<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Please use this form to provide us with information about your cruise."/> <field type="checkbox-group" required="true" label="I am aware that Takeoff by Yasmine Yteria does not charge a service fee for a basic cruise booking&nbsp; which includes sailing options, a trip or group booking page, and payment plan set up + reminders. However, I do understand that any additional planning and bookings outside of the cruise itself will result in a fee that must be paid prior to additional/add-on services being provided." name="i-am-aware-that-takeoff-by-yasmine-yteria-does-not-charge-a-service-fee-for-a-basic-cruise-booking-which-includes-sailing-options-a-trip-or-group-booking-page-and-payment-plan-set-up-reminders-however-i-do-understand-that-any-additional-planning-and-bookings-outside-of-the-cruise-itself-will-result-in-a-fee-that-must-be-paid-prior-to-additionaladdon-services-being-provided"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="Prefix" 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="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="radio-group" label="Client Pronouns" name="client-pronouns" other="true"> <option label="She/Her" value="sheher">She/Her</option> <option label="He/Him" value="hehim">He/Him</option> <option label="They/Them" value="theythem">They/Them</option> </field> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" 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="Travel Preferences"/> <field type="select" required="true" label="Have you ever cruised before?" name="have-you-ever-cruised-before" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Travel Dates" name="travel-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of People Traveling" name="text-1725740854434" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Cabins Required (approximately)" name="number-of-cabins-required-approximately" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Types of Cabins Required" name="types-of-cabins-required"> <option label="Suite" value="suite">Suite</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Interior" value="interior">Interior</option> </field> <field type="text" label="Deck Preference" name="deck-preference" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Cruise Line Preference" name="seat-preference" other="true"> <option label="Carnival" value="carnival">Carnival</option> <option label="Virgin" value="virgin">Virgin</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" required="true" label="Which destinations or you interested in sailing to?" name="hotel-preference" other="true"> <option label="Eastern Caribbean" value="eastern-caribbean">Eastern Caribbean</option> <option label="Western Caribbean" value="western-caribbean">Western Caribbean</option> <option label="Canada" value="canada">Canada</option> <option label="Europe" value="europe">Europe</option> <option label="North America" value="north-america">North America</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Asia" value="asia">Asia</option> <option label="South Pacific" value="south-pacific">South Pacific</option> </field> <field type="text" label="Is the cruise for a celebration or event? If yes, please provide the reason for the cruise." name="is-the-cruise-for-a-celebration-or-event-if-yes-please-provide-the-reason-for-the-cruise" subtype="text" className="form-control"/> <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="Adults Only" value="adults-only">Adults Only</option> <option label="Kid friendly" value="kid-friendly">Kid friendly</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences" other="true"> <option label="Gambling" value="gambling">Gambling</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="arts-and-theatre">Arts and theatre</option> <option label="Overnight Stays" value="overnight-stays">Overnight Stays</option> <option label="None" value="none">None</option> </field> <field type="radio-group" required="true" label="Dining Options" name="dining-options"> <option label="Early" value="early">Early</option> <option label="Late" value="late">Late</option> <option label="Anytime" value="anytime">Anytime</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <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="textarea" label="Text Area" name="textarea-1717612924221" className="form-control"/> </fields> </form-template> </body> </html>
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