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Takeoff with Yasmine Yteria

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="LOVE AT SEA 2027 VIP INTEREST SIGN-UP"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="I understand that this is a couple&#39;s cruise and I confirm that I would be attending as a couple." inline="true" name="radio-group-1772308479914">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I am 18 years of age or older." name="checkbox-group-1772308608106">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Cabin" inline="true" name="radio-group-1772308689476">&#13;
			<option label="Terrace" value="terrace">Terrace</option>&#13;
			<option label="Central Terrace" value="central-terrace">Central Terrace</option>&#13;
			<option label="Sea View" value="sea-view">Sea View</option>&#13;
			<option label="Insider" value="insider">Insider</option>&#13;
			<option label="Any/Unsure" value="anyunsure">Any/Unsure</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Interested in Miami extension experience?" inline="true" name="interested-in-miami-extension-experience">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not Sure at this time" value="not-sure-at-this-time">Not Sure at this time</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>