<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Thank you for your interest in our Ten Palms Travel Cruise.&nbsp; Please submit the following form and we will be in touch with a detailed quote for your trip."/> <field type="header" subtype="h2" label="Full name"/> <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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Please provide us with the full names and birthdates of the guest(s) traveling in the stateroom with you.&nbsp;" name="how-many-people-will-be-traveling-with-you-please-provide-ages-if-children-are-traveling" subtype="text" className="form-control"/> <field type="text" required="true" label="Will you need additional staterooms?&nbsp; If so, please describe how many staterooms will you need and how many people will be staying in each room?&nbsp;" name="how-many-rooms-will-you-need-and-how-many-people-will-be-staying-in-each-room-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Which stateroom type are you interested in (check as many that apply)" description="You may check as many that apply." name="which-package-are-you-interested-in"> <option label="The quoted balcony room is great for us! " value="the-quoted-balcony-room-is-great-for-us-">The quoted balcony room is great for us! </option> <option label="Interior (no window)" value="interior-no-window">Interior (no window)</option> <option label="Ocean View (large picture window)" value="ocean-view-large-picture-window">Ocean View (large picture window)</option> <option label="Upgraded Balcony / Aft Balcony (larger balcony in prime areas of the ship)" value="upgraded-balcony-aft-balcony-larger-balcony-in-prime-areas-of-the-ship">Upgraded Balcony / Aft Balcony (larger balcony in prime areas of the ship)</option> <option label="Spa Balcony (upgraded bath amenities and access to the wet areas of the spa free of charge)" value="spa-balcony-upgraded-bath-amenities-and-access-to-the-wet-areas-of-the-spa-free-of-charge">Spa Balcony (upgraded bath amenities and access to the wet areas of the spa free of charge)</option> <option label="Club Balcony/Mini Suite (dedicated concierge and a few added perks for your room)" value="club-balconymini-suite-dedicated-concierge-and-a-few-added-perks-for-your-room">Club Balcony/Mini Suite (dedicated concierge and a few added perks for your room)</option> <option label="Haven Suite (the most luxurious experience with larger suites and private access to The Haven section of the ship)" value="haven-suite-the-most-luxurious-experience-with-larger-suites-and-private-access-to-the-haven-section-of-the-ship">Haven Suite (the most luxurious experience with larger suites and private access to The Haven section of the ship)</option> <option label="Studio Room (for solo travelers only - no window)" value="studio-room-for-solo-travelers-only-no-window">Studio Room (for solo travelers only - no window)</option> </field> <field type="radio-group" required="true" label="Which Amenity Package would you prefer?&nbsp;&nbsp;" name="which-amenity-package-would-you-prefer-"> <option label="Package A (wifi, shore excursion credit, extra $100 onboard credit and photo package)" value="package-a-wifi-shore-excursion-credit-extra-100-onboard-credit-and-photo-package">Package A (wifi, shore excursion credit, extra $100 onboard credit and photo package)</option> <option label="Package B (wifi, shore excursion credit, Premium Beverage Package, two evenings of specialty dining)" value="package-b-wifi-shore-excursion-credit-premium-beverage-package-two-evenings-of-specialty-dining">Package B (wifi, shore excursion credit, Premium Beverage Package, two evenings of specialty dining)</option> </field> <field type="header" subtype="h1" label="Extras and Add Ons"/> <field type="paragraph" subtype="p" label="All items indicated below are optional.&nbsp; Please feel free to skip this section if you do not wish to add extras at this time.&nbsp;"/> <field type="checkbox-group" required="true" label="Will you need airfare?&nbsp;" name="will-you-need-airfare-"> <option label="Yes, please send me a quote with NCL arriving and departing on the day of the cruise. " value="yes-please-send-me-a-quote-with-ncl-arriving-and-departing-on-the-day-of-the-cruise-">Yes, please send me a quote with NCL arriving and departing on the day of the cruise. </option> <option label="No thank you, I will plan to book the airfare on my own." value="no-thank-you-i-will-plan-to-book-the-airfare-on-my-own">No thank you, I will plan to book the airfare on my own.</option> <option label="Yes, please provide me with a quote for air NOT booked with NCL" value="yes-please-provide-me-with-a-quote-for-air-not-booked-with-ncl">Yes, please provide me with a quote for air NOT booked with NCL</option> <option label="Yes, please send me a quote for air with NCL departing earlier and/or later than my cruise start and end date. " value="yes-please-send-me-a-quote-for-air-with-ncl-departing-earlier-andor-later-than-my-cruise-start-and-end-date-">Yes, please send me a quote for air with NCL departing earlier and/or later than my cruise start and end date. </option> </field> <field type="textarea" label="If you would like an air quote, which airport(s) are closest to your home?" name="if-you-would-like-an-air-quote-which-city-cities-would-you-be-willing-to-fly-from-" className="form-control"/> <field type="text" label="If you would like to arrive and/or depart before or after the cruise start date, please list the dates you'd like to arrive and depart&nbsp; New York below.&nbsp; The cruise begins on June 2nd and ends on June 9th.&nbsp;&nbsp;" name="if-you-would-like-to-arrive-andor-depart-before-or-after-the-cruise-start-date-please-list-the-dates-youd-like-to-arrive-and-depart-seattle-below-the-cruise-begins-on-sept-9th-and-ends-on-sept-16th-" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="A Note About Booking Air with NCL - This will almost always be the cheapest option, especially if you are booking with the buy one get one free promotion; however, there are some things that you need to know.&nbsp; First, you are at NCL's mercy with airlines and scheduling.&nbsp; They pick the airline and the schedule.&nbsp; If you hate it, you have no recourse, and it can not be changed.&nbsp; While Norwegian is not in the business of making customers unhappy, there is a possibility that you will have layovers and a less than desirable schedule.&nbsp; Second, NCL typically uses American, Delta, or United for their flights, but it can vary.&nbsp; &nbsp;Third, luggage is not included and will typically run about $30 per bag each way.&nbsp; Next,&nbsp; NCL will only guarantee flights together for guests staying in the same stateroom.&nbsp; If you wish to be on the same flights as guests staying in another stateroom, it would be best to book air outside of the cruise line.&nbsp; Also, if you would like to deviate the flight arrival or departure date, you may do so by two days both before and/or after your cruise without any additional fee.&nbsp; Finally, flight schedules are not released by NCL until approximately 45-60 days prior to travel.&nbsp;&nbsp;"/> <field type="checkbox-group" required="true" label="NCL offers pre and/or post -cruise stays at the Marriott Marquis in Times Square at a discounted rate.&nbsp; If you would like to book a pre or post cruise stay, please click the applicable box below (pricing is the total for the room for two people and includes all taxes and fees).&nbsp;&nbsp;" name="if-you-would-like-a-quote-for-a-prepost-hotel-stay-please-check-all-that-apply-below"> <option label="One night pre-cruise - $460 (arriving June 1)" value="one-night-precruise-460-arriving-june-1">One night pre-cruise - $460 (arriving June 1)</option> <option label="Two night pre-cruise - $780 (arriving May 31)" value="two-night-precruise-780-arriving-may-31">Two night pre-cruise - $780 (arriving May 31)</option> <option label="Three night pre-cruise - $1,110 (arriving May 30)" value="three-night-precruise-1110-arriving-may-30">Three night pre-cruise - $1,110 (arriving May 30)</option> <option label="One night post-cruise - $460 (departing June 10th))" value="one-night-postcruise-460-departing-june-10th">One night post-cruise - $460 (departing June 10th))</option> <option label="Two nights post-cruise - $780 (departing June 11th)" value="two-nights-postcruise-780-departing-june-11th">Two nights post-cruise - $780 (departing June 11th)</option> <option label="Three nights post-cruise - $1,110 (departing June 12th)" value="three-nights-postcruise-1110-departing-june-12th">Three nights post-cruise - $1,110 (departing June 12th)</option> <option label=" No thank you " value="-no-thank-you-"> No thank you </option> </field> <field type="textarea" label="Please describe any specific pre/post cruise travel requests, tours, or things you would like to see and do while in New York." name="please-describe-any-specific-prepost-cruise-travel-requests" className="form-control"/> <field type="radio-group" required="true" label="Transportation" name="transportation-only-"> <option label="I would like transportation from the airport to the cruise port / hotel on my day of arrival." value="i-would-like-transportation-from-the-airport-to-the-cruise-port-hotel-on-my-day-of-arrival">I would like transportation from the airport to the cruise port / hotel on my day of arrival.</option> <option label="I would like transportation from the cruise port to the airport / hotel the day of my departure. " value="i-would-like-transportation-from-the-cruise-port-to-the-airport-hotel-the-day-of-my-departure-">I would like transportation from the cruise port to the airport / hotel the day of my departure. </option> <option label="I prefer to handle transportation on my own with a taxi or Uber." value="i-prefer-to-handle-transportation-on-my-own-with-a-taxi-or-uber">I prefer to handle transportation on my own with a taxi or Uber.</option> <option label="I would like roundtrip transportation between the airport / hotel (if applicable) / and cruise port " value="i-would-like-roundtrip-transportation-between-the-airport-hotel-if-applicable-and-cruise-port-">I would like roundtrip transportation between the airport / hotel (if applicable) / and cruise port </option> </field> <field type="checkbox-group" required="true" label="Are you interested in a private catamaran tour while in Bermuda with only our group members that will include lunch, open bar, snorkeling, and beach time at an approximate cost of $120 per person?&nbsp;&nbsp;" description="A minimum number of guests will be required for this tour to take place. " name="are-you-interested-in-a-private-catamaran-tour-while-in-bermuda-with-only-our-group-members-that-will-include-lunch-open-bar-snorkeling-and-beach-time-at-an-approximate-cost-of-120-per-person-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure, ask me again at time of final payment" value="unsure-ask-me-again-at-time-of-final-payment">Unsure, ask me again at time of final payment</option> </field> <field type="radio-group" label="What is your cruise experience level?&nbsp;&nbsp;" name="what-is-your-cruise-experience-level-"> <option label="This will be my first cruise." value="this-will-be-my-first-cruise">This will be my first cruise.</option> <option label="I have cruised in the past, but this will be my first with Norwegian." value="i-have-cruised-in-the-past-but-this-will-be-my-first-with-norwegian">I have cruised in the past, but this will be my first with Norwegian.</option> <option label="I am a frequent cruiser with Norwegian. " value="i-am-a-frequent-cruiser-with-norwegian-">I am a frequent cruiser with Norwegian. </option> </field> <field type="text" label="If you or your guests have cruised with Norwegian before, please provide us with your Latitudes number(s).&nbsp;" name="if-you-answered-yes-to-the-question-above-we-can-check-any-past-guest-offers-that-might-be-available-to-you-if-you-would-like-for-us-to-do-this-please-provide-your-vifp-number-or-the-guests-name-and-birthdate-in-the-field-below" subtype="text" className="form-control"/> <field type="text" label="If you have cruised in the past, what other lines have you cruised on?&nbsp;&nbsp;" name="if-you-have-cruised-in-the-past-what-other-lines-have-you-cruised-on-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="NCL offers a 10% discount off the cruise fare (before taxes and fees) for active duty or retired military veterans that can provide the appropriate paperwork. Does this apply to you?&nbsp;" name="ncl-offers-a-10-discount-off-the-cruise-fare-before-taxes-and-fees-for-active-duty-or-retired-military-veterans-that-can-provide-the-appropriate-paperwork-does-this-apply-to-you-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="text" label="Please describe any special needs that you may have while onboard (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"/> <field type="text" label="Is there anything else we should know about you or your cruising preferences that might make your experience more enjoyable?&nbsp; Are you celebrating anything special during your cruise?&nbsp;&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"/> <field type="paragraph" subtype="p" label="Please check your email within the next&nbsp; two business days for a detailed quote for your trip.&nbsp; Within the quote, we will provide you with full booking instructions and final payment dates.&nbsp;&nbsp;"/> </fields> </form-template> </body> </html>
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