Share your information with Michaela Krause

Michaela Krause

MK Travel Services LLC

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		<field type="paragraph" subtype="p" label="Thank you for contacting us. Your responses to this questionnaire will provide us with the information necessary to hold a cabin for your desired Sailing. Please note that submitting this questionnaire indicates your intention to participate in the sailing, but it does not serve as a binding agreement or reservation. Our team will reach out to you as soon as possible to discuss the cabin availability and finalize your booking. * - Required Fields"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City and State of Residency" name="city-and-state-of-residency" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Method of Contact" name="preferred-method-of-contact">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text to the number above" value="text-to-the-number-above">Text to the number above</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many Travellers in your Group? Please provide FULL NAMES and DATE OF BIRTH and EMAIL (if available) for all Tavelers" name="how-many-travellers-in-your-group-please-provide-full-names-and-date-of-birth-and-email-for-all-tavelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you a US Citizen?" name="are-you-a-us-citizen">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="With the exception of closed-loop cruises (cruises that begin and end at the same US Port), PASSPORTS ARE REQUIRED for international travel and must be valid fo six months following the trip return date. Does everyone in your group have a Passport?*" name="with-the-exception-of-closedloop-cruises-cruises-that-begin-and-end-at-the-same-us-port-passports-are-required-for-international-travel-and-must-be-valid-fo-six-months-following-the-trip-return-date-does-everyone-in-your-group-have-a-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Pending" value="pending">Pending</option>&#13;
			<option label=" My destination does not require a Passport" value="-my-destination-does-not-require-a-passport"> My destination does not require a Passport</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Which Sailing would you like to Book, Ship Name:" name="which-sailing-would-you-like-to-book-ship-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred Cabin Category" name="preferred-cabin-category" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a loyalty Number? If YES, which Cruise Line?" name="do-you-have-a-loyalty-number-if-yes-which-cruise-line" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Does any of the following apply to you or your Travel Companion?" name="does-any-of-the-following-apply-to-you-or-your-travel-companion">&#13;
			<option label="Age 55+" value="age-55">Age 55+</option>&#13;
			<option label="Military, Veteran" value="military-veteran">Military, Veteran</option>&#13;
			<option label="Fire Department" value="fire-department">Fire Department</option>&#13;
			<option label="EMT, First Responder" value="emt-first-responder">EMT, First Responder</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you an American Express PLATINUM or CENTURION Holder?" description="If YES and you use your American Express Card for Payment addtl benefits might be available." name="are-you-an-american-express-platinum-or-centurion-holder">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed Configuration" name="bed-configuration">&#13;
			<option label="Together" value="together">Together</option>&#13;
			<option label="Apart/Separate" value="apartseparate">Apart/Separate</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Preferred Dining Time - Early, Late, Select" description="(Selection can not be guaranted  availability depends on Ship, Sailing and Cabin Class booked)" name="preferred-dining-time-early-late-select" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any Special Requests (Allergies, Special Needs etc)" name="any-special-requests-allergies-special-needs-etc" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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