<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Please complete the form below to assist us in finding the ideal cruise that matches your needs and preferences. Allow 7-10 days from your deposit-ready date for us to curate your well-deserved cruise. Note that prices and availability are subject to change until a deposit or payment is made and confirmed. We highly recommend arriving in the city of embarkation at least one day before the scheduled departure date. Air travel reservations are optional and can be self-booked if you prefer."/> <field type="header" subtype="h1" label="Contact Information"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" 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="radio-group" required="true" label="Payment Option" inline="true" name="payment-option"> <option label="Full Payment" value="full-payment">Full Payment</option> <option label="Deposit with Monthly Payments" value="deposit-with-monthly-payments">Deposit with Monthly Payments</option> <option label="Reduced Deposit with Monthly Payments (Fees May Apply)" value="reduced-deposit-with-monthly-payments-fees-may-apply">Reduced Deposit with Monthly Payments (Fees May Apply)</option> <option label="Financing with Uplift" value="financing-with-uplift">Financing with Uplift</option> </field> <field type="date" required="true" label="What date will you be deposit or payment ready?" description="What date will you be making your first payment to secure your trip?" name="what-date-will-you-be-ready-to-put-down-a-deposit" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for this trip for each individual traveler?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget"> <option label="$1,000 to $2,500" value="1000-to-2500">$1,000 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="header" subtype="h1" label="Trip Information"/> <field type="text" required="true" label="Are you celebrating anything?" description="Birthday Honeymoon Anniversary Girls Trip etc." name="are-you-celebrating-anything" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" inline="true" name="activity-preferences" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Food & Wine Tasting" value="food-wine-tasting">Food & Wine Tasting</option> <option label="Beach and water" value="beach-and-water">Beach and water</option> </field> <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" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city and state?" description="What city will you be flying out of?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" value="1" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children travelers?" name="number-1523378007739" value="0" subtype="text" className="form-control"/> <field type="text" required="true" label="What are the ages of all travelers?" name="what-are-the-ages-of-all-travelers" subtype="text" className="form-control"/> <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="checkbox-group" required="true" label="Are Any Additional Travel Services Needed?" inline="true" name="checkbox-group-1524536812827"> <option label="Air (cruise line only)" value="air-cruise-line-only">Air (cruise line only)</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Hotel Accomodations" value="hotel-accomodations">Hotel Accomodations</option> <option label="None" value="none">None</option> </field> <field type="header" subtype="h1" label="CRUISE TRAVEL"/> <field type="text" label="Cruiseline Preferences" placeholder="Frequent Cruiser Rewards Program" name="cruiseline-preferences" subtype="text" className="form-control"/> <field type="text" label="Cruise Itinerary" placeholder="ex: Bahamas Western Caribbean Cuba etc." name="cruise-itinerary" subtype="text" className="form-control"/> <field type="text" label="Which cruise port would you like to leave from?" name="which-cruise-port-would-you-like-to-leave-from" subtype="text" className="form-control"/> <field type="text" label="How many nights would you like to cruise?" name="number-1544997665193" value="0" subtype="text" className="form-control"/> <field type="text" label="How many cabins do you need?" name="number-1528897438207" value="0" subtype="text" className="form-control"/> <field type="text" label="How Many People Per Cabin (please note # of adults and children)?" name="how-many-people-per-cabin-please-note-of-adults-and-children" subtype="text" className="form-control"/> <field type="radio-group" label="Cabin Class" inline="true" name="cabin-class"> <option label="Inside Cabin" value="inside-cabin">Inside Cabin</option> <option label="Ocenview Cabin" value="ocenview-cabin">Ocenview Cabin</option> <option label="Balcony Cabin" value="balcony-cabin">Balcony Cabin</option> <option label="Suite" value="suite">Suite</option> <option label="All Options for Group" value="all-options-for-group">All Options for Group</option> </field> <field type="radio-group" label="What is Your Deck Preference:" inline="true" name="what-is-your-deck-preference"> <option label="Lower Decks (1-5)" value="lower-decks-15">Lower Decks (1-5)</option> <option label="Mid-Decks (6-10)" value="middecks-610">Mid-Decks (6-10)</option> <option label="Upper Decks (10+)" value="upper-decks-10">Upper Decks (10+)</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="Ship Position Preference:" inline="true" name="ship-position-preference"> <option label="Foward" value="foward">Foward</option> <option label="Aft" value="aft">Aft</option> <option label="Mid" value="mid">Mid</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="Do You Need:" inline="true" name="do-you-need"> <option label="Adjoining Cabins" value="adjoining-cabins">Adjoining Cabins</option> <option label="Bunk Beds" value="bunk-beds">Bunk Beds</option> <option label="Cabins in Close Proximity" value="cabins-in-close-proximity">Cabins in Close Proximity</option> </field> <field type="radio-group" label="Dining Preference" inline="true" name="dining-preference"> <option label="Early Dining" value="early-dining">Early Dining</option> <option label="Late Dining" value="late-dining">Late Dining</option> <option label="Anytime Dining" value="anytime-dining">Anytime Dining</option> </field> <field type="radio-group" label="Beverage Plan" inline="true" name="radio-group-1523379276544"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Beverage Plan Type" inline="true" name="radio-group-1524537022960"> <option label="Alchohol" value="alchohol">Alchohol</option> <option label="Soda/Juice" value="sodajuice">Soda/Juice</option> </field> <field type="text" label="Are You Interested in Shore Excursions Provided by the Cruise Line?" name="are-you-interested-in-shore-excursions-provided-by-the-cruise-line" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Pre and/or Post Hotel Accomodations"/> <field type="radio-group" label="Do You Need Pre- and Post-Night Hotel Accommodations?" description="Will you be staying in a hotel the day before and after the cruise?" inline="true" name="pre-and-post-nights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true"> <option label="Select One" value="select-one">Select One</option> <option label="Economy" value="economy">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="text" label="Number of nights?" name="number-1545008858239" value="0" subtype="text" className="form-control"/> <field type="radio-group" label="Room Type" inline="true" name="room-type"> <option label="Standard" value="standard">Standard</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Ocean View/Front" value="ocean-viewfront">Ocean View/Front</option> <option label="Suite" value="suite">Suite</option> </field> <field type="text" label="Preferred Hotel&nbsp;" placeholder="Frequent Guest Rewards Program" name="preferred-hotel-" subtype="text" className="form-control"/> <field type="text" label="Number of rooms with King beds?" name="number-1545008931665" value="0" subtype="text" className="form-control"/> <field type="text" label="Number of rooms with two double beds?" name="number-1545009033198" value="0" subtype="text" className="form-control"/> <field type="text" label="Number of Suites?" name="number-1545009065670" value="0" subtype="text" className="form-control"/> <field type="checkbox-group" label="Features" description="Check all that apply" inline="true" name="checkbox-group-1523380534070" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Concierge Level" value="concierge-level">Concierge Level</option> <option label="Suite/Jr. Suite" value="suitejr-suite">Suite/Jr. Suite</option> <option label="On the Beach" value="on-the-beach">On the Beach</option> <option label="Near City Center" value="near-city-center">Near City Center</option> <option label="Kids Club" value="kids-club">Kids Club</option> <option label="Near Air/Cruise Port" value="near-aircruise-port">Near Air/Cruise Port</option> <option label="Luxury Resort" value="luxury-resort">Luxury Resort</option> <option label="Activities On-Site" value="activities-onsite">Activities On-Site</option> <option label="Restaurant On-Site" value="restaurant-onsite">Restaurant On-Site</option> <option label="Microwave in room" value="microwave-in-room">Microwave in room</option> <option label="Refrigerator in room" value="refrigerator-in-room">Refrigerator in room</option> <option label="Kitchenette" value="kitchenette">Kitchenette</option> <option label="Handicap Accessible" value="handicap-accessible">Handicap Accessible</option> <option label="First Floor" value="first-floor">First Floor</option> <option label="Handicap Accessible" value="handicap-accessible">Handicap Accessible</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." inline="true" name="vibe-preference" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <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"/> <field type="header" subtype="h1" label="Other Information&nbsp;"/> <field type="textarea" label="What if any ADA or special needs do you have?" description="ex. wheelchair oxygen etc." name="is-there-anything-else-that-you-want-me-to-know" className="form-control"/> <field type="radio-group" required="true" label="Would you like to receive promotional and informational emails from Travel in Tranquility?" inline="true" name="radio-group-1727297045908"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="radio-group" required="true" label="Travel insurance is highly recommended for the protection of your investment. Travel insurance must be paid in full at the time of booking. If you Do Not wish to purchase travel insurance please click no below. By clicking no below you fully understand that your travel agent is not liable or responsible for any expense incurred as a result of cancellation &amp; interruption, emergency medical/transportation,&nbsp; baggage &amp; personal effects, flight &amp; travel accident, and/or rental car physical damage.&nbsp;&nbsp;" name="travel-insurance-must-be-paid-in-full-at-the-time-of-booking-if-you-do-not-wish-to-purchase-travel-insurance-please-initial-below-by-clicking-no-below-you-fully-understand-that-your-travel-agent-is-not-liable-or-responsible-for-any-expense-incurred-as-a-result-of-cancellation-interruption-emergency-medicaltransportation-baggage-personal-effects-flight-travel-accident-andor-rental-car-physical-damage-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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