<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="Fill out the form below to receive personalized assistance and secure your spot"/> <field type="text" label="Name of Brand/Person who invited you on this cruise." description="Models MUA Designers and other Talent earn commission for invites please put the name of who invited you to this cruise if applicable." placeholder="Blvck Exodus" name="name-of-brandperson-who-invited-you-on-this-cruise" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Contact Information"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="radio-group" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" description="Please list any Royal Caribbean Loyalty Numbers" 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="radio-group" required="true" label="Is this your first time cruising with Royal Caribbean&nbsp;" name="is-this-your-first-time-cruising-with-royal-caribbean-"> <option label="YES !" value="yes-">YES !</option> <option label="No " value="no-">No </option> </field> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="textarea" label="Emergency Contact&nbsp;" description="Please list Name Phone and address" name="emergency-contact-" className="form-control"/> <field type="radio-group" required="true" label="I will be on this cruise as a:" name="i-will-be-on-this-cruise-as-a" other="true"> <option label="Guest - I love Fashion ! With Runway show Ticket" value="guest-i-love-fashion-with-runway-show-ticket">Guest - I love Fashion ! With Runway show Ticket</option> <option label="I would like to be considered for the Runway" value="i-would-like-to-be-considered-for-the-runway">I would like to be considered for the Runway</option> <option label="I would like to participate as a Photographer " value="i-would-like-to-participate-as-a-photographer-">I would like to participate as a Photographer </option> <option label="I would like to show my collection on the Runway (Additional Fee) " value="i-would-like-to-show-my-collection-on-the-runway-additional-fee-">I would like to show my collection on the Runway (Additional Fee) </option> <option label="I would like to participate as a Make Up Artist" value="i-would-like-to-participate-as-a-make-up-artist">I would like to participate as a Make Up Artist</option> </field> <field type="header" subtype="h1" label="Cruise Specific Details&nbsp;"/> <field type="checkbox-group" label="Select all that apply&nbsp;" name="select-all-that-apply-" other="true"> <option label="Accessible Stateroom Needed" value="accessible-stateroom-needed">Accessible Stateroom Needed</option> <option label="Connecting Staterooms Needed" value="connecting-staterooms-needed">Connecting Staterooms Needed</option> <option label="Age 55+" value="age-55">Age 55+</option> <option label="U.S or Canadian Law Enforcement " value="us-or-canadian-law-enforcement-">U.S or Canadian Law Enforcement </option> <option label="Fire Dept or EMT " value="fire-dept-or-emt-">Fire Dept or EMT </option> <option label="U.S Military or Canadian Forces" value="us-military-or-canadian-forces">U.S Military or Canadian Forces</option> <option label="Flights Needed " value="flights-needed-">Flights Needed </option> </field> <field type="radio-group" required="true" label="Select Your Cabin Below&nbsp;" description="Pricing is based on Double Occupancy" name="select-your-cabin-below-" other="true"> <option label="Interior Cabin 4V- $1085PP " value="interior-cabin-4v-1085pp-">Interior Cabin 4V- $1085PP </option> <option label="Interior Cabin 2V- $1300PP" value="interior-cabin-2v-1300pp">Interior Cabin 2V- $1300PP</option> <option label="Ocean View Balcony 2D- $1795PP" value="ocean-view-balcony-2d-1795pp">Ocean View Balcony 2D- $1795PP</option> <option label="I need a Single Room " value="i-need-a-single-room-">I need a Single Room </option> <option label="I prefer a different cabin " value="i-prefer-a-different-cabin-">I prefer a different cabin </option> <option label="Early Bird cabins (Limited Spacing after May 15 2025 NOT Guaranteed)" value="early-bird-cabins-limited-spacing-after-may-15-2025-not-guaranteed">Early Bird cabins (Limited Spacing after May 15 2025 NOT Guaranteed)</option> </field> <field type="text" label="Preferred Early Bird Cabin if Available&nbsp;" name="preferred-early-bird-cabin-" subtype="text" className="form-control"/> <field type="text" label="Preferred Deck &amp; Cabin Location&nbsp;" description="Deck 2-15 Forward Aft Mid" name="preferred-deck-cabin-location-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Bedding Request&nbsp;" name="bedding-request-"> <option label="Together (1Bed)" value="together-1bed">Together (1Bed)</option> <option label="Apart (2 separate twin beds)" value="apart-2-separate-twin-beds">Apart (2 separate twin beds)</option> </field> <field type="textarea" label="What is the name and email address of the second passenger in your cabin? If you have more than 2 persons in your room this will affect pricing please list all names below.&nbsp;" name="what-is-the-name-and-email-address-of-the-second-passenger-in-your-cabin-if-you-have-more-than-2-persons-in-your-room-this-will-affect-pricing-please-list-all-names-below-" className="form-control"/> <field type="checkbox-group" required="true" label="Dining Preference" name="dining-preference"> <option label="My Time " value="my-time-">My Time </option> <option label="8:30 PM" value="830-pm">8:30 PM</option> <option label="7:30 PM" value="730-pm">7:30 PM</option> <option label="5:30 PM" value="530-pm">5:30 PM</option> </field> <field type="text" label="RCCL Promo Code&nbsp;" name="rccl-promo-code-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would You like to add cruise protection&nbsp;" name="would-you-like-to-add-cruise-protection-"> <option label="Yes- Pricing starts at $99 per person depending on cabin and state " value="yes-pricing-starts-at-99-per-person-depending-on-cabin-and-state-">Yes- Pricing starts at $99 per person depending on cabin and state </option> <option label="No " value="no-">No </option> </field> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Anything Else You would like us to know? Flights needed, dietary restrictions special request&nbsp;" name="anything-else-you-would-like-us-to-know-flights-needed-dietary-restrictions-special-request-" className="form-control"/> <field type="checkbox-group" label="Booking your cabin before June 6th 2025 and get a SPECIAL GIFT all you have to do is click the box below.&nbsp;" name="booking-your-cabin-before-june-6th-2025-and-get-a-special-gift-all-you-have-to-do-is-click-the-box-below-"> <option label="Special Gift " value="special-gift-">Special Gift </option> </field> <field type="header" subtype="h1" label="Secure your cabin with Deposit $250.00 Per Person&nbsp;"/> <field type="paragraph" subtype="p" label="By authorizing payment below you are securing your cabin. This payment will not automatically withdraw from your account. A travel advisor will be in contact with you within 24hrs.&nbsp; If you are sharing a room with someone please have their name date of birth and email listed above. If you need separate invoices please authorize payment for your self only and add note in section below"/> <field type="text" label="Note" name="text-1747271363274" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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