Share your information with Terrance Bortell

Terrance Bortell

Pride Travelers, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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 type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="By checking this box, you agree to receive SMS messages from Pride Travelers about travel services and updates. Msg &amp;amp; data rates may apply. Reply STOP to unsubscribe at any time. We take privacy seriously and will always protect your information. View our privacy policy by visiting https://pridetravelers.com/privacy-policy/"/>&#13;
		<field type="checkbox-group" label="SMS Consent" name="sms-consent">&#13;
			<option label="I Agree" value="i-agree">I Agree</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions about your trip"/>&#13;
		<field type="select" required="true" label="Which cabin type are you interested in?" placeholder="Please make a selection" name="which-cabin-type-are-you-interested-in" className="form-control">&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How many adults will be traveling?" placeholder="Please make a selection" name="how-many-adults-will-be-traveling" className="form-control">&#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;
		</field>&#13;
		<field type="select" required="true" label="Would you like any add-ons?" description="If choosing Princess Plus or Premier  this must be added to all adults 21+ in your cabin." placeholder="Hold ctrl to select multiple." name="would-you-like-any-addons" multiple="multiple" className="form-control">&#13;
			<option label="Princess Plus" value="princess-plus">Princess Plus</option>&#13;
			<option label="Princess Premier" value="princess-premier">Princess Premier</option>&#13;
			<option label="Gratuities" value="gratuities">Gratuities</option>&#13;
			<option label="Travel Protection" value="travel-protection">Travel Protection</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Details and inclusion for Princess Plus and Premier can be found here: https://www.princess.com/cruise-deals-promotions/plus-premier-cruise-packages"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="How did you hear about us?" placeholder="Please select an option" name="how-did-you-hear-about-us" className="form-control">&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Yelp" value="yelp">Yelp</option>&#13;
			<option label="Client Referral" value="client-referral">Client Referral</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="By checking the box I agree to being contacted via email/phone by one of our trusted travel agents and I understand my data will be used in compliance with the Pride Travelers Privacy Policy (https://pridetravelers.com/privacy-policy/)"/>&#13;
		<field type="checkbox-group" required="true" label="Consent to Contact" name="checkbox-group-1710926005121">&#13;
			<option label="I Agree" value="i-agree">I Agree</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>