Share your information with My Trip Collection

My Trip Collection

Summitz | Mrs. Vacations | Big Hotel Savings | Mastermind Reserve

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	<fields>&#13;
		<field type="header" subtype="h2" label="Booking information"/>&#13;
		<field type="paragraph" subtype="p" label="Please input your information exactly as it appears on your passport."/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="555-555-5555" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travelers Information"/>&#13;
		<field type="text" required="true" label="How many adults and kids are traveling?" name="guest-2-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are the kids ages at the time of travel?" placeholder="01/01/1901" name="guest-2-dato-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Promotional Qualifiers&amp;nbsp;" description="Do any of the following apply to you?" name="promotional-qualifiers-">&#13;
			<option label="Older the 55 years old" value="older-the-55-years-old">Older the 55 years old</option>&#13;
			<option label="US Millitary" value="us-millitary">US Millitary</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>&#13;
			<option label="Fire Department or EMT" value="fire-department-or-emt">Fire Department or EMT</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cruise Information"/>&#13;
		<field type="text" required="true" label="When do you want to cruise?" description="You can be specific or know the ideal time" placeholder="5 night cruise around my birthday  August 10th." name="guest-3-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is the ideal duration?" placeholder="4 or 5 nights" name="text-1769496656797" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any specific cruise lines that your looking for?" placeholder="Amawaterways" name="text-1769496494540" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any specific port of embarkation?" name="text-1769496357462" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any prefered cruise destinations?" name="guest-3-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cabin Information"/>&#13;
		<field type="checkbox-group" label="Preferred Cabin Category&amp;nbsp;" name="checkbox-group-1769478458617" other="true">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Interior Balcony" value="interior-balcony">Interior Balcony</option>&#13;
			<option label="Obstructed View Balcony" value="obstructed-view-balcony">Obstructed View Balcony</option>&#13;
			<option label="Oceanview Balcony" value="oceanview-balcony">Oceanview Balcony</option>&#13;
			<option label="Large XL Cabin" value="large-xl-cabin">Large XL Cabin</option>&#13;
			<option label="Club Status" value="club-status">Club Status</option>&#13;
			<option label="Junior Suite" value="junior-suite">Junior Suite</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Family Suites" value="family-suites">Family Suites</option>&#13;
			<option label="Grand/Owners/Presidential Suites" value="grandownerspresidential-suites">Grand/Owners/Presidential Suites</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Cabin Location" description="Location cant be guarenteed" name="checkbox-group-1769496756867" other="true">&#13;
			<option label="Front" value="front">Front</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
			<option label="Aft" value="aft">Aft</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How do you want your beds?" name="radio-group-1769478406938" other="true">&#13;
			<option label="Both together" value="both-together">Both together</option>&#13;
			<option label="Seperated" value="seperated">Seperated</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you require an accessible cabin?" description="Wheelchair accessible  or other" name="radio-group-1769497292978">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="List any other cabin preferences if you have any?" description="Cabin numbers  deck numbers  etc." name="textarea-1769478591848" className="form-control"/>&#13;
		<field type="text" label="Please list any allergies or diartery restrictions" description="Include the guests name" name="did-you-want-alternative-dates" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Dinning Preference&amp;nbsp;" description="Can&#39;t be guaranteed" name="radio-group-1740005030725" other="true">&#13;
			<option label="Early Dining (usually around 5)" value="early-dining-usually-around-5">Early Dining (usually around 5)</option>&#13;
			<option label="Late Dining (Usually around 8)" value="late-dining-usually-around-8">Late Dining (Usually around 8)</option>&#13;
			<option label="My Time (Come when you want)" value="my-time-come-when-you-want">My Time (Come when you want)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you require a dry room?" description="No alcohol" name="radio-group-1769478697276">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you want to prepay gratuities?" description="They are required  you can pay them onboard too." name="radio-group-1769478345567">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you want to add travel protection on your cruise?" description="It can be added up until the final payment is made." name="do-you-want-to-add-travel-protection-on-your-cruise-its-around-79-per-person">&#13;
			<option label="Yes please add travel protection" value="yes-please-add-travel-protection">Yes please add travel protection</option>&#13;
			<option label="I am undecided, send me more information" value="i-am-undecided-send-me-more-information">I am undecided, send me more information</option>&#13;
			<option label="I want a third party option" value="i-want-a-third-party-option">I want a third party option</option>&#13;
			<option label="I amd declining travel protection on my cruise package" value="i-amd-declining-travel-protection-on-my-cruise-package">I amd declining travel protection on my cruise package</option>&#13;
		</field>&#13;
		<field type="textarea" label="Tell me about your trip, are you celebrating anything?" name="textarea-1769497393547" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Hold Your Cruise"/>&#13;
		<field type="textarea" label="Please list the full names and date of births of everyone in your cabin because if we find a great deal we can lock in that cabin!" description="Optional" name="textarea-1769497166142" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>