<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Cruise Quote Request Form"/> <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="date" label="Sail Date of Interest" name="sail-date-of-interest" className="form-control"/> <field type="checkbox-group" label="If no specified date was selected above, is there a preferred month you are looking for?&nbsp;" name="if-no-specified-date-was-selected-above-is-there-a-preferred-month-you-are-looking-for-"> <option label="January 2025" value="january-2025">January 2025</option> <option label="February 2025" value="february-2025">February 2025</option> <option label="March 2025" value="march-2025">March 2025</option> <option label="April 2025" value="april-2025">April 2025</option> <option label="May 2025" value="may-2025">May 2025</option> <option label="June 2025" value="june-2025">June 2025</option> <option label="July 2025" value="july-2025">July 2025</option> <option label="August 2025" value="august-2025">August 2025</option> <option label="September 2025" value="september-2025">September 2025</option> <option label="October 2025" value="october-2025">October 2025</option> <option label="November 2025" value="november-2025">November 2025</option> <option label="December 2025" value="december-2025">December 2025</option> <option label="January 2026" value="january-2026">January 2026</option> <option label="February 2026" value="february-2026">February 2026</option> <option label="March 2026" value="march-2026">March 2026</option> <option label="April 2026" value="april-2026">April 2026</option> <option label="May 2026" value="may-2026">May 2026</option> <option label="June 2026" value="june-2026">June 2026</option> <option label="July 2026" value="july-2026">July 2026</option> <option label="August 2026" value="august-2026">August 2026</option> <option label="September 2026" value="september-2026">September 2026</option> <option label="October 2026" value="october-2026">October 2026</option> <option label="November 2026" value="november-2026">November 2026</option> <option label="December 2026" value="december-2026">December 2026</option> <option label="January 2027" value="january-2027">January 2027</option> <option label="February 2027" value="february-2027">February 2027</option> <option label="March 2027" value="march-2027">March 2027</option> <option label="April 2027" value="april-2027">April 2027</option> <option label="May 2027" value="may-2027">May 2027</option> </field> <field type="radio-group" label="Cruise Line Preference" name="cruise-line-preference"> <option label="Royal Caribbean / RCL" value="royal-caribbean-rcl">Royal Caribbean / RCL</option> <option label="Norwegian / NCL" value="norwegian-ncl">Norwegian / NCL</option> <option label="Carnival / CCL" value="carnival-ccl">Carnival / CCL</option> <option label="SilverSea" value="silversea">SilverSea</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Princess" value="princess">Princess</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Seabourn" value="seabourn">Seabourn</option> <option label="Regent Seven Seas" value="regent-seven-seas">Regent Seven Seas</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> <option label="Scenic Luxury Cruises & Tours" value="scenic-luxury-cruises-tours">Scenic Luxury Cruises & Tours</option> <option label="Flexible/Open to Suggestions by C2C" value="flexibleopen-to-suggestions-by-c2c">Flexible/Open to Suggestions by C2C</option> </field> <field type="textarea" label="If you selected Flexible/Open to Suggestions, for the previous question, is there a port(s) of interest or any details you can provide to help narrow down or determine a proper itinerary and quote for your next vacation." 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="radio-group" required="true" label="How many Staterooms/Cabins?" name="how-many-stateroomscabins"> <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="5-9" value="59">5-9</option> <option label="10+" value="10">10+</option> </field> <field type="checkbox-group" required="true" label="Ideal Cruise Length" name="ideal-cruise-length"> <option label="3-4" value="34">3-4</option> <option label="5-7" value="57">5-7</option> <option label="8-11" value="811">8-11</option> <option label="11-13" value="1113">11-13</option> <option label="14+" value="14">14+</option> </field> <field type="radio-group" required="true" label="Preference on Stateroom Type" name="preference-on-stateroom-type" other="true"> <option label="No Preference, Please quote least expensive available option to meet my needs" value="no-preference-please-quote-least-expensive-available-option-to-meet-my-needs">No Preference, Please quote least expensive available option to meet my needs</option> <option label="Inside" value="inside">Inside</option> <option label="Outside" value="outside">Outside</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="Location of Ship" name="location-of-ship"> <option label="No Preference" value="no-preference">No Preference</option> <option label="Forward (Front of Ship)" value="forward-front-of-ship">Forward (Front of Ship)</option> <option label="Midship" value="midship">Midship</option> <option label="Aft (Back of Ship)" value="aft-back-of-ship">Aft (Back of Ship)</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="how-many-adults" className="form-control"> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5+ (we will follow up with a call to clarify)" value="5-we-will-follow-up-with-a-call-to-clarify">5+ (we will follow up with a call to clarify)</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" label="Bed Configuration" name="bed-configuration"> <option label="Together" value="together">Together</option> <option label="Apart" value="apart">Apart</option> <option label="Undecided/Unknown" value="undecidedunknown">Undecided/Unknown</option> </field> <field type="checkbox-group" label="Preferred Dining Time" name="preferred-dining-time"> <option label="Early Seating" value="early-seating">Early Seating</option> <option label="Late Seating" value="late-seating">Late Seating</option> <option label="Flexible / My Time (If available)" value="flexible-my-time-if-available">Flexible / My Time (If available)</option> </field> <field type="radio-group" required="true" label="Are all guests US Citizens?" name="are-all-guests-us-citizens"> <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" required="true" label="I would like to know more about experiences with Autism on the Seas and how to book through your agency to utilize this program. Please call me regarding this program and keep me informed on future webinars C2C has." description="Note: Autism on the Seas is available to guests with many various special needs" 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="Anyone with any Qualifiers?&nbsp;" 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 this booking/stateroom assignment?" description="(Did you know your friends & family can transfer cruises over to our agency depending on the time of their booking date. Inquire about this process by sending an email to our contact@coastal2caribbeantravel.com to find out more)" 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 the cruise" value="no-further-assistance-needed-aside-from-the-cruise">No further assistance needed aside from the cruise</option> <option label="Air" value="air">Air</option> <option label="Rail" value="rail">Rail</option> <option label="Hotel (Pre Cruise)" value="hotel-pre-cruise">Hotel (Pre Cruise)</option> <option label="Hotel (Post Cruise)" value="hotel-post-cruise">Hotel (Post Cruise)</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Tours" value="tours">Tours</option> <option label="Others" value="others">Others</option> </field> <field type="text" label="Any Promotional Codes/Next Cruise Vouchers/Future Cruise Credits or 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="Cabin Assignment - Guest 1" name="cabin-assignment-guest-1" className="form-control"> <option label="Cabin 1" value="cabin-1">Cabin 1</option> <option label="Cabin 2" value="cabin-2">Cabin 2</option> <option label="Cabin 3" value="cabin-3">Cabin 3</option> <option label="Cabin 4" value="cabin-4">Cabin 4</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" required="true" label="Residency State- Guest 1" name="residency-state-guest-1" subtype="text" className="form-control"/> <field type="select" required="true" label="Cabin Assignment - Guest 2" name="cabin-assignment-guest-2" className="form-control"> <option label="Cabin 1" value="cabin-1">Cabin 1</option> <option label="Cabin 2" value="cabin-2">Cabin 2</option> <option label="Cabin 3" value="cabin-3">Cabin 3</option> <option label="Cabin 4" value="cabin-4">Cabin 4</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-1732156786626" className="form-control"/> <field type="text" required="true" label="Residency State - Guest 2" name="residency-state-guest-2" subtype="text" className="form-control"/> <field type="select" label="Cabin Assignment - Guest 3" name="cabin-assignment-guest-3" className="form-control"> <option label="Cabin 1" value="cabin-1">Cabin 1</option> <option label="Cabin 2" value="cabin-2">Cabin 2</option> <option label="Cabin 3" value="cabin-3">Cabin 3</option> <option label="Cabin 4" value="cabin-4">Cabin 4</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="Residency State - Guest 3" name="residency-state-guest-3" subtype="text" className="form-control"/> <field type="select" label="Cabin Assignment - Guest 4" name="select-1731465173160" className="form-control"> <option label="Cabin 1" value="cabin-1">Cabin 1</option> <option label="Cabin 2" value="cabin-2">Cabin 2</option> <option label="Cabin 3" value="cabin-3">Cabin 3</option> <option label="Cabin 4" value="cabin-4">Cabin 4</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="Residency State - Guest 4" name="residency-state-guest-4" 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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Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways