<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="text" required="true" label="State of Residency" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Cellphone Number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" required="true" label="Birth Date" name="birth-date" className="form-control"/> <field type="radio-group" required="true" label="How many people will be in the cabin with you?" name="how-many-people-will-be-in-the-cabin-with-you"> <option label="Just me (1 person)" value="just-me-1-person">Just me (1 person)</option> <option label="Me and one other person (2 people)" value="me-and-one-other-person-2-people">Me and one other person (2 people)</option> <option label="Me and two other people (3 people)" value="me-and-two-other-people-3-people">Me and two other people (3 people)</option> <option label="Me and three other people (4 people)" value="me-and-three-other-people-4-people">Me and three other people (4 people)</option> </field> <field type="textarea" label="If you are sharing a cabin with others, please list their full legal names and birth dates below." name="if-you-are-sharing-a-cabin-with-others-please-list-their-names-here-each-guest-must-complete-a-registration-form-" className="form-control"/> <field type="header" subtype="h1" label="Gratuities"/> <field type="radio-group" required="true" label="Would you like to add gratuities to your package?" name="who-will-be-responsible-for-making-payments-for-this-trip"> <option label="Yes! Please add $112 per person to my cruise package." value="yes-please-add-112-per-person-to-my-cruise-package">Yes! Please add $112 per person to my cruise package.</option> <option label="No! I do not want to add gratuities to my cruise package." value="no-i-do-not-want-to-add-gratuities-to-my-cruise-package">No! I do not want to add gratuities to my cruise package.</option> </field> <field type="header" subtype="h1" label="Pre Cruise Hotel Stay w/ Shuttle to Port"/> <field type="radio-group" required="true" label="Would you like to add the pre cruise hotel stay at the Fairwinds Hotel w/ shuttle service to port?" name="radio-group-1731937037221"> <option label="Yes! Please add $200 per person to my cruise package." value="yes-please-add-200-per-person-to-my-cruise-package">Yes! Please add $200 per person to my cruise package.</option> <option label="No! I do not want to the pre cruise hotel stay w/ shuttle service to my cruise package." value="no-i-do-not-want-to-the-pre-cruise-hotel-stay-w-shuttle-service-to-my-cruise-package">No! I do not want to the pre cruise hotel stay w/ shuttle service to my cruise package.</option> </field> <field type="header" subtype="h1" label="WiFi Package"/> <field type="radio-group" required="true" label="Which WiFi Package would you like to add to your package?" name="radio-group-1729980158111"> <option label="Social WiFi Package - $107.10 per person: Access the most popular social websites and applications like Facebook, Instagram, WhatsApp, Snapchat, TikTok, Pinterest, X, Reddit, LinkedIn, and major airline sites. It excludes access to most other websites, email, video, and music streaming services (e.g., Spotify, Netflix, Hulu), cellular-network-dependent Wi-Fi calling and FaceTime services." value="social-wifi-package-10710-per-person-access-the-most-popular-social-websites-and-applications-like-facebook-instagram-whatsapp-snapchat-tiktok-pinterest-x-reddit-linkedin-and-major-airline-sites-it-excludes-access-to-most-other-websites-email-video-and-music-streaming-services-eg-spotify-netflix-hulu-cellularnetworkdependent-wifi-calling-and-facetime-services">Social WiFi Package - $107.10 per person: Access the most popular social websites and applications like Facebook, Instagram, WhatsApp, Snapchat, TikTok, Pinterest, X, Reddit, LinkedIn, and major airline sites. It excludes access to most other websites, email, video, and music streaming services (e.g., Spotify, Netflix, Hulu), cellular-network-dependent Wi-Fi calling and FaceTime services.</option> <option label="Value WiFi Package - $136.85 per person: Access all sites included in the Social plan with a faster connection speed. Ideal for travelers who want to stay in touch via social media, manage emails, browse, and stay updated on news, sports, and weather. It doesn't support video streaming or cellular-network-dependent Wi-Fi calling." value="value-wifi-package-13685-per-person-access-all-sites-included-in-the-social-plan-with-a-faster-connection-speed-ideal-for-travelers-who-want-to-stay-in-touch-via-social-media-manage-emails-browse-and-stay-updated-on-news-sports-and-weather-it-doesnt-support-video-streaming-or-cellularnetworkdependent-wifi-calling">Value WiFi Package - $136.85 per person: Access all sites included in the Social plan with a faster connection speed. Ideal for travelers who want to stay in touch via social media, manage emails, browse, and stay updated on news, sports, and weather. It doesn't support video streaming or cellular-network-dependent Wi-Fi calling.</option> <option label="Premium WiFi Package - $148.75 per person : Experience superior internet performance. This plan offers access to all sites from the Social and Value Plans at speeds up to three times faster. You can stream movies, video chat, monitor your home and browse the web seamlessly, including apps like Netflix, Hulu, Spotify, FaceTime, Zoom, and Ring where coverage allows. Cellular-network-dependent Wi-Fi calling is not supported." value="premium-wifi-package-14875-per-person-experience-superior-internet-performance-this-plan-offers-access-to-all-sites-from-the-social-and-value-plans-at-speeds-up-to-three-times-faster-you-can-stream-movies-video-chat-monitor-your-home-and-browse-the-web-seamlessly-including-apps-like-netflix-hulu-spotify-facetime-zoom-and-ring-where-coverage-allows-cellularnetworkdependent-wifi-calling-is-not-supported">Premium WiFi Package - $148.75 per person : Experience superior internet performance. This plan offers access to all sites from the Social and Value Plans at speeds up to three times faster. You can stream movies, video chat, monitor your home and browse the web seamlessly, including apps like Netflix, Hulu, Spotify, FaceTime, Zoom, and Ring where coverage allows. Cellular-network-dependent Wi-Fi calling is not supported.</option> <option label="I do not want to add WiFi to my package." value="i-do-not-want-to-add-wifi-to-my-package">I do not want to add WiFi to my package.</option> </field> <field type="header" subtype="h1" label="Travel Protection"/> <field type="radio-group" required="true" label="You are strongly encouraged to purchase Carnival Vacation Insurance to protect your vacation if you are unable to travel due to cancelled flights, death of an immediate family member or any other covered reason. Payment for vacation coverage will be due on August 21, 2025.&nbsp;&nbsp;" name="how-would-you-like-to-receive-your-quote"> <option label="Yes! I want to add Carnival Vacation Protection for every one staying in my cabin." value="yes-i-want-to-add-carnival-vacation-protection-for-every-one-staying-in-my-cabin" selected="selected">Yes! I want to add Carnival Vacation Protection for every one staying in my cabin.</option> <option label="No! I DECLINE to have Carnival Vacation Protection added to my travel package.." value="no-i-decline-to-have-carnival-vacation-protection-added-to-my-travel-package">No! I DECLINE to have Carnival Vacation Protection added to my travel package..</option> </field> <field type="header" subtype="h1" label="Payment Plan"/> <field type="radio-group" required="true" label="Would you like to receive a&nbsp; monthly payment plan for your cruise package?" name="radio-group-1729984235593"> <option label="Yes I would." value="yes-i-would">Yes I would.</option> <option label="No I would not." value="no-i-would-not">No I would not.</option> </field> </fields> </form-template> </body> </html>
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