Share your information with Cheryl Cooper

Cheryl Cooper

Élevé Experiences Travel Agency

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="paragraph" subtype="p" label="NOTICE: To ensure every traveler receives the thoughtful, elevated service they deserve, I’m temporarily limiting new client requests until the new year. If you’d like to move forward with a personalized consultation, a non-refundable $50 research fee is required. If you book your cruise within 30 days of receiving your proposal, that fee becomes a $50 credit toward your booking plus an additional $50 onboard credit — $100 in total value, on top of any perks or promotions."/>&#13;
		<field type="paragraph" subtype="p" label="________________________________________________________________________________________"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for reaching out to Élevé Experiences Travel Agency — I’m excited to help design your dream cruise adventure! Please take a few minutes to complete this form with as much detail as you can. This helps me find the best cruise options that match your style, budget, and travel goals. I’ll be in touch within 3 business days to confirm next steps. Depending on your request, full quotes may take 3–10 business days, so I can research the best value, discounts, perks, and upgrades available for you.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Please note that all new clients (and complex requests) will require a ZOOM consultation call for more details to create a personalized experience.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Profile Information"/>&#13;
		<field type="text" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Special Age Groups" description="What age groups need to be considered?" inline="true" name="age-groups">&#13;
			<option label="6 months to 3 years" value="6-months-to-3-years">6 months to 3 years</option>&#13;
			<option label="4  - 12 years" value="4-12-years">4  - 12 years</option>&#13;
			<option label="13 - 18 years" value="13-18-years">13 - 18 years</option>&#13;
			<option label="19-20" value="1920">19-20</option>&#13;
			<option label="55+" value="55">55+</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="textarea" label="Please list additional cruisers and their birthdates" name="please-list-additional-cruisers-and-their-birthdates" className="form-control"/>&#13;
		<field type="text" required="true" label="State of Residence" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="textarea" required="true" label="Desired Destination (multiple destinations, back-to-backs, wide date ranges , etc. will require a ZOOM call for customization)" name="desired-destination-multiple-destinations-backtobacks-wide-date-ranges-etc-will-require-a-zoom-call-for-customization" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Budget PER Traveler" description="What is the budget range for each traveler?" inline="true" name="budget-per-traveler" other="true">&#13;
			<option label="$1,500-$2,000" value="15002000">$1,500-$2,000</option>&#13;
			<option label="$2,001 - $3,000" value="2001-3000">$2,001 - $3,000</option>&#13;
			<option label="$3,001 - $5,000" value="3001-5000">$3,001 - $5,000</option>&#13;
			<option label="$5,001+" value="5001">$5,001+</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Desired Sailing Date Range" name="number-of-sailing-days-desired" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Travel Documents" description="Select what travel documents  you will use for your trip" inline="true" name="travel-documents" other="true">&#13;
			<option label="Passport expiring 6+ months after trip" value="passport-expiring-6-months-after-trip">Passport expiring 6+ months after trip</option>&#13;
			<option label="Birth Certificate" value="birth-certificate">Birth Certificate</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Military?" inline="true" name="military">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Special Accommodations" description="Will dietary or medical accommodations be needed for anyone in your party?" inline="true" name="special-accommodations">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Cruise Preferences"/>&#13;
		<field type="radio-group" required="true" label="Accessible Cabin" description="Wheelchair/scooter  limited mobility  hearing/vision impaired?" inline="true" name="accessible-cabin">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cabin Preference" inline="true" name="cabin-preference">&#13;
			<option label="Solo Studio (if available)" value="solo-studio-if-available">Solo Studio (if available)</option>&#13;
			<option label="Solo Interior (if available)" value="solo-interior-if-available">Solo Interior (if available)</option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Solo Oceanview (if available)" value="solo-oceanview-if-available">Solo Oceanview (if available)</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Solo Balcony (if available)" value="solo-balcony-if-available">Solo Balcony (if available)</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Cruise Dining Time" name="seat-preference">&#13;
			<option label="6:00 PM" value="600-pm">6:00 PM</option>&#13;
			<option label="8:00 PM" value="800-pm">8:00 PM</option>&#13;
			<option label="Anytime Dining" value="anytime-dining">Anytime Dining</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Include Gratuities in Quote (if optionable)" description="With some cruise lines  you can add gratuities in quote now or pay as late as onboard the ship" name="include-gratuities-in-quote-if-optionable">&#13;
			<option label="Include Gratuities in Quote" value="include-gratuities-in-quote">Include Gratuities in Quote</option>&#13;
			<option label="Do not Include Gratuities in Quote" value="do-not-include-gratuities-in-quote">Do not Include Gratuities in Quote</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Will You Require Any of the Following" description="If you would like quotes or recommendations for pre/post cruise accommodations  please select a preference" inline="true" name="hotel-preference">&#13;
			<option label="Wheelchair/Scooter" value="wheelchairscooter">Wheelchair/Scooter</option>&#13;
			<option label="Pre/Post Hotel Accommodations" value="prepost-hotel-accommodations">Pre/Post Hotel Accommodations</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
			<option label="Transportation to/from Port" value="transportation-tofrom-port">Transportation to/from Port</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="Special events  accessibility needs  food allergies  etc." name="notes" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you find me (FB, IG, friend/family member, online search, etc.)?" name="how-did-you-find-me-fb-ig-friendfamily-member-online-search-etc" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="The information provided will be used to create a quote only. Please note that prices and promotions are subject to change until a deposit is processed to secure a booking."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>