Share your information with Robert Huss

Robert Huss

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		<field type="paragraph" subtype="p" label="**Please note** - The $99 per person entertainment fee is unable to be financed."/>&#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 type="text" label="Preferred name" name="preferred-name" 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="h2" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="ADDRESS"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR WAVES OF PRIDE CRUISE REQUEST"/>&#13;
		<field type="radio-group" required="true" label="What type of stateroom are you looking to book?" name="what-type-of-stateroom-are-you-looking-to-book">&#13;
			<option label="Sea Terrace" value="sea-terrace">Sea Terrace</option>&#13;
			<option label="Sea View" value="sea-view">Sea View</option>&#13;
			<option label="Insider" value="insider">Insider</option>&#13;
			<option label="SOLO Sea View (Max 1 Guest)" value="solo-sea-view-max-1-guest">SOLO Sea View (Max 1 Guest)</option>&#13;
			<option label="SOLO Insider (Max 1 Guest)" value="solo-insider-max-1-guest">SOLO Insider (Max 1 Guest)</option>&#13;
			<option label="Rockstar Suite (will contact with pricing)" value="rockstar-suite-will-contact-with-pricing">Rockstar Suite (will contact with pricing)</option>&#13;
			<option label="Mega Rockstar Suite (will contact with pricing)" value="mega-rockstar-suite-will-contact-with-pricing">Mega Rockstar Suite (will contact with pricing)</option>&#13;
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		<field type="radio-group" required="true" label="How many sailors are you looking to book?" name="how-many-sailors-are-you-looking-to-book">&#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" value="4">4</option>&#13;
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		<field type="radio-group" required="true" label="How many of the booked guests are you looking to finance?" name="how-many-of-the-booked-guests-are-you-looking-to-finance">&#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" value="4">4</option>&#13;
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		<field type="checkbox-group" label="Are you wanting to finance any add-ons to your Waves of Pride booking?" name="are-you-wanting-to-finance-any-addons-to-your-waves-of-pride-booking">&#13;
			<option label="A Splash for Your Bash – Virgin Voyages' Ultimate Celebration Package ($250 per cabin)" value="a-splash-for-your-bash-virgin-voyages-ultimate-celebration-package-250-per-cabin">A Splash for Your Bash – Virgin Voyages' Ultimate Celebration Package ($250 per cabin)</option>&#13;
			<option label="A Splash of Romance Package ($250 per cabin)" value="a-splash-of-romance-package-250-per-cabin">A Splash of Romance Package ($250 per cabin)</option>&#13;
			<option label="$200 BAR TAB" value="200-bar-tab">$200 BAR TAB</option>&#13;
			<option label="$300 BAR TAB" value="300-bar-tab">$300 BAR TAB</option>&#13;
			<option label="$500 BAR TAB" value="500-bar-tab">$500 BAR TAB</option>&#13;
			<option label="LARGER BAR TAB (Let us know below)" value="larger-bar-tab-let-us-know-below">LARGER BAR TAB (Let us know below)</option>&#13;
			<option label="PREMIUM WIFI - Voyage Pass - 2 Devices ($120)" value="premium-wifi-voyage-pass-2-devices-120">PREMIUM WIFI - Voyage Pass - 2 Devices ($120)</option>&#13;
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		<field type="textarea" label="Is there anything else would you like us to know?&amp;nbsp; Do you have any questions?" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="LET’S REVIEW THE “FINE PRINT”"/>&#13;
		<field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email. This approach provides you with the best level of service while ensuring that no important information is overlooked. We strongly discourage questions via text message in order to maintain accuracy and clarity while we plan your trip. In advance of your departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts are of course available to you for any in-travel emergencies that arise." name="please-understand-that-while-planning-your-trip-we-will-primarily-be-in-contact-via-email-this-approach-provides-you-with-the-best-level-of-service-while-ensuring-that-no-important-information-is-overlooked-we-strongly-discourage-questions-via-text-message-in-order-to-maintain-accuracy-and-clarity-while-we-plan-your-trip-in-advance-of-your-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-are-of-course-available-to-you-for-any-intravel-emergencies-that-arise">&#13;
			<option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option>&#13;
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