<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Explora Cruise Request Form and Travel Preferences"/> <field type="paragraph" subtype="p" label="Welcome to our Explora II Journey sign-up form! By submitting this form we will reserve your requested suite category and you will be added to our Curated Travel cruise group. When you are ready to make your deposit, we will send you a secure link to collect your credit card details for payment. You have until January 16, 2025, to make the deposit. Please note, once we receive your credit card details and make your deposit (25% of your total fare) we will be able to choose your specific suite. For best selection consider making your deposit soon. Final payment is due by June 24, 2025. Bon Voyage!"/> <field type="header" subtype="h1" label="Passenger Information"/> <field type="text" required="true" label="First name (Passenger 1) Same as Passport" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name (Passenger 1)" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name (Passenger 1)" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email (Passenger 1)" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number (Passenger 1)" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday (Passenger 1)" name="birthday" className="form-control"/> <field type="text" 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" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Passenger 2 (if applicable)"/> <field type="textarea" label="First/Middle/Last Name of passenger 2 (as on passport). Please include birthdate and email address" name="textarea-1726786700453" className="form-control"/> <field type="header" subtype="h2" label="Trip&nbsp; Preferences"/> <field type="radio-group" label="Type of Trip Planning Services I'm Looking For" description="From Curated Travel" name="type-of-trip-planning-services-im-looking-for" other="true"> <option label="The Explora Cruise Booking Only " value="the-explora-cruise-booking-only-">The Explora Cruise Booking Only </option> <option label="Full-Service Trip Planning Services (Itinerary/Hotels/Excursions/Transfers Pre/Post and Explora Cruise) " value="fullservice-trip-planning-services-itineraryhotelsexcursionstransfers-prepost-and-explora-cruise-">Full-Service Trip Planning Services (Itinerary/Hotels/Excursions/Transfers Pre/Post and Explora Cruise) </option> <option label="Business Class Flights and the Explora Cruise" value="business-class-flights-and-the-explora-cruise">Business Class Flights and the Explora Cruise</option> <option label="Hotel Pre or Post Only Plus the Explora Cruise" value="hotel-pre-or-post-only-plus-the-explora-cruise">Hotel Pre or Post Only Plus the Explora Cruise</option> <option label="I'll Make that Decision Later" value="ill-make-that-decision-later">I'll Make that Decision Later</option> </field> <field type="header" subtype="h1" label="Explora Cruise Preferences"/> <field type="radio-group" required="true" label="Number of&nbsp; Passengers?" inline="true" name="radio-group-1726783427365"> <option label="2 Passengers (Double Occupancy)" value="2-passengers-double-occupancy">2 Passengers (Double Occupancy)</option> <option label="1 Passenger (Single Occupancy - with single supplement - starting at $5,690)" value="1-passenger-single-occupancy-with-single-supplement-starting-at-5690">1 Passenger (Single Occupancy - with single supplement - starting at $5,690)</option> </field> <field type="radio-group" required="true" label="Type of Suite - All Suites/Penthouses are All-Inclusive including food/drinks/wifi/gratuities PLUS $250 per person onboard credit from Virtuoso/Cadence/Curated Travel. Excursions, spa treatments are not all-inclusive but onboard credit can be used.&nbsp;" inline="true" name="view-or-stateroom-cruises-preference" other="true"> <option label="Suite with Terrace (starting at $3,795 per person all-inclusive)" value="suite-with-terrace-starting-at-3795-per-person-allinclusive">Suite with Terrace (starting at $3,795 per person all-inclusive)</option> <option label="Penthouse with Terrace ($5,500 per person all-inclusive " value="penthouse-with-terrace-5500-per-person-allinclusive-">Penthouse with Terrace ($5,500 per person all-inclusive </option> <option label="Ocean Residences (I'd like more information)" value="ocean-residences-id-like-more-information">Ocean Residences (I'd like more information)</option> </field> <field type="radio-group" required="true" label="Bed Configuration Preference" inline="true" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Queens" value="2-queens">2 Queens</option> </field> <field type="checkbox-group" label="Are You Traveling for a Special Occasion?&nbsp;" inline="true" name="traveling-for-a-special-occasion-" other="true"> <option label="Milestone Birthday" value="milestone-birthday">Milestone Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon " value="honeymoon-">Honeymoon </option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="text" label="Meal preference (and list any food allergies or sensitivities) and List Any Physical Accommodations Needed" name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="If yes to pre-cruise or post-cruise trip planning - Where would you like to go?&nbsp;" description="Our cruise embarks from Barcelona and disembarks in Rome" placeholder="ex: Amalfi Coast and Barcelona" name="destination" subtype="text" className="form-control"/> <field type="date" 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" 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="header" subtype="h1" label="Flights (if applicable)"/> <field type="radio-group" label="Business Class Flights&nbsp;" name="flights"> <option label="I prefer to have Curated Travel/CADENCE book my business class flights " value="i-prefer-to-have-curated-travelcadence-book-my-business-class-flights-">I prefer to have Curated Travel/CADENCE book my business class flights </option> <option label="I will book my own flights (miles/economy class)" value="i-will-book-my-own-flights-mileseconomy-class">I will book my own flights (miles/economy class)</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="Flight Preferences (If Curated Travel books your flights)" inline="true" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> <option label="Business class " value="business-class-">Business class </option> <option label="Premium economy" value="premium-economy">Premium economy</option> </field> <field type="header" subtype="h1" label="Cancellation Policy for Explora Group Journeys"/> <field type="paragraph" subtype="p" label="The following administrative and cancellation fees are applied to reservations in case of cancellations: For Ocean Terrace Suites Ocean Grand Terrace Suites and Ocean Penthouses: If a Journey is canceled: — Up to 151 days before departure an administration fee** per person applies: USD $200 — From 150 to 91 days before departure: 25% of total Journey fare From 90 to 31 days before departure: 75% of total Journey fare 30 days or less before departure: 100% of total Journey fare For Ocean Residences: If a Journey is canceled: — Up to 201 days before departure an administration fee** per person applies: USD $400 From 200 to 151 days before departure: 25% of total Journey fare From 150 to 121 days before departure: 45% of total Journey fare From 120 to 91 days before departure: 65% of total Journey fare From 90 to 61 days before departure: 85% of total Journey fare 60 days or less before the departure: 100% of total Journey fare****Curated Travel and Explora highly recommend travel and cancellation insurance. Contact Curated Travel for more info."/> <field type="radio-group" label="Do You Plan to Purchase Travel Insurance from Curated Travel?&nbsp; (Must be purchased within 2 weeks of initial deposit for Pre-Existing Medical&nbsp; Condition coverage" name="do-you-plan-to-purchase-travel-insurance-from-curated-travel-"> <option label="Yes - Send me a quote " value="yes-send-me-a-quote-">Yes - Send me a quote </option> <option label="No" value="no">No</option> <option label="I Have Other Travel Insurance Coverage" value="i-have-other-travel-insurance-coverage">I Have Other Travel Insurance Coverage</option> </field> <field type="radio-group" label="How did you hear of Curated Travel?" inline="true" name="how-did-you-hear-of-curated-travel"> <option label="Client Referral " value="client-referral-">Client Referral </option> <option label="Curated Travel Website" value="curated-travel-website">Curated Travel Website</option> <option label="Social Media" value="social-media">Social Media</option> <option label="Virtuoso" value="virtuoso">Virtuoso</option> <option label="Other " value="other-">Other </option> </field> <field type="checkbox-group" label="Would you like to subscribe to the Curated Travel newsletter/blog?&nbsp;" toggle="true" inline="true" name="would-you-like-to-be-included-in-our-newsletterblog-list-"> <option label="Yes" value="yes">Yes</option> </field> <field type="paragraph" subtype="p" label="We are excited that you will be joining us on this fabulous Explora Journey! While we have reserved a block of suites for a group of friends/clients/travelers please know that our groups can be as independent as you want them to be. We promise to never hold a clipboard &amp; whistle like Julie from The Love Boat. That's not our style! :)&nbsp; Feel free to share the invitation. We are happy you will be journeying with us.&nbsp; &nbsp;Bon Voyage!&nbsp; Heather &amp; Scott&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;curatedtravel1@gmail.com&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> </fields> </form-template> </body> </html>
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