<html> <body> <form-template> <fields> <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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Step 1: Let's focus on finding the best cruise for YOU! Once we've found the perfect cruise, we can explore options for extending and/or elevating your trip.&nbsp;"/> <field type="radio-group" label="Is this your first cruise?&nbsp;" name="is-this-your-first-cruise-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm a cruise PRO!" value="im-a-cruise-pro">I'm a cruise PRO!</option> </field> <field type="text" required="true" label="Where would you like to go? It can be general like&nbsp; "tropical", "glacier" or "Mediterranean". If there's a certain port you must visit, please share it here.&nbsp;" placeholder="ex: Tahiti" name="where-would-you-like-to-go-it-can-be-general-like-mediterranean-or-scandinavia-if-theres-a-certain-port-you-must-visit-please-share-it-here-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you interested in:&nbsp;" description="Check all that apply" name="are-you-interested-in-"> <option label="Big-ship ocean cruise" value="bigship-ocean-cruise">Big-ship ocean cruise</option> <option label="Small-ship ocean cruise " value="smallship-ocean-cruise-">Small-ship ocean cruise </option> <option label="River cruise" value="river-cruise">River cruise</option> <option label="Private yacht charter" value="private-yacht-charter">Private yacht charter</option> <option label="Expedition cruise" value="expedition-cruise">Expedition cruise</option> </field> <field type="checkbox-group" label="The purpose of this cruise is:&nbsp;" description="Check all that apply" name="the-purpose-of-this-cruise-is-" other="true"> <option label="Making memories w/ family and/or friends" value="making-memories-w-family-andor-friends">Making memories w/ family and/or friends</option> <option label="Visiting historical sites" value="visiting-historical-sites">Visiting historical sites</option> <option label="Checking something off a bucket list" value="checking-something-off-a-bucket-list">Checking something off a bucket list</option> <option label="Romance" value="romance">Romance</option> <option label="Just for fun!" value="just-for-fun">Just for fun!</option> <option label="Celebrating a special occasion" value="celebrating-a-special-occasion">Celebrating a special occasion</option> <option label="Eating and/or drinking around the world" value="eating-andor-drinking-around-the-world">Eating and/or drinking around the world</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" label="Are any of these important? *These only apply to ocean cruises .&nbsp;" inline="true" name="are-any-of-these-important-these-only-apply-to-ocean-cruises-"> <option label="Casino" value="casino">Casino</option> <option label="Babysitting" value="babysitting">Babysitting</option> <option label="Kids/Teen Club" value="kidsteen-club">Kids/Teen Club</option> <option label="Sports court" value="sports-court">Sports court</option> <option label="Lots of specialty dining venues" value="lots-of-specialty-dining-venues">Lots of specialty dining venues</option> <option label="Rock wall" value="rock-wall">Rock wall</option> <option label="Zipline" value="zipline">Zipline</option> <option label="Flow Rider" value="flow-rider">Flow Rider</option> <option label="Water slide" value="water-slide">Water slide</option> <option label="Go-carts" value="gocarts">Go-carts</option> <option label="Adults-only pool" value="adultsonly-pool">Adults-only pool</option> <option label="Outdoor movies" value="outdoor-movies">Outdoor movies</option> <option label="Spa" value="spa">Spa</option> <option label="Nightly shows" value="nightly-shows">Nightly shows</option> </field> <field type="checkbox-group" label="What experiences are you interested in?&nbsp;" description="Check all that apply" name="what-experiences-are-you-interested-in-" other="true"> <option label="Seeing all of the sites you can possibly fit in" value="seeing-all-of-the-sites-you-can-possibly-fit-in">Seeing all of the sites you can possibly fit in</option> <option label="Cooking classes and/or food tours" value="cooking-classes-andor-food-tours">Cooking classes and/or food tours</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="Private, custom experiences" value="private-custom-experiences">Private, custom experiences</option> <option label="Wineries & vineyards" value="wineries-vineyards">Wineries & vineyards</option> <option label="Distilleries" value="distilleries">Distilleries</option> <option label="Gambling" value="gambling">Gambling</option> </field> <field type="text" label="Which cruise lines have you sailed with before?&nbsp;" name="which-cruise-lines-have-you-sailed-with-before-" subtype="text" className="form-control"/> <field type="text" label="Which ones are on your wishlist?&nbsp;" name="which-ones-are-on-your-wishlist-" subtype="text" className="form-control"/> <field type="text" label="Would you call yourself a foodie? What type of food excites you?&nbsp;" name="would-you-call-yourself-a-foodie-what-type-of-food-excites-you-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you looking forward to:&nbsp;" description="Choose as many as you like" name="are-you-looking-forward-to-"> <option label="The buffet" value="the-buffet">The buffet</option> <option label="The main dining room" value="the-main-dining-room">The main dining room</option> <option label="Specialty restaurants all the way!" value="specialty-restaurants-all-the-way">Specialty restaurants all the way!</option> <option label="Dining in each port" value="dining-in-each-port">Dining in each port</option> </field> <field type="radio-group" label="What best describes your hotel/cruise preference?&nbsp;" name="what-best-describes-your-hotelcruise-preference-" other="true"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="What type of cabin are you interested in?&nbsp;" description="You can choose more than one if you want to compare prices" name="what-type-of-cabin-are-you-interested-in-"> <option label="We're splurging on a suite because we deserve it!" value="were-splurging-on-a-suite-because-we-deserve-it">We're splurging on a suite because we deserve it!</option> <option label="We'd like to have a balcony where we can enjoy morning coffee in the fresh air" value="wed-like-to-have-a-balcony-where-we-can-enjoy-morning-coffee-in-the-fresh-air">We'd like to have a balcony where we can enjoy morning coffee in the fresh air</option> <option label="A French balcony (river cruise only)" value="a-french-balcony-river-cruise-only">A French balcony (river cruise only)</option> <option label="As long as we have a window, we're happy" value="as-long-as-we-have-a-window-were-happy">As long as we have a window, we're happy</option> <option label="An interior cabin is where we get the best sleep" value="an-interior-cabin-is-where-we-get-the-best-sleep">An interior cabin is where we get the best sleep</option> <option label="Tell me about some of the unique cabin options that are available" value="tell-me-about-some-of-the-unique-cabin-options-that-are-available">Tell me about some of the unique cabin options that are available</option> </field> <field type="radio-group" required="true" label="What is the price range you are comfortable with (total for all travelers) for the CRUISE ONLY&nbsp;" description="You can add notes below" name="what-is-the-price-range-you-are-comfortable-with-total-for-all-travelers-for-the-cruise-only-"> <option label="Under $3,500" value="under-3500">Under $3,500</option> <option label="$3500-5000" value="35005000">$3500-5000</option> <option label="$5000-7500" value="50007500">$5000-7500</option> <option label="$7500-10,000" value="750010000">$7500-10,000</option> <option label="$10,000-15,000" value="1000015000">$10,000-15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" label="Is there anything else I should know about your price range?&nbsp;" name="is-there-anything-else-i-should-know-about-your-price-range-" className="form-control"/> <field type="header" subtype="h1" label="Practical Information"/> <field type="date" label="Earliest you can depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="earliest-you-can-depart" className="form-control"/> <field type="date" label="Latest you can return?&nbsp;" description="This just gives me a general idea of when you like to go; it can be changed later." name="latest-you-can-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="How many nights would you like the cruise to be (can be a range)?&nbsp;" name="how-many-nights-would-you-like-the-cruise-to-be-can-be-a-range-" subtype="text" className="form-control"/> <field type="textarea" label="Number of cabins and location preferences - Do they need to connect, or is side-by-side or just nearby ok?&nbsp;" name="number-of-cabins-and-location-preferences-do-they-need-to-connect-or-is-sidebyside-or-just-nearby-ok-" className="form-control"/> <field type="textarea" label="Number of travelers and their ages?&nbsp;" name="number-of-travelers-and-their-ages-" className="form-control"/> <field type="radio-group" required="true" label="Is anyone in your party pregnant or planning to become pregnant before the cruise?&nbsp;&nbsp;" description="So that we can advise as each cruise line has its own pregnancy policy. All information is private." name="is-anyone-in-your-party-pregnant-or-planning-to-become-pregnant-before-the-cruise-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Is everyone in your party a US citizen?&nbsp;" description="If not we need to know so that we can advise you properly" name="is-everyone-in-your-party-a-us-citizen-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Promotions you qualify for (if available):" name="promotions-you-qualify-for-if-available" other="true"> <option label="Senior (55 or older)" value="senior-55-or-older">Senior (55 or older)</option> <option label="Military" value="military">Military</option> <option label="Fire/EMT/Law Enforcement" value="fireemtlaw-enforcement">Fire/EMT/Law Enforcement</option> <option label="Teacher" value="teacher">Teacher</option> </field> <field type="text" label="What state do you live in?&nbsp;" name="what-state-do-you-live-in-" subtype="text" className="form-control"/> <field type="text" label="Is there anything you absolutely must do or see?&nbsp;" name="is-there-anything-you-absolutely-must-do-or-see-" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? (dietary or medical requirements, special requests, etc)&nbsp;" name="what-else-would-you-like-me-to-know-dietary-or-medical-requirements-special-requests-etc-" className="form-control"/> <field type="radio-group" required="true" label="I acknowledge that certain destinations, tour companies, and cruise lines may require COVID-19 vaccination, and it is my responsibility to have all the necessary documents, tests, and vaccinations completed prior to departure. I also understand that it is vitally important that I read the information emailed to me by my advisor in order to be prepared for travel in the current climate. I also understand that I share the responsibility of remaining informed about the entry requirements for the destination(s) I am visiting. I will secure all necessary testing and complete all forms required for travel.*" name="i-understand-that-it-is-vitally-important-that-i-read-the-information-emailed-to-me-by-my-advisor-in-order-to-be-prepared-for-travel-in-the-current-climate-i-also-understand-that-i-share-the-responsibility-of-remaining-informed-about-the-entry-requirements-for-the-destinations-i-am-visiting-i-will-secure-all-necessary-testing-and-complete-all-forms-required-for-travel-"> <option label="I agree" value="i-agree">I agree</option> <option label="I do not agree" value="i-do-not-agree">I do not agree</option> </field> <field type="text" required="true" label="Please share how you found us (or who referred you, so that we can thank them).&nbsp;" name="please-share-how-you-found-us-or-who-referred-you-so-that-we-can-thank-them-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways