Share your information with Travel Advisor: Yvette Watson

Travel Advisor: Yvette Watson

A Heavenly Trip, Inc.

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		<field type="header" subtype="h2" label="Let&#39;s Start Planning!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for contacting A Heavenly Trip, Inc. to book your cruise booking! You are one step closer to achieving your dream vacation. To better plan your trip effectively this questionnaire is designed to help me create the perfect vacation package for you. So let&#39;s get started. Please take a few minutes to answer the questions below. Once we receive it, we will be in touch with you soon. I can&#39;t wait to get started! This form will&amp;nbsp; be used when booking your vacation. Make sure to review the spellings of Names, Date of Birth and Email addresses are correct to avoid any delays. If you are completing form individually be sure to notate roommate in the notes section."/>&#13;
		<field type="radio-group" required="true" label="Existing Client" inline="true" name="existing-client">&#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="Have you worked with a Travel Agent Before?&amp;nbsp;" inline="true" name="have-you-worked-with-a-travel-agent-before-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If you have worked with a Travel Agent Before, Who is the Company or Travel Agent?" name="if-you-have-worked-with-a-travel-agent-before-who-is-the-company-or-travel-agent" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How was you referred to A HeavenlyTrip, Inc." placeholder="If Family or Friend please specify name so we can thank them." name="how-was-you-referred-to-a-heavenlytrip-inc" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Cruise Registration Form"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" 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="header" subtype="h2" label="Mailing Address"/>&#13;
		<field type="text" 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" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" 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 type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cruise Date?"/>&#13;
		<field type="text" required="true" label="Which Travel Dates Are You Interested In?" name="which-travel-dates-are-you-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where Would You Like To Go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Number of Cabins?"/>&#13;
		<field type="text" required="true" label="How Many Cabins Will You Need?" name="how-many-cabins-will-you-need" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Number Of Passengers"/>&#13;
		<field type="text" required="true" label="How Many People Are Sharing The Cabin With You?" name="how-many-people-are-sharing-the-cabin-with-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Any Kids Cruising?"/>&#13;
		<field type="checkbox-group" label="Any Kids? If Yes, Please Enter Ages(s)" name="any-kids-if-yes-please-enter-agess">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many are Adults and Children in the same Cabin?&amp;nbsp;" placeholder="Example: Cabin 1-2 Adults and 2 Children" name="how-many-are-adults-and-children-in-the-same-cabin-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cabin Preferences:"/>&#13;
		<field type="checkbox-group" required="true" label="Cabin Type:" inline="true" name="cabin-type">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option>&#13;
			<option label="Accessible Cabin(Wheel-Chair)" value="accessible-cabinwheelchair">Accessible Cabin(Wheel-Chair)</option>&#13;
			<option label="Near Elevator" value="near-elevator">Near Elevator</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Ship Location"/>&#13;
		<field type="text" required="true" label="Preferred Location of Room:" name="preferred-location-of-room" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Deck Preference:"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred Location of Cabin:" name="preferred-location-of-cabin">&#13;
			<option label="Deck:2-4" value="deck24">Deck:2-4</option>&#13;
			<option label="Deck:4-6" value="deck46">Deck:4-6</option>&#13;
			<option label="Deck:6-8" value="deck68">Deck:6-8</option>&#13;
			<option label="Deck:9-Above" value="deck9above">Deck:9-Above</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Insurance:"/>&#13;
		<field type="checkbox-group" required="true" label="Would You Like To Purchase Travel Insurance:" name="would-you-like-to-purchase-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Pre-Paid Gratuities:"/>&#13;
		<field type="checkbox-group" required="true" label="Would You Like To Pre-Pay Your Gratuities/Service Fees Upfront?" name="would-you-like-to-prepay-your-gratuitiesservice-fees-upfront">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
			<option label="No: Wil Pay On The Ship At Checkout" value="no-wil-pay-on-the-ship-at-checkout">No: Wil Pay On The Ship At Checkout</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cruise Preferences:"/>&#13;
		<field type="radio-group" required="true" label="Choose A Cruise Line" inline="true" name="choose-a-cruise-line">&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Celebrity Cruise" value="celebrity-cruise">Celebrity Cruise</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="MSC Cruise Line" value="msc-cruise-line">MSC Cruise Line</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Princess Cruise Line" value="princess-cruise-line">Princess Cruise Line</option>&#13;
			<option label="Royal Caribbean Cruise Line" value="royal-caribbean-cruise-line">Royal Caribbean Cruise Line</option>&#13;
			<option label="Virgin Voyages Cruise Line" value="virgin-voyages-cruise-line">Virgin Voyages Cruise Line</option>&#13;
		</field>&#13;
		<field type="text" label="Cruise VIFP Number" name="cruise-vifp-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel budget per person" name="travel-budget-per-person" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" required="true" label="Place of Birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary Traveler Address:" name="primary-traveler-address" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="2nd Traveler Contact Details:"/>&#13;
		<field type="text" label="Street Address" name="street-address" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Are You Celebrating A Special Occasion?"/>&#13;
		<field type="checkbox-group" required="true" label="Special Occasion Date?" name="special-occasion-date">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Bachelor/Bachelorette Trip" value="bachelorbachelorette-trip">Bachelor/Bachelorette Trip</option>&#13;
			<option label="BabyMoon" value="babymoon">BabyMoon</option>&#13;
			<option label="No, Just Wanna Get Away" value="no-just-wanna-get-away">No, Just Wanna Get Away</option>&#13;
		</field>&#13;
		<field type="date" label="Date Of Event?" name="date-of-event" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Payment Options:"/>&#13;
		<field type="text" label="ROOMMATE (if applicable)-If you are registering separate from your roommate, please provide the name and DOB of your roommate here:" name="roommate-if-applicableif-you-are-registering-separate-from-your-roommate-please-provide-the-name-and-dob-of-your-roommate-here" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="If we find exactly what you are looking for, within budget, are you ready to secure the booking with a deposit?" name="if-we-find-exactly-what-you-are-looking-for-within-budget-are-you-ready-to-secure-the-booking-with-a-deposit">&#13;
			<option label="Pay in full today" value="pay-in-full-today" selected="selected">Pay in full today</option>&#13;
			<option label="Today with a deposit" value="today-with-a-deposit">Today with a deposit</option>&#13;
			<option label="In a week with a deposit" value="in-a-week-with-a-deposit">In a week with a deposit</option>&#13;
			<option label="In 2 weeks with a deposit" value="in-2-weeks-with-a-deposit">In 2 weeks with a deposit</option>&#13;
			<option label="In the 30 days with a deposit" value="in-the-30-days-with-a-deposit">In the 30 days with a deposit</option>&#13;
			<option label="Just seeking information for planning purposes" value="just-seeking-information-for-planning-purposes">Just seeking information for planning purposes</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Thank you for filling out your form for A Heavenly Trip, Inc."/>&#13;
	</fields>&#13;
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Terms & Conditions

Payments and Travel Insurance:

By submitting you authorize A Heavenly Trip, Inc. or its chosen Tour Operator, Suppliers to charge the credit card or bank account indicated on this invoice for the noted amount on today's date. I understand that all payments to A Heavenly Trip, Inc. and their chosen tour Operator/Supplier are Non Refundable. I further acknowledge that I have been advised to purchase travel insurance to protect my investment.

I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company. I consent to being legally bound by these agreement terms indicated on this invoice. Terms & Conditions Deposit is NON-REFUNDABLE and is required at the time of booking. As we have to adhere to this group contractual agreement with the Resort/Hotel, the FULL COST of this trip is NON-REFUNDABLE. By paying a deposit, you are agreeing to the terms and conditions of this proposed trip.

TRAVEL INSURANCE PROTECTION:

A Heavenly Trip, Inc. does not sell travel insurance, however, we highly recommend the purchase of insurance to protect your financial investment by purchasing insurance from a 3rd party company. It’s essential to buy travel insurance when traveling overseas.

We highly recommend you to purchase travel insurance as soon as your deposit is paid in the event you wish to cancel your trip for any reason. Failure to purchase travel insurance, A Heavenly Trip, Inc. will not be held liable for any Cancellation / Refunds Or Inconvenience that may occur.
I understand that all payments to A Heavenly Trip, Inc. are Non-Refundable and Non-Transferrable. I further acknowledge that I have been advised to purchase travel insurance to protect my travel investment.

"A Heavenly Trip, Inc. IS ALSO KNOWN AS AHT AND ITS INDEPENDENT AGENTS"

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