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Latonia Phillips

Time Away Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Text Field" name="text-1743302570251" value="Date of Birth:" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you deposit ready?" name="are-you-deposit-ready" className="form-control">&#13;
			<option label="Asap Ready to book" value="asap-ready-to-book">Asap Ready to book</option>&#13;
			<option label="Within one week" value="within-one-week">Within one week</option>&#13;
			<option label="Just looking at my options" value="just-looking-at-my-options">Just looking at my options</option>&#13;
		</field>&#13;
		<field type="date" label="Date Field" name="date-1744168782550" className="form-control"/>&#13;
		<field type="select" required="true" label="Seating preference for flights?" name="seating-preference-for-flights" className="form-control">&#13;
			<option label="Window" value="window" selected="selected">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Middle/ (don't care)" value="middle-dont-care">Middle/ (don't care)</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are your arrival time flexible?" description="flights times" name="are-your-dates-of-departure-arrival-flexible" className="form-control">&#13;
			<option label="yes" value="yes">yes</option>&#13;
			<option label="no" value="no">no</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Which location would you prefer to stay?" description="Hotel location" name="which-position-of-the-ship-do-you-prefer-to-have-a-cabin" className="form-control">&#13;
			<option label="Close to Convention Center" value="close-to-convention-center">Close to Convention Center</option>&#13;
			<option label="Close to Superdome" value="close-to-superdome">Close to Superdome</option>&#13;
			<option label="Bourbon Street" value="bourbon-street">Bourbon Street</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Please select all that apply to you." name="please-select-all-that-apply-to-you" className="form-control">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Veteran" value="veteran">Veteran</option>&#13;
			<option label="Disabled Veteran" value="disabled-veteran">Disabled Veteran</option>&#13;
			<option label="none" value="none">none</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What activities/vibe are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Adventure activities" value="adventure-activities">Adventure activities</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="arts-and-theater">Arts and theater</option>&#13;
			<option label="Boat Party" value="boat-party">Boat Party</option>&#13;
			<option label="Brunch" value="brunch">Brunch</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="textarea" label="Medical Needs or Requests" description="Any special requests" name="textarea-1743302567740" className="form-control"/>&#13;
		<field type="select" required="true" label="Is this your First Time in New Orleans?" name="is-this-your-first-cruise" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Which form of identification will you bring to the airport?" description="ID verification requirement" name="which-form-of-identification-will-you-bring-to-board-the-ship" className="form-control">&#13;
			<option label="The Standard: REAL ID Every traveler 18 and older must present a REAL ID-compliant driver’s license " value="the-standard-real-id-every-traveler-18-and-older-must-present-a-real-idcompliant-drivers-license-">The Standard: REAL ID Every traveler 18 and older must present a REAL ID-compliant driver’s license </option>&#13;
			<option label="Passport &amp; ID" value="passport-id">Passport &amp; ID</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please list your roommate" name="please-list-your-roommate" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to add Insurance to your investment?" name="would-you-like-to-add-insurance-to-your-investment-with-carnival-cruise-vacation-protection-plan" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I will pay it before my last payment" value="i-will-pay-it-before-my-last-payment">I will pay it before my last payment</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you celebrating something?" name="are-you-celebrating-something" className="form-control">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Reunion" value="reunion">Reunion</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="date" label="Date Field" name="date-1744169010845" className="form-control"/>&#13;
		<field type="select" required="true" label="Select Concert Days?" description="Clear Bag Policy: Reminder Superdome requires clear bags (max 12&quot; x 6&quot; x 12&quot;)" name="select-1768272677758" className="form-control">&#13;
			<option label="1 Day Concert Pass" value="1-day-concert-pass">1 Day Concert Pass</option>&#13;
			<option label="2 Day Concert Pass" value="2-day-concert-pass">2 Day Concert Pass</option>&#13;
			<option label="3 Day Concert Pass" value="3-day-concert-pass">3 Day Concert Pass</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>