Share your information with Christina Zamarron

Christina Zamarron

Edgez Travel LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Super Cruise 2026"/>&#13;
		<field type="header" subtype="h1" label="Guest 1 person submitting&amp;nbsp; the request"/>&#13;
		<field type="text" required="true" label="&amp;nbsp;Legal First name" description="Legal name as it appears on government issued ID&#39;s" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Legal Last name" description="Legal name as it appears on government issued ID&#39;s" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" 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="text" required="true" label="Catagory or Type of Cabin for Quote Request" description="What type of cabin would you like information about? Balcony  Ocean View  Interior" placeholder="Balcony  Midrange price Balcony" name="catagory-or-type-of-cabin-for-quote-request" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Occupancy&amp;nbsp;" description="How many people per cabin" inline="true" name="occupancy-">&#13;
			<option label="single (1)" value="single-1">single (1)</option>&#13;
			<option label="double (2)" value="double-2">double (2)</option>&#13;
			<option label="triple (3)" value="triple-3">triple (3)</option>&#13;
			<option label="quad (4)" value="quad-4">quad (4)</option>&#13;
			<option label="quint (5)" value="quint-5">quint (5)</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Anything else we can help you with" name="anything-else-we-can-help-you-with" multiple="multiple" className="form-control">&#13;
			<option label="Pre-cruise hotel" value="precruise-hotel">Pre-cruise hotel</option>&#13;
			<option label="Post-cruise hotel" value="postcruise-hotel">Post-cruise hotel</option>&#13;
			<option label="Port Parking " value="port-parking-">Port Parking </option>&#13;
			<option label="Travel insurance" value="travel-insurance">Travel insurance</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="If other, please let me know" name="if-other-please-let-me-know" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>