<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions For Your Upcoming Trip "/> <field type="radio-group" required="true" label="Would you like to be included on our email list to receive travel related information (deals/promotions)?" name="would-you-like-to-be-included-on-our-email-list-to-receive-travel-related-information-dealspromotions"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="text" label="Trip ID # (if you saw a cruise promotion you liked)" description="ex. - C101" name="trip-id-if-you-saw-a-cruise-promotion-you-liked" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="GUEST 1 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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="text" required="true" label="Address" name="address-line-1" 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" label="Country" name="address-country" 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="header" subtype="h1" label="CRUISE INFORMATION"/> <field type="radio-group" required="true" label="Is this your first cruise?" name="is-this-your-first-cruise"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> <option label="YES, FOR SOME GUESTS" value="yes-for-some-guests">YES, FOR SOME GUESTS</option> </field> <field type="textarea" required="true" label="Total Number of Guests and birthdates (ages)" placeholder="Additional Guest Information Included Names and Birthdays" name="total-number-of-guests-and-birthdates-ages" className="form-control"/> <field type="textarea" required="true" label="Add all adult traveler names and emails here. This is necessary to provide the traveler with the necessary form(s) for proposals." placeholder="Ex. John Jones johnjones@gmail.com; Marie Jones mariejones@gmail.com" name="add-all-adult-traveler-names-and-emails-here-this-is-necessary-to-provide-the-traveler-with-the-necessary-forms-for-proposals" className="form-control"/> <field type="text" required="true" label="How Many Cabins or Rooms Do You Need?" name="how-many-cabins-or-rooms-do-you-need" subtype="text" className="form-control"/> <field type="textarea" label="If you need more than one room, let us know which adults and children will be on each room." placeholder="Ex. Room1: John and Ana Room2: Liza Kate and Jane" name="if-you-need-more-than-one-room-let-us-know-which-adults-and-children-will-be-on-each-room" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a couple destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="Length Of Cruise" name="length-of-cruise" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What is the maxium amount of drive time to a cruise port?" name="what-is-the-maxium-amount-of-drive-time-to-a-cruise-port" className="form-control"/> <field type="radio-group" required="true" label="Transportation To Cruise" name="will-you-be-flying"> <option label="Driving " value="driving-">Driving </option> <option label="Flying" value="flying">Flying</option> </field> <field type="checkbox-group" label="What Cruise Line Do You Prefer?" name="what-cruise-line-do-you-prefer" other="true"> <option label="Carnival" value="carnival">Carnival</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="Princess" value="princess">Princess</option> <option label="Virgin Voyages (adult only)" value="virgin-voyages-adult-only">Virgin Voyages (adult only)</option> <option label="River Cruise" value="river-cruise">River Cruise</option> </field> <field type="radio-group" label="Cabin Preference" name="cabin-preference"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="checkbox-group" label="Cabin Details" name="cabin-details" other="true"> <option label="Adjoining Rooms" value="adjoining-rooms">Adjoining Rooms</option> <option label="Multiple Cabin Type" value="multiple-cabin-type">Multiple Cabin Type</option> <option label="Individual Twin Beds " value="individual-twin-beds-">Individual Twin Beds </option> <option label="Pull Out Sofa" value="pull-out-sofa">Pull Out Sofa</option> <option label="Drop Down Bed" value="drop-down-bed">Drop Down Bed</option> <option label="King Bed" value="king-bed">King Bed</option> </field> <field type="radio-group" label="Does each guest have a Passport or a Birth Certificate?" name="does-each-guest-have-a-passport-or-a-birth-certificate"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="checkbox-group" label="Hotel Accommodations" name="hotel-accommodations"> <option label="Hotel prior to cruise" value="hotel-prior-to-cruise">Hotel prior to cruise</option> <option label="Hotel after the cruise" value="hotel-after-the-cruise">Hotel after the cruise</option> <option label="No Hotel" value="no-hotel">No Hotel</option> </field> <field type="radio-group" label="Travel Insurance" name="travel-insurance"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="checkbox-group" label="Would you like to pre purchase any extras? (It is usually cheaper to purchase preboarding.)" name="would-you-like-to-pre-purchase-any-extras-it-is-usually-cheaper-to-purchase-preboarding"> <option label="Soda/Water Package" value="sodawater-package">Soda/Water Package</option> <option label="Adult Beverage Package" value="adult-beverage-package">Adult Beverage Package</option> <option label="Wifi" value="wifi">Wifi</option> <option label="Prepay Gratuities" value="prepay-gratuities">Prepay Gratuities</option> <option label="Spa Treatments" value="spa-treatments">Spa Treatments</option> <option label="Shore Excursions" value="shore-excursions">Shore Excursions</option> </field> <field type="header" subtype="h1" label="BUDGET INFORMATION"/> <field type="radio-group" required="true" label="What is the budget for each traveler? This is important information to ensure I provide you with the best value for your price point. Select the budget per person." name="what-is-the-budget-for-each-traveler-this-is-important-information-to-ensure-i-provide-you-with-the-best-value-for-your-price-point-select-the-budget-per-person"> <option label="$1,500 to $2,500/per person" value="1500-to-2500per-person">$1,500 to $2,500/per person</option> <option label="$2,500 to $4,500/per person" value="2500-to-4500per-person">$2,500 to $4,500/per person</option> <option label="$4,500 to $6,500/per person" value="4500-to-6500per-person">$4,500 to $6,500/per person</option> <option label="$6,500 to $8,500/per person" value="6500-to-8500per-person">$6,500 to $8,500/per person</option> <option label="$8,500 to $10,000/per person" value="8500-to-10000per-person">$8,500 to $10,000/per person</option> <option label="$10,000+/per person" value="10000per-person">$10,000+/per person</option> </field> <field type="radio-group" required="true" label="How soon can you make a deposit?" name="how-soon-can-you-make-a-deposit"> <option label="Today" value="today">Today</option> <option label="1-2 Weeks" value="12-weeks">1-2 Weeks</option> <option label="3 weeks +" value="3-weeks-">3 weeks +</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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