to spend. We'll review your request within two business days and let you know the right next step. Submitting this form does not create a reservation or charge a planning fee."/> <field type="paragraph" subtype="p" label="Privacy note: Please do not include passport numbers, payment-card details, medical records, or other sensitive documents in this form."/> <field type="header" subtype="h3" label="About you"/> <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" subtype="email" required="true" label="Best email address" name="email" className="form-control"/> <field type="text" subtype="tel" required="true" label="Best phone number" name="phone-number" className="form-control"/> <field type="radio-group" required="true" label="How would you prefer we contact you first?" name="preferred-contact-method" className="radio-group"> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> </field> <field type="text" required="true" label="State/province and country of residence" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How did you find Addy &amp; Terry?" name="how-did-you-find" other="true" className="radio-group"> <option label="YouTube" value="youtube">YouTube</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Google or another search engine" value="search">Google or another search engine</option> <option label="Friend or past client" value="friend-client">Friend or past client</option> <option label="Hosted-trip page" value="hosted-trip">Hosted-trip page</option> </field> <field type="text" label="If a video, post, or person sent you here, what was it?" name="referral-details" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1785953502798" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="Who is traveling?"/> <field type="radio-group" required="true" label="How many people will travel, including you?" name="number-of-travelers" other="true" className="radio-group"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> </field> <field type="text" required="true" label="How many travelers will be 18 or older at sailing?" name="number-travelers-over-18" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers will be under 18 at sailing?" name="number-travelers-under-18" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Which best describes this trip?" name="trip-type" className="radio-group"> <option label="One household or booking" value="one-household">One household or booking</option> <option label="More than one household paying separately" value="multi-household">More than one household paying separately</option> <option label="I am organizing 8 or more travelers" value="organizing-8-plus">I am organizing 8 or more travelers</option> <option label="I want to join an Addy & Terry hosted trip" value="hosted-trip">I want to join an Addy & Terry hosted trip</option> </field> <field type="checkbox-group" label="Is this trip celebrating something?" name="trip-celebration" other="true" className="checkbox-group"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Reunion" value="reunion">Reunion</option> </field> <field type="pageBreak" name="pageBreak-1785953524068" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="Dates and trip shape"/> <field type="radio-group" required="true" label="How firm are your travel dates?" name="date-flexibility" className="radio-group"> <option label="Exact dates" value="exact-dates">Exact dates</option> <option label="Flexible within a few weeks" value="flexible-weeks">Flexible within a few weeks</option> <option label="Flexible within a season" value="flexible-season">Flexible within a season</option> <option label="I need help choosing" value="need-help">I need help choosing</option> </field> <field type="date" label="Earliest date you could depart" name="starting-at" className="form-control"/> <field type="date" label="Latest date you need to return" name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred cruise length" name="preferred-cruise-length" className="checkbox-group"> <option label="3-5 nights" value="3-5-nights">3-5 nights</option> <option label="6-8 nights" value="6-8-nights">6-8 nights</option> <option label="9-12 nights" value="9-12-nights">9-12 nights</option> <option label="13+ nights" value="13plus-nights">13+ nights</option> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="checkbox-group" required="true" label="How can you reach the cruise?" name="cruise-access-method" className="checkbox-group"> <option label="Drive to a nearby port" value="drive">Drive to a nearby port</option> <option label="Fly domestically" value="fly-domestic">Fly domestically</option> <option label="Fly internationally" value="fly-international">Fly internationally</option> <option label="Not sure yet" value="not-sure">Not sure yet</option> </field> <field type="text" label="Any preferred departure port or region?" name="preferred-departure-port" subtype="text" className="form-control"/> <field type="checkbox-group" label="Which destinations interest you?" name="destination" other="true" className="checkbox-group"> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Northern Europe" value="northern-europe">Northern Europe</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="Transatlantic" value="transatlantic">Transatlantic</option> <option label="Transpacific " value="transpacific-">Transpacific </option> </field> <field type="pageBreak" name="pageBreak-1785953551635" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="The right cruise for you"/> <field type="radio-group" required="true" label="Have you cruised before?" name="cruise-experience" className="radio-group"> <option label="No, this is my first cruise" value="first-cruise">No, this is my first cruise</option> <option label="Yes, once or twice" value="once-twice">Yes, once or twice</option> <option label="Yes, three or more times" value="three-plus">Yes, three or more times</option> </field> <field type="textarea" label="Which cruise lines or ships have you sailed, and what did you like or dislike?" name="cruise-lines-experience" className="form-control"/> <field type="checkbox-group" required="true" label="Choose the things that matter most to this trip." name="trip-priorities" className="checkbox-group"> <option label="Relaxation" value="relaxation">Relaxation</option> <option label="Food and dining" value="food-dining">Food and dining</option> <option label="Entertainment" value="entertainment">Entertainment</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Quiet adult spaces" value="quiet-adult">Quiet adult spaces</option> <option label="Family activities" value="family">Family activities</option> <option label="Ports and excursions" value="ports-excursions">Ports and excursions</option> <option label="Ship design and amenities" value="ship-design">Ship design and amenities</option> <option label="Premium service" value="premium-service">Premium service</option> <option label="Value" value="value">Value</option> <option label="Accessibility" value="accessibility">Accessibility</option> </field> <field type="radio-group" label="Which pace sounds most like you?" name="cruise-pace" className="radio-group"> <option label="Quiet and restorative" value="quiet-restorative">Quiet and restorative</option> <option label="A comfortable mix" value="comfortable-mix">A comfortable mix</option> <option label="Active and social" value="active-social">Active and social</option> <option label="It depends on the day" value="depends">It depends on the day</option> </field> <field type="checkbox-group" label="Which cabin types would you consider?" name="cabin-type" className="checkbox-group"> <option label="Interior" value="interior">Interior</option> <option label="Ocean view" value="ocean-view">Ocean view</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> <option label="Accessible cabin" value="accessible-cabin">Accessible cabin</option> <option label="Not sure yet" value="not-sure">Not sure yet</option> </field> <field type="textarea" label="What would make a cruise wrong for you?" name="cruise-wrong" className="form-control"/> <field type="textarea" label="Are you already considering a cruise line, ship, or sailing?" name="already-considering" className="form-control"/> <field type="pageBreak" name="pageBreak-1785953653609" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="Budget and planning support"/> <field type="radio-group" required="true" label="How should we understand the amount you give us?" name="budget-basis" className="radio-group"> <option label="Per person" value="per-person">Per person</option> <option label="Per cabin" value="per-cabin">Per cabin</option> <option label="Entire traveling party" value="entire-party">Entire traveling party</option> </field> <field type="text" required="true" label="What is your target cruise budget in U.S. dollars, including cruise taxes and port fees but before airfare and hotels?" name="budget" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How flexible is that target?" name="budget-flexibility" className="radio-group"> <option label="Firm maximum" value="firm-max">Firm maximum</option> <option label="Some flexibility for the right fit" value="some-flex">Some flexibility for the right fit</option> <option label="I need help establishing a realistic budget" value="need-help">I need help establishing a realistic budget</option> </field> <field type="checkbox-group" label="Which additional costs should we help you plan around?" name="additional-costs" className="checkbox-group"> <option label="Airfare" value="airfare">Airfare</option> <option label="Pre- or post-cruise hotel" value="hotel">Pre- or post-cruise hotel</option> <option label="Ground transfers or parking" value="transfers-parking">Ground transfers or parking</option> <option label="Drinks" value="drinks">Drinks</option> <option label="Specialty dining" value="specialty-dining">Specialty dining</option> <option label="Wi-Fi" value="wifi">Wi-Fi</option> <option label="Gratuities" value="gratuities">Gratuities</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Travel protection" value="travel-protection">Travel protection</option> </field> <field type="radio-group" required="true" label="Have you already booked this cruise?" name="already-booked" className="radio-group"> <option label="No" value="no">No</option> <option label="Yes, directly with the cruise line" value="yes-direct">Yes, directly with the cruise line</option> <option label="Yes, with another advisor or agency" value="yes-advisor">Yes, with another advisor or agency</option> </field> <field type="text" label="Which cruise line and ship did you book?" description="Show only if already booked" name="booked-line-ship" subtype="text" className="form-control"/> <field type="date" label="On what date did you make the booking?" description="Show only if already booked" name="booking-date" className="form-control"/> <field type="radio-group" label="Has final payment been made?" description="Show only if already booked" name="final-payment-made" className="radio-group"> <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="paragraph" subtype="p" label="If you already booked: Please do not enter your confirmation number here. We will ask for it securely if it is needed to check transfer eligibility."/> <field type="pageBreak" name="pageBreak-1785953710661" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="Accessibility and anything else"/> <field type="textarea" label="Are there mobility, sensory, dietary, or other accessibility needs we should consider when recommending a cruise?" name="accessibility-needs" className="form-control"/> <field type="paragraph" subtype="p" label="Share only what is necessary at this stage. We will request and confirm available accommodations with suppliers, but availability is not guaranteed. For accessibility questions, contact addy@addyandterry.com."/> <field type="textarea" label="What else should we know to recommend the right cruise?" name="additional-notes" className="form-control"/> <field type="pageBreak" name="pageBreak-1785953735173" next="Next" previous="Previous"/> <field type="header" subtype="h3" label="Before you submit"/> <field type="checkbox-group" required="true" label="I agree that Addy &amp; Terry may contact me about this cruise-planning request." name="consent-contact" className="checkbox-group"> <option label="" value=""/> </field> <field type="checkbox-group" required="true" label="I understand that this is a planning request, not a confirmed reservation; no space is held and no payment is collected by submitting it." name="understand-request" className="checkbox-group"> <option label="" value=""/> </field> <field type="checkbox-group" required="true" label="I understand that fares, promotions, taxes, fees, cabin availability, and supplier terms can change until the required deposit is paid and the supplier confirms the reservation." name="understand-changes" className="checkbox-group"> <option label="" value=""/> </field> <field type="checkbox-group" label="Yes, send me Addy &amp; Terry cruise tips and trip updates. I can unsubscribe at any time." name="subscribe-tips" className="checkbox-group"> <option label="" value=""/> </field> </fields> </form-template> </body> </html>
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