Share your information with Christopher Groleau

Christopher Groleau

Golden Hour Travel

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Cruise Request Form:"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your interest in the Concierge Experience with Virgin Voyages. Whether you’re planning a solo trip, a romantic escape, or a group adventure, I’m here as your Virgin Voyages specialist to design the perfect cruise, secure the best value, and guide you every step of the way. I work with travelers worldwide, including the UK, US, Canada, and Australia."/>&#13;
		<field type="paragraph" subtype="p" label="Please take a moment to complete the form below with as much detail as you can. The more I know, the better I can tailor options and pricing to fit your plans. I can’t wait to help you create a voyage you’ll always remember!"/>&#13;
		<field type="text" required="true" label="First Name:" name="first-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" required="true" label="State:" name="state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email:" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone Number:" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cruise Information:"/>&#13;
		<field type="radio-group" required="true" label="Have you cruised before?" name="have-you-cruised-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Is there a specific Cruise Line you are interested in sailing? If so, which one?" name="is-there-a-specific-cruise-line-you-are-interested-in-sailing-if-so-which-one" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How long would you like to cruise?" name="how-long-would-you-like-to-cruise">&#13;
			<option label="2-3 Nights" value="23-nights">2-3 Nights</option>&#13;
			<option label="4-5 Nights" value="45-nights">4-5 Nights</option>&#13;
			<option label="6-8 Nights" value="68-nights">6-8 Nights</option>&#13;
			<option label="9-11 Nights" value="911-nights">9-11 Nights</option>&#13;
			<option label="12+" value="12">12+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Number of cabins:" name="number-of-cabins">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4 or more" value="4-or-more">4 or more</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Payment Options :" name="payment-options-">&#13;
			<option label="Pay in Full" value="pay-in-full">Pay in Full</option>&#13;
			<option label="Deposit now, final payment by due date" value="deposit-now-final-payment-by-due-date">Deposit now, final payment by due date</option>&#13;
			<option label="Finance with Uplift/FlexPay" value="finance-with-upliftflexpay">Finance with Uplift/FlexPay</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Anything else we should know before quoting? Do you already have a specific itinerary in mind?&amp;nbsp;" name="anything-else-we-should-know-before-quoting-do-you-already-have-a-specific-itinerary-in-mind-" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I request that Golden Hour Travel LLC serve as my travel agency, and I agree to the Terms and Conditions found at this link: https://goldenhourtravels.com/golden-hour-travel-where-your-vid-meets-your-view/#terms-conditions" name="i-request-that-golden-hour-travel-llc-serve-as-my-travel-agency-and-i-agree-to-the-terms-and-conditions-found-at-this-link-httpsgoldenhourtravelscomgoldenhourtravelwhereyourvidmeetsyourviewtermsconditions">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>