<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Request Form for a Hotel/Resort Quote"/> <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="header" subtype="h2" label="Main Contact Person for Reservations"/> <field type="text" required="true" label="Prefix" description="Mr. Miss. Mrs. Ms." name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Booked a Cruise, I need assistance with Hotel Stay:" name="are-all-guests-us-citizens" other="true"> <option label="I would like to transfer my cruise to C2C and receive assistance with my hotel stay" value="i-would-like-to-transfer-my-cruise-to-c2c-and-receive-assistance-with-my-hotel-stay">I would like to transfer my cruise to C2C and receive assistance with my hotel stay</option> <option label="I would like to book a hotel stay pre or post to add to my already booked cruise. I am outside transfer window." value="i-would-like-to-book-a-hotel-stay-pre-or-post-to-add-to-my-already-booked-cruise-i-am-outside-transfer-window">I would like to book a hotel stay pre or post to add to my already booked cruise. I am outside transfer window.</option> <option label="I am seeking Pre-Cruise Hotel Stay Only-already booked with C2C" value="i-am-seeking-precruise-hotel-stay-onlyalready-booked-with-c2c">I am seeking Pre-Cruise Hotel Stay Only-already booked with C2C</option> <option label="I am seeking Post-Cruise Hotel Stay Only- already booked with C2C" value="i-am-seeking-postcruise-hotel-stay-only-already-booked-with-c2c">I am seeking Post-Cruise Hotel Stay Only- already booked with C2C</option> <option label="Need Assistance with both Pre & Post Cruise Hotel Stays-booked/planning to book with C2C" value="need-assistance-with-both-pre-post-cruise-hotel-staysbookedplanning-to-book-with-c2c">Need Assistance with both Pre & Post Cruise Hotel Stays-booked/planning to book with C2C</option> <option label="N/A- no cruise attached" value="na-no-cruise-attached">N/A- no cruise attached</option> </field> <field type="select" required="true" label="Resort Stay Type" name="resort-stay-type" multiple="multiple" className="form-control"> <option label="N/A- Requesting Hotel Stay Only" value="na-requesting-hotel-stay-only">N/A- Requesting Hotel Stay Only</option> <option label="All Inclusive Options Only " value="all-inclusive-options-only-">All Inclusive Options Only </option> <option label="Open to all options (General or AI)" value="open-to-all-options-general-or-ai">Open to all options (General or AI)</option> <option label="Kid-Friendly" value="kidfriendly">Kid-Friendly</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Oceanview/Beachfront Stay" value="oceanviewbeachfront-stay">Oceanview/Beachfront Stay</option> <option label="Nearby Nightlife" value="nearby-nightlife">Nearby Nightlife</option> <option label="Waterpark/Themepark Onsite or Close Proximity" value="waterparkthemepark-onsite-or-close-proximity">Waterpark/Themepark Onsite or Close Proximity</option> <option label="Retreats" value="retreats">Retreats</option> <option label="Destination Wedding Available" value="destination-wedding-available">Destination Wedding Available</option> </field> <field type="date" label="Check In Date" name="sail-date-of-interest" className="form-control"/> <field type="date" label="Check Out Date" name="date-1731549008050" className="form-control"/> <field type="textarea" label="Any Specific Hotel or Resort of Interest?&nbsp;" name="if-you-selected-flexibleopen-to-suggestions-for-the-previous-question-is-there-a-ports-of-interest-or-any-details-you-can-provide-to-help-narrow-down-or-determine-a-proper-itinerary-and-quote-for-your-next-vacation" className="form-control"/> <field type="textarea" label="Any Specific Hotel Chain or Resort Chain of Interest?&nbsp;" description="Ex: Beaches Resorts only, Marriott only, Adults Only" name="textarea-1731551144414" className="form-control"/> <field type="select" required="true" label="Stay Preference" name="how-many-adults" multiple="multiple" className="form-control"> <option label="Standard Room" value="standard-room">Standard Room</option> <option label="1 Bedroom" value="1-bedroom">1 Bedroom</option> <option label="2 Bedroom" value="2-bedroom">2 Bedroom</option> <option label="2 or More Separate Rooms- Side by Side/Across the Hall/Same Floor is ok" value="2-or-more-separate-rooms-side-by-sideacross-the-hallsame-floor-is-ok">2 or More Separate Rooms- Side by Side/Across the Hall/Same Floor is ok</option> <option label="1 Bedroom Suite" value="1-bedroom-suite">1 Bedroom Suite</option> <option label="2 + Bedroom Suite" value="2-bedroom-suite">2 + Bedroom Suite</option> <option label="Villa/Bungalow" value="villabungalow">Villa/Bungalow</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Gardenview" value="gardenview">Gardenview</option> <option label="Cityview" value="cityview">Cityview</option> <option label="Poolview" value="poolview">Poolview</option> <option label="Executive Suites/Business" value="executive-suitesbusiness">Executive Suites/Business</option> <option label="Penthouse/Presidential Suites" value="penthousepresidential-suites">Penthouse/Presidential Suites</option> <option label="Accessible/Wheelchair Access" value="accessiblewheelchair-access">Accessible/Wheelchair Access</option> </field> <field type="select" required="true" label="How many Adults?&nbsp;" description="(If you are a solo cruiser please call prior to completing form for further directions on how to proceed thank you)" name="select-1731549290868" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> </field> <field type="select" required="true" label="How many Children?" name="how-many-children" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="radio-group" required="true" label="Are all guests US Citizens?" name="radio-group-1731552521086"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Special Needs, Disabled or Guests Traveling that need additional accommodations or assistance?&nbsp;" name="special-needs-disabled-or-guests-traveling-that-need-additional-accommodations-or-assistance-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Briefly tell me the types of accommodations you may need.&nbsp;" description="Medical or Diabetic needs-ex: refrigerator for medications Mobility Impairment-ex:wheelchair needed port assistance" name="briefly-tell-me-the-types-of-accommodations-you-may-need-" className="form-control"/> <field type="radio-group" label="I am interested in Special Needs Resort Stays with Assistance and how to book through your agency to have accommodations.&nbsp;" name="radio-group-1731469808853"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Select those that apply to guests traveling in this reservation." name="anyone-with-any-qualifiers-"> <option label="Police" value="police">Police</option> <option label="Military" value="military">Military</option> <option label="Fire" value="fire">Fire</option> <option label="55+" value="55">55+</option> <option label="None Apply" value="none-apply">None Apply</option> </field> <field type="select" required="true" label="Traveling with anyone else outside of this reservation?" description="Ex: I am traveling with friends in another room. OR I am traveling for a wedding onsite or off-site this stay. " name="traveling-with-anyone-else-outside-this-bookingstateroom-assignment" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Additional Planning Needed?" name="additional-planning-needed"> <option label="No further assistance needed aside from this Hotel/Resort" value="no-further-assistance-needed-aside-from-this-hotelresort">No further assistance needed aside from this Hotel/Resort</option> <option label="Cruises" value="cruises">Cruises</option> <option label="Air" value="air">Air</option> <option label="Rail" value="rail">Rail</option> <option label="Excursions/Activities off Premise" value="excursionsactivities-off-premise">Excursions/Activities off Premise</option> <option label="Tours" value="tours">Tours</option> <option label="Others" value="others">Others</option> </field> <field type="text" label="Any Promotional Codes/Any Waived Service Fee Codes(C2C)." name="any-promotional-codesloyaltycredits" subtype="text" className="form-control"/> <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"/> <field type="checkbox-group" required="true" label="Are you interested in receiving updated information for future travel planning? Please add me to the future Email &amp; Mailings." name="are-you-interested-in-receiving-updated-information-for-future-travel-planning-please-add-me-to-the-future-email-mailings"> <option label="Yes, I agree to receive future updates and promotions through email and/or mailings" value="yes-i-agree-to-receive-future-updates-and-promotions-through-email-andor-mailings">Yes, I agree to receive future updates and promotions through email and/or mailings</option> <option label="No, I do not want to be added" value="no-i-do-not-want-to-be-added">No, I do not want to be added</option> </field> <field type="checkbox-group" required="true" label="Please send me a request to join the Facebook Group via email provided." name="please-send-me-a-request-to-join-the-facebook-group-via-email-provided"> <option label="Yes, Please!" value="yes-please">Yes, Please!</option> <option label="No, Thank You!" value="no-thank-you">No, Thank You!</option> <option label="I am already in the group!" value="i-am-already-in-the-group">I am already in the group!</option> </field> <field type="select" required="true" label="Room Assignment Guest 1" name="cabin-assignment-guest-1" className="form-control"> <option label="Room 1" value="room-1">Room 1</option> <option label="Room 2" value="room-2">Room 2</option> </field> <field type="text" required="true" label="Gender- Guest 1" name="gender-guest-1" subtype="text" className="form-control"/> <field type="text" required="true" label="First Name- Guest 1" name="first-name-guest-1" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name- Guest 1" name="last-name-guest-1" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth - Guest 1" name="date-of-birth-guest-2" className="form-control"/> <field type="text" label="Special Requests or Additional Notes- Guest 1" name="residency-state-guest-1" subtype="text" className="form-control"/> <field type="select" required="true" label="Room Assignment - Guest 2" name="cabin-assignment-guest-2" className="form-control"> <option label="Room 1" value="room-1">Room 1</option> <option label="Room 2" value="room-2">Room 2</option> </field> <field type="text" required="true" label="Gender- Guest 2" name="text-1731464586964" subtype="text" className="form-control"/> <field type="text" required="true" label="First Name - Guest 2" name="first-name-guest-2" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name - Guest 2" name="last-name-guest-2" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth - Guest 2" name="date-1731550656412" className="form-control"/> <field type="text" label="Special Requests or Additional Notes- Guest 2" name="residency-state-guest-2" subtype="text" className="form-control"/> <field type="select" required="true" label="Room Assignment - Guest 3" name="select-1731550801496" className="form-control"> <option label="Room 1" value="room-1">Room 1</option> <option label="Room 2" value="room-2">Room 2</option> </field> <field type="text" label="Gender - Guest 3" name="gender-guest-3" subtype="text" className="form-control"/> <field type="text" label="First Name - Guest 3" name="first-name-guest-3" subtype="text" className="form-control"/> <field type="text" label="Last Name - Guest 3" name="last-name-guest-3" subtype="text" className="form-control"/> <field type="date" label="Date of Birth - Guest 3" name="date-of-birth-guest-3" className="form-control"/> <field type="text" label="Special Requests or Additional Notes- Guest 3" name="residency-state-guest-3" subtype="text" className="form-control"/> <field type="select" label="Room Assignment - Guest 4" name="select-1731465173160" className="form-control"> <option label="Room 1" value="room-1">Room 1</option> <option label="Room 2" value="room-2">Room 2</option> </field> <field type="text" label="Gender- Guest 4" name="gender-guest-4" subtype="text" className="form-control"/> <field type="text" label="First Name - Guest 4" name="first-name-guest-4" subtype="text" className="form-control"/> <field type="text" label="Last Name - Guest 4" name="last-name-guest-4" subtype="text" className="form-control"/> <field type="date" label="Date of Birth - Guest 4" name="date-1731464919338" className="form-control"/> <field type="text" label="Special Requests or Additional Notes- Guest 4" name="residency-state-guest-4" subtype="text" className="form-control"/> <field type="text" label="Additional Guests?&nbsp;" name="text-1731552058857" value="Please submit forms for each room exceeding 2 rooms or the 4 guests max on this form. If you have any questions or difficulty please call 872-222-6657 and we can further assist you in completing this." subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Dates to Remember"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h2" label="Additional Travel Preferences"/> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="header" subtype="h2" label="Thank you for considering Coastal to Caribbean Travel for all your travel needs!"/> </fields> </form-template> </body> </html>
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