Share your information with Claudette Hatcher

Claudette Hatcher

Claudette Travels

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Royal Caribbean Next Cruise Certificate Purchase Authorization"/>&#13;
		<field type="select" required="true" label="How many Next Cruise Certificate(s) do you wish to purchase?" description="Enter the total in the authorized amount field below in the Credit Card section." name="how-many-next-cruise-certificates-do-you-wish-to-purchase" className="form-control">&#13;
			<option label="1 - $200" value="1-200" selected="selected">1 - $200</option>&#13;
			<option label="2 - $400" value="2-400">2 - $400</option>&#13;
			<option label="3 - $600" value="3-600">3 - $600</option>&#13;
		</field>&#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" 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" required="true" label="Preferred&amp;nbsp; first name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Billing Address"/>&#13;
		<field type="text" required="true" label="Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Additional Info"/>&#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="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Cabinmate" description="Optional - can add later" name="cabinmate" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="By signing below, I hereby authorize Claudette Travels to disclose and share my personal information, including but not limited to my full name, contact information, and payment details, with Royal Caribbean International solely for the purpose of purchasing one or more Next Cruise certificate(s) on my behalf."/>&#13;
		<field type="paragraph" subtype="p" label="I acknowledge and understand that Claudette Travels is acting as my travel agent intermediary and will provide necessary information to Royal Caribbean International to facilitate this purchase. I further consent to Royal Caribbean International processing the payment using the credit card information I have provided to Claudette Travels.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="I understand that this authorization is specific to the Next Cruise certificate purchase(s) and that Claudette Travels will take reasonable steps to ensure that my information is handled securely and only shared with Royal Caribbean International for this intended purpose.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="This authorization shall remain in effect for this transaction unless revoked in writing by me prior to the processing of the payment.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="By submitting this form, you acknowledge and agree to engage Claudette Hatcher as your designated travel agent and advisor. You agree not to use any travel plans, recommendations, or pricing information provided by Claudette Hatcher or Claudette Travels to book travel independently or through another agent. Submission of this form also serves as your consent to receive future communications from Claudette Travels, with the option to unsubscribe or opt out at any time.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing Claudette Travels."/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Claudette Hatcher ☎️ 206.486.2478 📧 Claudette@ClaudetteTravels.com 🌐 https://www.ClaudetteTravels.com"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

1

Enter the amount you would like to authorize:

1

Enter the amount you would like to authorize:

2

Please add or choose card to authorize:

2

Please add or choose card to authorize:

3

Sign and agree to the terms and conditions:

3

Sign and agree to the terms and conditions:

By signing below, I authorize Claudette Travels to charge the credit card provided herein. This payment is for the services described . I understand that all payments made to Claudette Travels are non-refundable, unless otherwise stated. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated on this document.

Click to sign