<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Application to Book a Cruise"/> <field type="paragraph" subtype="p" label="I am a Canadian travel advisor based in Southern Alberta. I work with clients throughout Canada (except Quebec). If you would like a recommendation for a travel advisor in your country (or state listed), please email me at michele.k@gotravelcompany.com and I will put you in touch with an advisor. I charge a planning fee starting at $200 (Canadian) per stateroom."/> <field type="header" subtype="h1" label="Please complete as much of this form as possible, doing so helps me better match you with your perfect cruise vacation!"/> <field type="header" subtype="h1" label="Main Traveler Information"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Home Airport" name="home-airport" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1791590586535" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="About Your Cruise"/> <field type="textarea" label="How many people are traveling? Ages? If more than one room, how many in each room?" name="full-legal-names-and-birthdays-of-all-travelers-details-must-match-their-passport" className="form-control"/> <field type="checkbox-group" required="true" label="Cruise Line Preference" name="cruise-line-preference-michele-specializes-in-princess-but-is-also-trained-in-other-ocean-and-river-cruise-lines" other="true"> <option label="No Preference" value="no-preference">No Preference</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Disney" value="disney">Disney</option> <option label="Explora" value="explora">Explora</option> <option label="Holland America" value="holland-america">Holland America</option> <option label="Princess Cruises" value="princess-cruises">Princess Cruises</option> <option label="Seabourn" value="seabourn">Seabourn</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Viking (Adult Only)" value="viking-adult-only">Viking (Adult Only)</option> <option label="Virgin Voyages (Adult Only)" value="virgin-voyages-adult-only">Virgin Voyages (Adult Only)</option> <option label="Ama Waterways (River Cruises)" value="ama-waterways-river-cruises">Ama Waterways (River Cruises)</option> <option label="Avalon (River Cruises)" value="avalon-river-cruises">Avalon (River Cruises)</option> <option label="Celebrity (River Cruises)" value="celebrity-river-cruises">Celebrity (River Cruises)</option> <option label="Viking (Adult Only River Cruises)" value="viking-adult-only-river-cruises">Viking (Adult Only River Cruises)</option> </field> <field type="radio-group" required="true" label="Destination" name="destination-michele-specializes-in-alaska-cruises-and-cruise-tours-other-destinations-depend-on-availability-as-she-only-takes-a-select-number-of-clients-traveling-at-the-same-time" other="true"> <option label="Alaska Cruise" value="alaska-cruise">Alaska Cruise</option> <option label="Alaska Cruise Tour - Land and Sea" value="alaska-cruise-tour-land-and-sea">Alaska Cruise Tour - Land and Sea</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Mexican Riviera" value="mexican-riviera">Mexican Riviera</option> <option label="Mediterranean " value="mediterranean-">Mediterranean </option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Panama Canal" value="panama-canal">Panama Canal</option> <option label="Antarctica" value="antarctica">Antarctica</option> <option label="British Isles" value="british-isles">British Isles</option> <option label="Norway" value="norway">Norway</option> <option label="Europe - River Cruise" value="europe-river-cruise">Europe - River Cruise</option> <option label="Christmas Market - River Cruise" value="christmas-market-river-cruise">Christmas Market - River Cruise</option> <option label="Egypt - River Cruise" value="egypt-river-cruise">Egypt - River Cruise</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="text" required="true" label="Dates of Travel (or range if flexible) - INCLUDE YEAR" placeholder="If date range unknown consultation call is required" name="dates-of-travel" subtype="text" className="form-control"/> <field type="text" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/> <field type="text" label="Are you celebrating anything on this vacation?" name="are-you-celebrating-anything-on-this-vacation" subtype="text" className="form-control"/> <field type="textarea" label="Do any of the travelers have any specific needs: allergies, motion sickness, dietary restrictions, mobility issues or disability that need to be accommodated?" name="do-any-of-the-travelers-have-any-specific-needs-allergies-motion-sickness-dietary-restrictions-mobility-issues-or-disability-that-need-to-be-accommodated" className="form-control"/> <field type="radio-group" required="true" label="Include Flights (if available)?" name="include-flights-if-available"> <option label="Yes - Economy" value="yes-economy">Yes - Economy</option> <option label="Yes - Business/First Class" value="yes-businessfirst-class">Yes - Business/First Class</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Include Hotels (if available)?" name="include-hotels-if-available"> <option label="Yes - Pre-Cruise" value="yes-precruise">Yes - Pre-Cruise</option> <option label="Yes - Post-Cruise" value="yes-postcruise">Yes - Post-Cruise</option> <option label="Yes - Both Pre- and Post-Cruise" value="yes-both-pre-and-postcruise">Yes - Both Pre- and Post-Cruise</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Include Transfers (if available)" name="include-transfers-if-available"> <option label="Yes - Shared Transfers" value="yes-shared-transfers">Yes - Shared Transfers</option> <option label="Yes - Private Transfers" value="yes-private-transfers">Yes - Private Transfers</option> <option label="No" value="no">No</option> </field> <field type="pageBreak" name="pageBreak-1791590594784" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="Vacation Personality"/> <field type="paragraph" subtype="p" label="Forget the logistics for a second. I want to know what your DREAM vacation actually looks and feels like.&nbsp;"/> <field type="radio-group" label="When you picture your dream vacation, what does your view look like?" name="radio-group-1791590100643" other="true"> <option label="Turquoise water and white sand" value="turquoise-water-and-white-sand">Turquoise water and white sand</option> <option label="Dramatic mountains and glacier" value="dramatic-mountains-and-glacier">Dramatic mountains and glacier</option> <option label="Colourful European coastal villages" value="colourful-european-coastal-villages">Colourful European coastal villages</option> </field> <field type="radio-group" label="You're spending a day in port. What's the plan?" name="radio-group-1791590265463"> <option label="Adventure! Ziplining, snorkeling, exploring!" value="adventure-ziplining-snorkeling-exploring">Adventure! Ziplining, snorkeling, exploring!</option> <option label="Food tours, local markets, and ALL the culture" value="food-tours-local-markets-and-all-the-culture">Food tours, local markets, and ALL the culture</option> <option label="Beach club, lounge chair, drink service" value="beach-club-lounge-chair-drink-service">Beach club, lounge chair, drink service</option> <option label="Something romantic and unforgettable" value="something-romantic-and-unforgettable">Something romantic and unforgettable</option> <option label="Staying on the ship an enjoying the peace and quiet" value="staying-on-the-ship-an-enjoying-the-peace-and-quiet">Staying on the ship an enjoying the peace and quiet</option> </field> <field type="radio-group" label="It's 8 pm on the ship. Where can I find you?" name="radio-group-1791590401443" other="true"> <option label="Dressed to the nines, heading to a fancy dinner" value="dressed-to-the-nines-heading-to-a-fancy-dinner">Dressed to the nines, heading to a fancy dinner</option> <option label="At a show with a cocktail in hand" value="at-a-show-with-a-cocktail-in-hand">At a show with a cocktail in hand</option> <option label="Dancing like nobody's watching" value="dancing-like-nobodys-watching">Dancing like nobody's watching</option> <option label="Enjoying a drink with an ocean view" value="enjoying-a-drink-with-an-ocean-view">Enjoying a drink with an ocean view</option> <option label="Already in my pajamas, living my best life" value="already-in-my-pajamas-living-my-best-life">Already in my pajamas, living my best life</option> </field> <field type="textarea" label="Finish this sentence: "I'll know this vacation was absolutely PERFECT if..."" name="textarea-1791590502432" className="form-control"/> <field type="textarea" label="Anything else you want me to know about your cruise preferences,&nbsp; itinerary preference, questions, or concerns?" name="anything-else-you-want-me-to-know-about-your-cruise-preferences-questions-or-concerns" className="form-control"/> <field type="radio-group" required="true" label="By submitting this application, you are agreeing that you are ACTIVELY looking to book a vacation. You understand that there is a planning fee, starting at $200 (Canadian) that is due prior to a proposal being sent. You will receive an email in 48-72 hours regarding your application." name="radio-group-1791582816142"> <option label="I agree" value="i-agree">I agree</option> <option label="I disagree" value="i-disagree">I disagree</option> </field> </fields> </form-template> </body> </html>
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