Natasha Cummings Travel Advisor - Curating Journeys with Purpose

Beyond Blessed Travels LLC

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="undefined"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" 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="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Anniversary Date" name="anniversary-date" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" label="How many people are in your party" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please let me know who will be share a Cabin with you and enter DOB, If children please provide DOB" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Cruise Line if cruised before" name="preferred-cruise-line-if-cruised-before">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Carnival " value="carnival-">Carnival </option>&#13;
			<option label="Norwegian Cruise Line " value="norwegian-cruise-line-">Norwegian Cruise Line </option>&#13;
			<option label="Virgin Voyages - Adults Only Cruise" value="virgin-voyages-adults-only-cruise">Virgin Voyages - Adults Only Cruise</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cruise Duration" name="cruise-duration">&#13;
			<option label="2 to 5 Days" value="2-to-5-days">2 to 5 Days</option>&#13;
			<option label="6 to 9 Days" value="6-to-9-days">6 to 9 Days</option>&#13;
			<option label="10+ Days" value="10-days">10+ Days</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cabin Category" name="cabin-category">&#13;
			<option label="Suite Life" value="suite-life">Suite Life</option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any additional comments you want me to know" name="any-additional-comments-you-want-me-to-know" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="🌟 Referrals Are Always Welcome! 🌟"/>&#13;
		<field type="paragraph" subtype="p" label="Whether it's a serene Alaskan cruise, a vibrant getaway to Cancun, or a soulful retreat to Jamaica, we’re here to craft unique and unforgettable experiences. Your referrals help us spread joy and create lasting memories for more travelers!"/>&#13;
		<field type="paragraph" subtype="p" label="Contact us at (907) 978-0975 or visit www.beyondblesstravels.com to learn more. 🌍✈️"/>&#13;
		<field type="paragraph" subtype="p" label="🌴 #ReferralProgram 🌴 #TravelWithUs 🌴 #BeyondBlessedTravels 🌴 #ShareTheAdventure"/>&#13;
		<field type="header" subtype="h1" label="Research Fee"/>&#13;
		<field type="paragraph" subtype="p" label="Once I receive your trip request, a $25 research fee is required to begin the travel planning process. An invoice will be emailed to you for payment shortly. Thank you for your understanding and cooperation!"/>&#13;
	</fields>&#13;
</form-template>
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