Share your information with Traci Kiosterud

Traci Kiosterud

Ten Palms Travel

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		<field type="header" subtype="h1" label="Please provide us with the name and email of the guest filling out this form:"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How many people, in total, will be sharing the cabin/room?&amp;nbsp;&amp;nbsp;" name="radio-group-1787003438216">&#13;
			<option label="Just me / single" value="just-me-single">Just me / single</option>&#13;
			<option label="Two people / double" value="two-people-double">Two people / double</option>&#13;
			<option label="Three people / triple" value="three-people-triple">Three people / triple</option>&#13;
			<option label="Four people / quad " value="four-people-quad-">Four people / quad </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Have You Worked With Us Before?"/>&#13;
		<field type="checkbox-group" required="true" label="Have You Booked a Trip With Ten Palms Travel In The Past?&amp;nbsp;" name="have-you-booked-a-trip-with-ten-palms-travel-in-the-past-" className="checkbox-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="If you have traveled with us in the past, we should have all of your important information on file and won’t ask you to submit that again. If you are a first time traveler with us, we will send you a profile form to fill out shortly after booking your cruise to collect additional information.&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Please provide us with full passport names of ALL guests&amp;nbsp; that will be sharing your cabin (please include your details as well):" name="please-provide-us-with-your-full-passport-name-below" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please provide us with all of the guests&#39; dates of birth (including yourself) below:" name="please-provide-us-with-your-full-date-of-birth-below-" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1785360420353" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please note that I will not quote obstructed view cabins unless you tell me otherwise.&amp;nbsp; If you are interested in booking an obstructed view cabin (view would be partially or fully obstructed by metal railings, lifeboats, etc...) to save extra money, please list this in your preferences in the last free form response below and I will quote an obstructed view cabin for you.&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="For which package are you interested in receiving a quote?&amp;nbsp;" name="radio-group-1787003739213">&#13;
			<option label="Cruise Tour (Land, Rail, and Cruise)" value="cruise-tour-land-rail-and-cruise">Cruise Tour (Land, Rail, and Cruise)</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
			<option label="Please send me a quote for both options" value="please-send-me-a-quote-for-both-options">Please send me a quote for both options</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Have you sailed with Princess in the past?" name="radio-group-1787003902661">&#13;
			<option label="Yes, I have sailed with Princess previously. " value="yes-i-have-sailed-with-princess-previously-">Yes, I have sailed with Princess previously. </option>&#13;
			<option label="I have cruised in the past, but this will be my first with Princess." value="i-have-cruised-in-the-past-but-this-will-be-my-first-with-princess">I have cruised in the past, but this will be my first with Princess.</option>&#13;
			<option label="This will be my first cruise experience.  " value="this-will-be-my-first-cruise-experience-">This will be my first cruise experience.  </option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Which cabin category(s) would you like included in your quote?&amp;nbsp;" name="radio-group-1787003974573" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Deluxe Balcony" value="deluxe-balcony">Deluxe Balcony</option>&#13;
			<option label="Mini-Suite" value="minisuite">Mini-Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your preference for deck location (please keep in mind that prime deck areas/locations typically result in an increase in price).&amp;nbsp;" name="checkbox-group-1787018786301" other="true">&#13;
			<option label="Higher deck / closer to pools and the buffet " value="higher-deck-closer-to-pools-and-the-buffet-">Higher deck / closer to pools and the buffet </option>&#13;
			<option label="Lower deck / closer to the main activity hub with restaurants, bars, and lounges" value="lower-deck-closer-to-the-main-activity-hub-with-restaurants-bars-and-lounges">Lower deck / closer to the main activity hub with restaurants, bars, and lounges</option>&#13;
			<option label="Middle decks " value="middle-decks-">Middle decks </option>&#13;
			<option label="I don't care, I just want it quiet  with only staterooms above and below me.  " value="i-dont-care-i-just-want-it-quiet-with-only-staterooms-above-and-below-me-">I don't care, I just want it quiet  with only staterooms above and below me.  </option>&#13;
			<option label="Whatever is least expensive.  " value="whatever-is-least-expensive-">Whatever is least expensive.  </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your preference for your room location (please keep in mind that midship locations are typically more expensive that forward and aft rooms)?&amp;nbsp;" name="checkbox-group-1787018790932" other="true">&#13;
			<option label="Forward" value="forward">Forward</option>&#13;
			<option label="Mid-forward" value="midforward">Mid-forward</option>&#13;
			<option label="Midship" value="midship">Midship</option>&#13;
			<option label="Mid-aft" value="midaft">Mid-aft</option>&#13;
			<option label="Aft" value="aft">Aft</option>&#13;
			<option label="I don't care, I just want the best price. " value="i-dont-care-i-just-want-the-best-price-">I don't care, I just want the best price. </option>&#13;
		</field>&#13;
		<field type="textarea" label="Please include any additional details regarding your stateroom needs/ location that you would like us to know.&amp;nbsp;&amp;nbsp;" name="textarea-1787004376370" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1785360431916" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Documentation Requirements"/>&#13;
		<field type="checkbox-group" required="true" label="In order to travel on this trip, all guests in your reservation (including children) must have a valid passport book with an expiration date no sooner than January 22, 2028.&amp;nbsp; &amp;nbsp;" name="in-order-to-cruise-all-members-of-your-traveling-party-must-have-valid-travel-documentation-a-valid-passport-is-highly-recommended-and-the-only-form-of-identification-you-will-need-if-you-do-not-have-a-passport-you-may-also-travel-with-the-original-or-certified-copy-of-your-birth-certificate-and-a-government-issued-photo-id-minors-under-the-age-of-18-that-are-not-traveling-with-both-biological-parents-must-have-a-notarized-letter-from-the-absent-parents-granting-permission-to-take-the-child-out-of-the-country-we-can-provide-you-with-this-letter-covid-vaccines-are-no-longer-required-for-cruising-" other="true" className="checkbox-group">&#13;
			<option label="I have read and will be able to comply the required travel documentation." value="i-have-read-and-will-be-able-to-comply-the-required-travel-documentation">I have read and will be able to comply the required travel documentation.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Optional Extras&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Please check the boxes for any of the following trip add-ons you would like quoted (an insurance quote will automatically be provided)?" name="checkbox-group-1787018986119" other="true">&#13;
			<option label="Princess Premier Package (adds additional wifi, unlimited specialty dining, $100 pp shore excursion credit, and more)" value="princess-premier-package-adds-additional-wifi-unlimited-specialty-dining-100-pp-shore-excursion-credit-and-more">Princess Premier Package (adds additional wifi, unlimited specialty dining, $100 pp shore excursion credit, and more)</option>&#13;
			<option label="1 night Pre Cruise Package in Vancouver" value="1-night-pre-cruise-package-in-vancouver">1 night Pre Cruise Package in Vancouver</option>&#13;
			<option label="2 night Pre Cruise Package in Vancouver" value="2-night-pre-cruise-package-in-vancouver">2 night Pre Cruise Package in Vancouver</option>&#13;
			<option label="Cruise Tour Meal Plan (provides several meals during the land portion of your trip)" value="cruise-tour-meal-plan-provides-several-meals-during-the-land-portion-of-your-trip">Cruise Tour Meal Plan (provides several meals during the land portion of your trip)</option>&#13;
			<option label="I'm not interested in any additions at this time. " value="im-not-interested-in-any-additions-at-this-time-">I'm not interested in any additions at this time. </option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like an airfare quote?" name="please-select-your-air-preference-below" className="radio-group">&#13;
			<option label="Not at this time - (Skip to page five)" value="not-at-this-time-skip-to-page-five">Not at this time - (Skip to page five)</option>&#13;
			<option label="Yes, please - (please fill out next page)" value="yes-please-please-fill-out-next-page">Yes, please - (please fill out next page)</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1787015657010" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Airfare for Cruise Tour Guests:&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="If you are interested in the full land, rail, and sea package, you will need to plan to be in Vancouver absolutely no later than 12:00pm on July 10, 2027.&amp;nbsp; We HIGHLY recommend arriving at least one day early, possibly two, just in case there are any flight delays.&amp;nbsp; You will fly home from Fairbanks on July 21, 2027. Additionally, you may choose to fly roundtrip from Seattle.&amp;nbsp; Princess does have a four hour transfer bus that runs from the Seattle airport to the Vancouver cruise port on the morning of the cruise.&amp;nbsp; On the way home, Princess offers a package that would include your flight from Fairbanks to Seattle and a one night hotel stay in Seattle on the evening of July 21st, allowing you to fly home from Seattle on July 22nd.&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Airfare for Cruise Only Guests"/>&#13;
		<field type="paragraph" subtype="p" label="You will need to plan to be in Vancouver absolutely no later than 12:00pm on July 10, 2027. We HIGHLY recommend arriving at least one day early, possibly two, just in case there are any flight delays. You will fly home from Anchorage on July 17, 2027. Additionally, you may choose to fly one way into Seattle and home from Anchorage. Princess does have a four hour transfer bus that runs from the Seattle airport to the Vancouver cruise port on the morning of the cruise.&amp;nbsp;"/>&#13;
		<field type="text" label="Please list your preferred departure city below:" name="please-list-your-preferred-departure-city-below-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you willing to travel from another city near your home city?&amp;nbsp; If so which one(s)?&amp;nbsp;" name="are-you-willing-to-travel-from-another-city-near-your-home-city-if-so-which-ones-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have a preferred airline(s)?" name="do-you-have-a-preferred-airlines" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you wish to fly into Vancouver or Seattle?&amp;nbsp; Please keep in mind that arrivals into Seattle will require a four hour bus transfer to Vancouver.&amp;nbsp;" name="radio-group-1787014810036">&#13;
			<option label="Vancouver" value="vancouver">Vancouver</option>&#13;
			<option label="Seattle " value="seattle-">Seattle </option>&#13;
			<option label="Please send me a quote for both" value="please-send-me-a-quote-for-both">Please send me a quote for both</option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Please select you preferred arrival date" name="departure-date-" other="true" className="radio-group">&#13;
			<option label="July 10, 2027 - Day cruise departs - not recommended" value="july-10-2027-day-cruise-departs-not-recommended">July 10, 2027 - Day cruise departs - not recommended</option>&#13;
			<option label="July 9, 2027 - 1 night before the cruise departs" value="july-9-2027-1-night-before-the-cruise-departs">July 9, 2027 - 1 night before the cruise departs</option>&#13;
			<option label="July 8, 2027 - 2 nights before the cruise departs" value="july-8-2027-2-nights-before-the-cruise-departs">July 8, 2027 - 2 nights before the cruise departs</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Please select the airport you will be returning from:" name="radio-group-1787014964639" other="true">&#13;
			<option label="Anchorage - Available for cruise only guests " value="anchorage-available-for-cruise-only-guests-">Anchorage - Available for cruise only guests </option>&#13;
			<option label="Fairbanks - Available for cruise tour guests " value="fairbanks-available-for-cruise-tour-guests-">Fairbanks - Available for cruise tour guests </option>&#13;
			<option label="Seattle - Available for cruise tour guests (This option will require an additional flight from Fairbanks to Seattle.  We will quote the Princess package add-on for this service)" value="seattle-available-for-cruise-tour-guests-this-option-will-require-an-additional-flight-from-fairbanks-to-seattle-we-will-quote-the-princess-package-addon-for-this-service">Seattle - Available for cruise tour guests (This option will require an additional flight from Fairbanks to Seattle.  We will quote the Princess package add-on for this service)</option>&#13;
			<option label="Please send be a quote for both Seattle and Fairbanks" value="please-send-be-a-quote-for-both-seattle-and-fairbanks">Please send be a quote for both Seattle and Fairbanks</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Which Class(es) of Service Would You Like Quoted (we will not book basic economy due to extreme restrictions)." name="checkbox-group-1787019210497">&#13;
			<option label="Regular Economy" value="regular-economy">Regular Economy</option>&#13;
			<option label="Economy plus (extra legroom seating / exit row)" value="economy-plus-extra-legroom-seating-exit-row">Economy plus (extra legroom seating / exit row)</option>&#13;
			<option label="Business / First" value="business-first">Business / First</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Which Class of Service Would You Like Quoted?" name="which-class-of-service-would-you-like-quoted-" other="true" className="radio-group">&#13;
			<option label="Regular economy" value="regular-economy">Regular economy</option>&#13;
			<option label="Economy plus (extra legroom seating / exit row)" value="economy-plus-extra-legroom-seating-exit-row">Economy plus (extra legroom seating / exit row)</option>&#13;
			<option label="Business / First" value="business-first">Business / First</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Seating on Plane" name="preferred-seating-on-plane" other="true" className="checkbox-group">&#13;
			<option label="Aisle and middle" value="aisle-and-middle">Aisle and middle</option>&#13;
			<option label="Window and middle" value="window-and-middle">Window and middle</option>&#13;
			<option label="Aisle and Window with middle seat free in hopes no one sits there or will trade seats with one of us if they do" value="aisle-and-window-with-middle-seat-free-in-hopes-no-one-sits-there-or-will-trade-seats-with-one-of-us-if-they-do">Aisle and Window with middle seat free in hopes no one sits there or will trade seats with one of us if they do</option>&#13;
			<option label="Aisles across from one another" value="aisles-across-from-one-another">Aisles across from one another</option>&#13;
			<option label="Don't care as long as we are sitting together" value="dont-care-as-long-as-we-are-sitting-together">Don't care as long as we are sitting together</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like us to include transfers to/from the cruise port to the airport in your quote?" name="radio-group-1787019530182" other="true">&#13;
			<option label="Yes, please " value="yes-please-">Yes, please </option>&#13;
			<option label="No thank you" value="no-thank-you">No thank you</option>&#13;
		</field>&#13;
		<field type="text" label="Anything else you would like for us to know about your air request?&amp;nbsp;" name="anything-else-you-would-like-for-us-to-know-about-your-air-request-" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1785360500992" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Additional Information To Help Better Serve You:"/>&#13;
		<field type="text" label="Please describe any special needs that you may have during the trip (dietary restrictions/allergies, mobility concerns, etc...)" name="please-describe-any-special-needs-that-you-may-have-while-onboard-dietary-restrictionsallergies-mobility-concerns-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are you personally celebrating anything special during the trip?&amp;nbsp;" name="special-celebrations-while-onboard" other="true" className="checkbox-group">&#13;
			<option label="None" value="none">None</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Retirement" value="retirement">Retirement</option>&#13;
		</field>&#13;
		<field type="text" label="If you have a special celebration, please let us know which DATE you would like to celebrate during the trip." name="if-you-have-a-special-celebration-please-let-us-know-which-date-you-would-like-to-celebrate-during-the-cruise" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How would you like your beds setup in your room?&amp;nbsp;" name="how-would-you-like-your-beds-setup-in-your-cabin" className="checkbox-group">&#13;
			<option label="One queen " value="one-queen-">One queen </option>&#13;
			<option label="Two twins " value="two-twins-">Two twins </option>&#13;
		</field>&#13;
		<field type="text" label="Are you traveling with anyone else in our group (other than your direct traveling companion) that you would like to ensure that your room is close to?&amp;nbsp; If so, please list their names below.&amp;nbsp; Assuming you book the same type of cabin, we will do our best to ensure you are as close as possible to your companions.&amp;nbsp;&amp;nbsp;" name="are-you-traveling-with-anyone-else-in-our-group-other-than-your-direct-traveling-companion-that-you-would-like-to-ensure-that-your-reservation-is-linked-with-for-dining-room-proximity-etc-if-so-please-list-their-names-below" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is there anything else we should know about your preferences that might make your experience more enjoyable?&amp;nbsp;&amp;nbsp;" name="is-there-anything-else-we-should-know-about-you-or-your-cruising-preferences-that-might-make-your-experience-more-enjoyable-are-you-celebrating-anything-special-during-your-cruise-" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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