<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Questions about you!"/> <field type="header" subtype="h2" label="Primary Traveler Name"/> <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="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Passport Info"/> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Cruise Preferences"/> <field type="select" label="Preferred Airline" name="preferred-airline" className="form-control"> <option label="" value=""/> <option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option> <option label="Delta Airlines" value="delta-airlines">Delta Airlines</option> <option label="Spirit" value="spirit">Spirit</option> <option label="United Airlines" value="united-airlines">United Airlines</option> <option label="American Airlines" value="american-airlines">American Airlines</option> <option label="Other" value="other">Other</option> </field> <field type="text" required="true" label="What is your departure city?" description="Provide airport code (ex. DCA BWI etc.)" name="departure-city" subtype="text" className="form-control"/> <field type="select" required="true" label="Where would you like to cruise?" name="where-would-you-like-to-cruise" className="form-control"> <option label="Cuba" value="Cuba">Cuba</option> <option label="Alaska" value="Alaska">Alaska</option> <option label="Europe" value="Europe">Europe</option> <option label="Asia" value="Asia">Asia</option> <option label="South Pacific" value="South Pacific">South Pacific</option> <option label="Western Caribbean " value="Western Caribbean ">Western Caribbean </option> <option label="Southern Caribbean " value="Southern Caribbean ">Southern Caribbean </option> <option label="Eastern Caribbean " value="Eastern Caribbean">Eastern Caribbean </option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="Check the months that you ARE available to cruise" description="If you know the exact dates you'd like to cruise enter it in other." inline="true" name="check-the-months-that-you-are-available-to-cruise"> <option label="January" value="january">January</option> <option label="February" value="february">February</option> <option label="March" value="march">March</option> <option label="April" value="april">April</option> <option label="May" value="may">May</option> <option label="June" value="june">June</option> <option label="July" value="july">July</option> <option label="August" value="august">August</option> <option label="September" value="september">September</option> <option label="October" value="october">October</option> <option label="November" value="november">November</option> <option label="December" value="december">December</option> </field> <field type="radio-group" required="true" label="How long would you like to cruise?" name="how-long-would-you-like-to-cruise"> <option label="3-5 days" value="35-days">3-5 days</option> <option label="5-7 days" value="57-days">5-7 days</option> <option label="7+ days" value="7-days">7+ days</option> </field> <field type="radio-group" required="true" label="How much are you willing to invest in this experience (per person)?" description="This just gives me a general starting point and can always be changed later." name="how-much-are-you-willing-to-invest-in-this-experience"> <option label="$1,500 - $2,500" value="$1,500 - $2,500">$1,500 - $2,500</option> <option label="$2,501 - $3,500" value="$2,501 - $3,500">$2,501 - $3,500</option> <option label="$3,501 - $4,500" value="$3,501 - $4,500">$3,501 - $4,500</option> <option label="$4,501 - $6,500" value="$4,501 - $6,500">$4,501 - $6,500</option> <option label="$6,501+" value="$6,501+">$6,501+</option> </field> <field type="checkbox-group" required="true" label="What can we include in the pricing to make your group extra special? (Highly recommended)" name="what-can-we-include-in-the-pricing-to-make-your-group-extra-special-highly-recommended"> <option label="Onboard Credits" value="Onboard Credits">Onboard Credits</option> <option label="Beverage Pricing" value="Beverage Pricing">Beverage Pricing</option> <option label="Tours/Excursions" value="toursexcursions">Tours/Excursions</option> <option label="Pre or Post Hotel Stays" value="Pre or Post Hotel Stays">Pre or Post Hotel Stays</option> <option label="Roundtrip Transfers" value="Roundtrip Transfers">Roundtrip Transfers</option> <option label="Shared or Private Cocktail Hour" value="Shared or Private Cocktail Hour">Shared or Private Cocktail Hour</option> <option label="In-cabin amenities" value="In-cabin amenities">In-cabin amenities</option> <option label="Specialty Dining" value="Specialty Dining">Specialty Dining</option> <option label="Group Air" value="Group Air">Group Air</option> <option label="Fundraise for a cause" value="Fundraise for a cause">Fundraise for a cause</option> </field> <field type="select" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book" className="form-control"> <option label="Immediately" value="immediately">Immediately</option> <option label="Within the next week" value="within-the-next-week">Within the next week</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Within the next two - three months" value="within-the-next-two-three-months">Within the next two - three months</option> <option label="In more than three months" value="in-more-than-three-months">In more than three months</option> </field> <field type="checkbox-group" label="Cabin Location Preference" name="cabin-location-preference"> <option label="Front of ship" value="front-of-ship">Front of ship</option> <option label="Mid ship" value="mid-ship">Mid ship</option> <option label="Back of ship" value="back-of-ship">Back of ship</option> </field> <field type="radio-group" label="Stateroom Type Preference" description="What type of cabin do you like to cruise in?" name="cruise-cabin-preference"> <option label="Interior or Inside" value="interior-or-inside">Interior or Inside</option> <option label="Outside or Oceanview" value="outside-or-oceanview">Outside or Oceanview</option> <option label="Balcony or Verandah" value="balcony-or-verandah">Balcony or Verandah</option> <option label="Suite" value="suite">Suite</option> </field> <field type="select" label="Have you ever cruised before?" description="If you have please enter which cruise line" name="have-you-sailed-with-carnival-before" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="other" value="other">other</option> </field> <field type="checkbox-group" label="If so, which line?" description="Select all that apply" name="if-so-which-line"> <option label="Carnival Cruise Line" value="Carnival Cruise Line">Carnival Cruise Line</option> <option label="Royal Caribbean Cruise Line" value="Royal Caribbean Cruise Line">Royal Caribbean Cruise Line</option> <option label="Norwegian Cruise Line" value="Norwegian Cruise Line">Norwegian Cruise Line</option> <option label="MSC Cruise Line" value="MSC Cruise Line">MSC Cruise Line</option> <option label="Celebrity Cruises " value="Celebrity Cruises ">Celebrity Cruises </option> <option label="Disney Cruise Line" value="Disney Cruise Line">Disney Cruise Line</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Group Cruise Preferences"/> <field type="text" label="What is most important for your group to do on this vacation?" name="what-is-most-important-to-you-to-do-on-this-vacation" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many other passengers on this cruise do you anticipate traveling with you?" description="How many people do you think can put down a $50 deposit per person?" inline="true" name="will-other-passengers-will-join-you" other="true"> <option label="16-32 people" value="16-32 people">16-32 people</option> <option label="33-64 people" value="33-64 people">33-64 people</option> <option label="65-128 people" value="65-128 people">65-128 people</option> <option label=">129 people" value=">129 people">>129 people</option> </field> <field type="textarea" label="Does your group have any dietary needs or special restrictions?" name="do-you-have-any-dietary-needs-or-special-restrictions" className="form-control"/> <field type="textarea" label="Do you have any concerns about traveling?" name="do-you-have-any-concerns-about-traveling" rows="2" className="form-control"/> <field type="checkbox-group" label="Do you or anyone in your party fit the following?" description="Select all that apply" name="do-you-or-anyone-in-your-party-fit-the-following"> <option label="Senior 55+" value="senior-55">Senior 55+</option> <option label="Active or retired military" value="active-or-retired-military">Active or retired military</option> </field> <field type="text" label="Is there anything else you'd like for me to know?" name="is-there-anything-else-youd-like-for-me-to-know" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Group Leader"/> <field type="paragraph" subtype="p" label="The group leader will be the primary decision-maker and key representative for your group.&nbsp;"/> <field type="paragraph" subtype="p" label="Some of the responsibilities that come with being a group leader include sharing the amazing group package with friends and family, and showing others how much fun your event will be.&nbsp;"/> <field type="select" required="true" label="Are you interested in being the group leader?" description="If not please leave the name and contact information of the person who will be the group leader" name="are-you-interested-in-being-the-group-leader" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="Another Person" value="Another Person">Another Person</option> <option label="" value=""/> </field> <field type="paragraph" subtype="p" label="If you are not interested in being the group leader, please leave the name and contact information of the person who will be the group leader."/> <field type="text" label="Group Leader Name" name="group-leader-name" subtype="text" className="form-control"/> <field type="text" subtype="tel" label="Group Leader Phone Number" name="group-leader-phone-number" className="form-control"/> <field type="text" subtype="email" label="Group Leader Email" name="group-leader-email" className="form-control"/> <field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundles rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and create a seamless holistic approach to your travel plans. Do you agree and understand that your proposal will come as one packaged rate and itemized pricing will not be available?&nbsp;" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundles-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-create-a-seamless-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-will-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available-"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> <field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email or scheduled phone calls. This approach provides you with the best level of service while ensuring that no important information is overlooked. We strongly discourage questions or change requests via text message in order to maintain accuracy and clarity during the trip planning phase. In advance of the departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts will still be available to you for any in-travel emergencies that arise.&nbsp;" name="please-understand-that-while-planning-your-trip-we-will-primarily-be-in-contact-via-email-or-scheduled-phone-calls-this-approach-provides-you-with-the-best-level-of-service-while-ensuring-that-no-important-information-is-overlooked-we-strongly-discourage-questions-or-change-requests-via-text-message-in-order-to-maintain-accuracy-and-clarity-during-the-trip-planning-phase-in-advance-of-the-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-will-still-be-available-to-you-for-any-intravel-emergencies-that-arise-"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> <field type="checkbox-group" required="true" label="Please be aware that there will be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we will discuss your travel goals and provide you with a detailed understanding of any associated fees based on the unique aspects and complexities of your trip request." name="please-be-aware-that-there-will-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-we-will-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-on-the-unique-aspects-and-complexities-of-your-trip-request"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> </fields> </form-template> </body> </html>
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