<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Information"/> <field type="paragraph" subtype="p" label="When planning your vacation, please communicate all your needs to your travel agent. Whether it's special accommodations, dietary preferences, or specific activities you're interested in, sharing these details helps us tailor your trip to perfection. Your travel agent is here to make your journey seamless and enjoyable, so don't hesitate to reach out! We are partnered with all major cruise lines and resorts. If Carnival is not for you, let's explore other brands."/> <field type="paragraph" subtype="p" label="The information you provide is kept private and used solely for quoting and booking your cruise, so please ensure its accuracy. More information is provided on our webpage at https://vinetravel.org/port-norfolk-cruises/"/> <field type="header" subtype="h2" label="Full name"/> <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="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Program - Carnival VIFP" 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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Destination Interest" name="seat-preference"> <option label="Bimini | Freeport" value="">Bimini | Freeport</option> <option label="Bimini | Nassau | Freeport" value="bimini-nassau-freeport">Bimini | Nassau | Freeport</option> <option label="Nassau | Half Moon Cay | Freeport" value="nassau-half-moon-cay-freeport">Nassau | Half Moon Cay | Freeport</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Amber Cove | Grand Turk | Princess Cay" value="amber-cove-grand-turk-princess-cay">Amber Cove | Grand Turk | Princess Cay</option> <option label="San Juan | Amber Cove | Grand Turk" value="san-juan-amber-cove-grand-turk">San Juan | Amber Cove | Grand Turk</option> <option label="Half Moon Cay | Grand Turk | Amber Cove" value="half-moon-cay-grand-turk-amber-cove">Half Moon Cay | Grand Turk | Amber Cove</option> </field> <field type="text" label="Cruise Date/Month of Interest" name="cruise-datemonth-of-interest" subtype="text" className="form-control"/> <field type="checkbox-group" label="The only 5-Day Sailing" name="bermuda-sailings"> <option label="February 11, 2025" value="february-11-2025">February 11, 2025</option> </field> <field type="checkbox-group" label="Bermuda Sailings" name="checkbox-group-1721225914041"> <option label="July 6, 2025" value="july-6-2025">July 6, 2025</option> <option label="July 20, 2025" value="july-20-2025">July 20, 2025</option> <option label="August 3, 2025" value="august-3-2025">August 3, 2025</option> <option label="August 17, 2025" value="august-17-2025">August 17, 2025</option> <option label="August 31, 2025" value="august-31-2025">August 31, 2025</option> <option label="September 14, 2025" value="september-14-2025">September 14, 2025</option> <option label="October 12, 2025" value="october-12-2025">October 12, 2025</option> </field> <field type="checkbox-group" label="Amber Cover l Grand Turk l Princess Cay Sailings" name="amber-cover-l-grand-turk-l-princess-cay-sailings"> <option label="FEBRUARY 16, 2025" value="february-16-2025">FEBRUARY 16, 2025</option> <option label="MARCH 22, 2025" value="march-22-2025">MARCH 22, 2025</option> </field> <field type="checkbox-group" label="Bimini l Nassau l Freeport Sailings" name="bimini-l-nassau-l-freeport-sailings"> <option label="FEBRUARY 24, 2025" value="february-24-2025">FEBRUARY 24, 2025</option> <option label="MARCH 16, 2025" value="march-16-2025">MARCH 16, 2025</option> <option label="MARCH 30, 2025" value="march-30-2025">MARCH 30, 2025</option> <option label="APRIL 13, 2025" value="april-13-2025">APRIL 13, 2025</option> <option label="APRIL 27, 2025" value="april-27-2025">APRIL 27, 2025</option> <option label="MAY 11, 2025" value="may-11-2025">MAY 11, 2025</option> <option label="MAY 25, 2025" value="may-25-2025">MAY 25, 2025</option> <option label="JUNE 8, 2025" value="june-8-2025">JUNE 8, 2025</option> <option label="JUNE 22, 2025" value="june-22-2025">JUNE 22, 2025</option> </field> <field type="checkbox-group" label="Nassau l Half Moon Cay l Freeport Sailings" name="nassau-l-half-moon-cay-l-freeport-sailings"> <option label="MARCH 2, 2025" value="march-2-2025">MARCH 2, 2025</option> </field> <field type="checkbox-group" label="Half Moon Cay l Grand Turk l Amber Cove Sailings" name="half-moon-cay-l-grand-turk-l-amber-cove-sailings"> <option label="MARCH 8, 2025" value="march-8-2025">MARCH 8, 2025</option> <option label="APRIL 5, 2025" value="april-5-2025">APRIL 5, 2025</option> <option label="APRIL 19, 2025" value="april-19-2025">APRIL 19, 2025</option> <option label="MAY 17, 2025" value="may-17-2025">MAY 17, 2025</option> <option label="JUNE 14, 2025" value="june-14-2025">JUNE 14, 2025</option> <option label="JULY 12, 2025" value="july-12-2025">JULY 12, 2025</option> <option label="AUGUST 9, 2025" value="august-9-2025">AUGUST 9, 2025</option> <option label="SEPTEMBER 6, 2025" value="september-6-2025">SEPTEMBER 6, 2025</option> <option label="OCTOBER 4, 2025" value="october-4-2025">OCTOBER 4, 2025</option> <option label="NOVEMBER 1, 2025" value="november-1-2025">NOVEMBER 1, 2025</option> <option label="NOVEMBER 21, 2025" value="november-21-2025">NOVEMBER 21, 2025</option> <option label="NOVEMBER 29, 2025" value="november-29-2025">NOVEMBER 29, 2025</option> <option label="DECEMBER 19, 2025" value="december-19-2025">DECEMBER 19, 2025</option> <option label="DECEMBER 27, 2025" value="december-27-2025">DECEMBER 27, 2025</option> </field> <field type="checkbox-group" label="Amber Cove l Grand Turk l Princess Cay Sailings" name="amber-cove-l-grand-turk-l-princess-cay-sailings"> <option label="MARCH 22, 2025" value="march-22-2025">MARCH 22, 2025</option> </field> <field type="checkbox-group" label="San Juan l Amber Cove l Grand Turk Sailings" name="san-juan-l-amber-cove-l-grand-turk-sailings"> <option label="MAY 03, 2025" value="may-03-2025">MAY 03, 2025</option> <option label="MAY 31, 2025" value="may-31-2025">MAY 31, 2025</option> <option label="JUNE 28, 2025" value="june-28-2025">JUNE 28, 2025</option> <option label="JULY 26, 2025" value="july-26-2025">JULY 26, 2025</option> <option label="AUGUST 23, 2025" value="august-23-2025">AUGUST 23, 2025</option> <option label="AUGUST 23, 2025" value="august-23-2025">AUGUST 23, 2025</option> <option label="SEPTEMBER 20, 2025" value="september-20-2025">SEPTEMBER 20, 2025</option> </field> <field type="checkbox-group" label="Celebration Key l Princess Cay l Grand Turk Sailings" name="celebration-key-l-princess-cay-l-grand-turk-sailings"> <option label="OCTOBER 18, 2025" value="october-18-2025">OCTOBER 18, 2025</option> </field> <field type="checkbox-group" label="Celebration Key l Nassau l Bimini Sailings" name="celebration-key-l-nassau-l-bimini-sailings"> <option label="OCTOBER 26, 2025" value="october-26-2025">OCTOBER 26, 2025</option> <option label="NOVEMBER 9, 2025" value="november-9-2025">NOVEMBER 9, 2025</option> <option label="DECEMBER 6, 2025" value="december-6-2025">DECEMBER 6, 2025</option> <option label="DECEMBER 13, 2025 " value="december-13-2025-">DECEMBER 13, 2025 </option> </field> <field type="radio-group" label="Cabin " name="hotel-preference"> <option label="Inside" value="inside">Inside</option> <option label="Oceanview Window" value="oceanview-window">Oceanview Window</option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Twin" value="2-twin">2 Twin</option> </field> <field type="text" label="Meal allergies" name="meal-preference" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Paragraph"/> </fields> </form-template> </body> </html>
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