Share your information with Richard P. Hardie II - CTA, CCC, CATA

Richard P. Hardie II - CTA, CCC, CATA | Professional Travel Consultant

R. P. HARDIE CRUISE & TRAVEL™

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		<field type="header" subtype="h1" label="WELCOME TO YOUR DREAM CRUISE!"/>&#13;
		<field type="paragraph" subtype="p" label="R. P. Hardie Cruise &amp;amp; Travel LLC provides custom travel planning services to select residents of U. S. states. Please select your state of residence below to determine your eligibility. If you are a resident of a state that has been exempted from eligibility, you will see a state-specific Seller of Travel (SOT) notice appear below the State of Residence question."/>&#13;
		<field type="select" required="true" label="State of Residence:" name="select-1785152100738" className="form-control">&#13;
			<option label="Alabama" value="alabama">Alabama</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Arizona" value="arizona">Arizona</option>&#13;
			<option label="Arkansas" value="arkansas">Arkansas</option>&#13;
			<option label="California" value="california">California</option>&#13;
			<option label="Colorado" value="colorado">Colorado</option>&#13;
			<option label="Connecticut" value="connecticut">Connecticut</option>&#13;
			<option label="Delaware" value="delaware">Delaware</option>&#13;
			<option label="Florida" value="florida">Florida</option>&#13;
			<option label="Georgia" value="georgia">Georgia</option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Idaho" value="idaho">Idaho</option>&#13;
			<option label="Illinois" value="illinois">Illinois</option>&#13;
			<option label="Indiana" value="indiana">Indiana</option>&#13;
			<option label="Iowa" value="iowa">Iowa</option>&#13;
			<option label="Kansas" value="kansas">Kansas</option>&#13;
			<option label="Kentucky" value="kentucky">Kentucky</option>&#13;
			<option label="Louisiana" value="louisiana">Louisiana</option>&#13;
			<option label="Maine" value="maine">Maine</option>&#13;
			<option label="Maryland" value="maryland">Maryland</option>&#13;
			<option label="Massachusetts" value="massachusetts">Massachusetts</option>&#13;
			<option label="Michigan" value="michigan">Michigan</option>&#13;
			<option label="Minnesota" value="minnesota">Minnesota</option>&#13;
			<option label="Mississippi" value="mississippi">Mississippi</option>&#13;
			<option label="Missouri" value="missouri">Missouri</option>&#13;
			<option label="Montana" value="montana">Montana</option>&#13;
			<option label="Nebraska" value="nebraska">Nebraska</option>&#13;
			<option label="Nevada" value="nevada">Nevada</option>&#13;
			<option label="New Hampshire" value="new-hampshire">New Hampshire</option>&#13;
			<option label="New Jersey" value="new-jersey">New Jersey</option>&#13;
			<option label="New Mexico" value="new-mexico">New Mexico</option>&#13;
			<option label="New York" value="new-york">New York</option>&#13;
			<option label="North Carolina" value="north-carolina">North Carolina</option>&#13;
			<option label="North Dakota" value="north-dakota">North Dakota</option>&#13;
			<option label="Ohio" value="ohio">Ohio</option>&#13;
			<option label="Oklahoma" value="oklahoma">Oklahoma</option>&#13;
			<option label="Oregon" value="oregon">Oregon</option>&#13;
			<option label="Pennsylvania" value="pennsylvania">Pennsylvania</option>&#13;
			<option label="Rhode Island" value="rhode-island">Rhode Island</option>&#13;
			<option label="South Carolina" value="south-carolina">South Carolina</option>&#13;
			<option label="South Dakota" value="south-dakota">South Dakota</option>&#13;
			<option label="Tennessee" value="tennessee">Tennessee</option>&#13;
			<option label="Texas" value="texas">Texas</option>&#13;
			<option label="Utah" value="utah">Utah</option>&#13;
			<option label="Vermont" value="vermont">Vermont</option>&#13;
			<option label="Virginia" value="virginia">Virginia</option>&#13;
			<option label="Washington" value="washington">Washington</option>&#13;
			<option label="West Virginia" value="west-virginia">West Virginia</option>&#13;
			<option label="Wisconsin" value="wisconsin">Wisconsin</option>&#13;
			<option label="Wyoming" value="wyoming">Wyoming</option>&#13;
		</field>&#13;
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		<field type="paragraph" subtype="p" label="SOT NOTICE (FL):&amp;nbsp; Due to Seller of Travel regulatory restrictions in your state, R.P. Hardie Cruise &amp;amp; Travel LLC is currently unable to accept new travel inquiries or process bookings for residents of [Florida / Hawaii]. We apologize for the inconvenience."/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1785192429609" rule="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"/>&#13;
		<field type="paragraph" subtype="p" label="SOT NOTICE (HI):&amp;nbsp; Due to Seller of Travel regulatory restrictions in your state, R.P. Hardie Cruise &amp;amp; Travel LLC is currently unable to accept new travel inquiries or process bookings for residents of [Florida / Hawaii]. We apologize for the inconvenience." className="field-hidden"/>&#13;
		<field type="pageBreak" name="pageBreak-1777231967665" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred Communication Method(s): SELECT ONLY ONE OPTION!" inline="true" name="preferred-communication-methods">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Video Consult" value="video-consult">Video Consult</option>&#13;
			<option label="Text/SMS" value="textsms">Text/SMS</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1777232032003" rule="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"/>&#13;
		<field type="paragraph" subtype="p" label="PHONE: Please copy and paste this link: https://scheduler.zoom.us/richard-hardie/intros-discovery into your browser to schedule your phone consultation through my ZOOM scheduler. You will receive the assigned number to call for your scheduled appointment upon completion of your scheduling an appointment." className="field-hidden"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1777236734601" rule="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"/>&#13;
		<field type="paragraph" subtype="p" label="VIDEO: Please copy and paste this link: https://scheduler.zoom.us/richard-hardie/initial-discovery-review-video-consult into your browser to schedule your one-to-one video consultation. Upon receipt of your request, you will be notified via email with the details of your appointment.&amp;nbsp; Please be advised that I use ZOOM as my video consultation platform and you are not required to download the ZOOM app or platform to use it.&amp;nbsp;" className="field-hidden"/>&#13;
		<field type="header" subtype="h3" label="Trip Overview &amp;amp; Purpose"/>&#13;
		<field type="select" label="What type of Cruise experience are you envisioning?" description="You can select more than one option to create a unique experience if desired." name="what-type-of-cruise-experience-are-you-envisioning" multiple="multiple" className="form-control">&#13;
			<option label="Personal/Couple" value="personalcouple">Personal/Couple</option>&#13;
			<option label="Family Cruise" value="family-cruise">Family Cruise</option>&#13;
			<option label="Family Group Cruise" value="family-group-cruise">Family Group Cruise</option>&#13;
			<option label="Friends Group Cruise" value="friends-group-cruise">Friends Group Cruise</option>&#13;
			<option label="Private Group Cruise" value="private-group-cruise">Private Group Cruise</option>&#13;
			<option label="Accompanied Group Cruise" value="accompanied-group-cruise">Accompanied Group Cruise</option>&#13;
			<option label="Cruise Tour (Sea &amp; Land)" value="cruise-tour-sea-land">Cruise Tour (Sea &amp; Land)</option>&#13;
		</field>&#13;
		<field type="text" label="Primary Purpose / Inspiration:" description="e.g.: Honeymoon  Family Reunion  Adventure  etc...." name="primary-purpose-inspiration" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Dates &amp;amp; Flexibility"/>&#13;
		<field type="date" label="Preferred Departure Date:" description="If you have a preferred date  please select it here. If your dates are flexible  you can let me know later and we will discuss it during our conversation." name="preferred-departure-date" className="form-control"/>&#13;
		<field type="date" label="Preferred Return Date:" description="This date will be flexible based on your final trip details and any flexibility that you have identified." name="preferred-return-date" className="form-control"/>&#13;
		<field type="radio-group" label="How flexible are your dates?" inline="true" name="how-flexible-are-your-dates">&#13;
			<option label="Not Flexible" value="not-flexible">Not Flexible</option>&#13;
			<option label="Somewhat Flexible" value="somewhat-flexible">Somewhat Flexible</option>&#13;
			<option label="Very Flexible" value="very-flexible">Very Flexible</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Travel Party Details"/>&#13;
		<field type="text" label="Number of Adults:" description="This includes travelers who will be 17 years of age at time of departure." name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number &amp;amp; Ages of Children (if any):" description="e.g.: 2 (ages 2 and 10)  etc. Birthdates will be required later on as part of the official traveler profile process and are required by all travel suppliers." name="number-ages-of-children-if-any" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Anything unique about your travel party/group that I should know?" description="e.g.: traveling with friends  separate budgets  private trip experiences and options (groups only)  etc." name="anything-unique-about-your-travel-partygroup-that-i-should-know" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Previous Travel Experiences"/>&#13;
		<field type="textarea" label="What are your favorite past destinations or styles of travel?" description="e.g.: loved the Mediterranean cruise  a big fan of the cruise tour lodges  loved the suite experience  etc." name="what-are-your-favorite-past-destinations-or-styles-of-travel" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1777231992522" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h3" label="Travel Style &amp;amp; Preferences"/>&#13;
		<field type="checkbox-group" label="How would you describe your travel style?" description="You can select multiple options." inline="true" name="how-would-you-describe-your-travel-style" other="true">&#13;
			<option label="Relaxation &amp; Leisure" value="relaxation-leisure">Relaxation &amp; Leisure</option>&#13;
			<option label="Adventure &amp; Exploration" value="adventure-exploration">Adventure &amp; Exploration</option>&#13;
			<option label="Cultural &amp; Historical" value="cultural-historical">Cultural &amp; Historical</option>&#13;
			<option label="Luxury &amp; Upscale" value="luxury-upscale">Luxury &amp; Upscale</option>&#13;
			<option label="Budget Friendly" value="budget-friendly">Budget Friendly</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Cruise Stateroom Type(s):" description="If you want to discuss more than one  select the ones that you want to be considered for you." inline="true" name="preferred-cruise-stateroom-types">&#13;
			<option label="Interior Stateroom" value="interior-stateroom">Interior Stateroom</option>&#13;
			<option label="Oceanview Stateroom" value="oceanview-stateroom">Oceanview Stateroom</option>&#13;
			<option label="Balcony Stateroom" value="balcony-stateroom">Balcony Stateroom</option>&#13;
			<option label="Deluxe Balcony Stateroom" value="deluxe-balcony-stateroom">Deluxe Balcony Stateroom</option>&#13;
			<option label="Mini-Suite" value="minisuite">Mini-Suite</option>&#13;
			<option label="Standard Suite" value="standard-suite">Standard Suite</option>&#13;
			<option label="Deluxe Suite" value="deluxe-suite">Deluxe Suite</option>&#13;
			<option label="Premium Suite" value="premium-suite">Premium Suite</option>&#13;
			<option label="Luxury Suite" value="luxury-suite">Luxury Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What are your &quot;must do&quot; or &quot;must see&quot; activities or interests?" description="If you really have some must do or must see requirements  let me know so we can get it included at the beginning." inline="true" name="what-are-your-must-do-or-must-see-activities-or-interests" other="true">&#13;
			<option label="Outdoor Adventures" value="outdoor-adventures">Outdoor Adventures</option>&#13;
			<option label="Museums &amp; Cultural Activities" value="museums-cultural-activities">Museums &amp; Cultural Activities</option>&#13;
			<option label="Beach Access" value="beach-access">Beach Access</option>&#13;
			<option label="Food &amp; Wine Experiences" value="food-wine-experiences">Food &amp; Wine Experiences</option>&#13;
			<option label="Family Friendly Experiences" value="family-friendly-experiences">Family Friendly Experiences</option>&#13;
			<option label="Nightlife &amp; Entertainment" value="nightlife-entertainment">Nightlife &amp; Entertainment</option>&#13;
			<option label="Casual Site-Seeing" value="casual-siteseeing">Casual Site-Seeing</option>&#13;
			<option label="Unique Regional Experiences" value="unique-regional-experiences">Unique Regional Experiences</option>&#13;
			<option label="Spa Services &amp; Treatments" value="spa-services-treatments">Spa Services &amp; Treatments</option>&#13;
		</field>&#13;
		<field type="textarea" label="Forget about budget for a moment. When you imagine this trip being absolutely perfect, what does that feel like to you? Tell me your story." description="(e.g.  &#39;total relaxation &#39; &#39;effortless adventure &#39; &#39;intellectually stimulating &#39; &#39;seamless family time&#39;)" name="forget-about-budget-for-a-moment-when-you-imagine-this-trip-being-absolutely-perfect-what-does-that-feel-like-to-you-tell-me-your-story" className="form-control"/>&#13;
		<field type="checkbox-group" label="Preferred Payment Method(s)?" description="You can select more than one option for consideration and discussion." inline="true" name="preferred-payment-methods" other="true">&#13;
			<option label="Pay In Full" value="pay-in-full">Pay In Full</option>&#13;
			<option label="Installments / Payment Plan" value="installments-payment-plan">Installments / Payment Plan</option>&#13;
			<option label="Travel Financing" value="travel-financing">Travel Financing</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Special Requirements"/>&#13;
		<field type="text" label="Dietary Restrictions and Preferences:" description="e.g.: vegetarian  gluten-free  no shellfish  etc." name="dietary-restrictions-and-preferences" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Accessibility / Mobility Needs:" description="e.g.: wheelchair access  step-free environment  mobility device rental  etc." name="accessibility-mobility-needs" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Travel Insurance" description="Travel insurance/travel protection is not mandatory  but we do highly recommend that you consider a policy to protect yourself  and your investment  should your trip be cancelled or if something happens during travel. You will be required to complete a Travel Insurance Declaration later in the process  as required by law." inline="true" name="travel-insurance">&#13;
			<option label="I have / will secure my own coverage" value="i-have-will-secure-my-own-coverage">I have / will secure my own coverage</option>&#13;
			<option label="I am interested in learning more" value="i-am-interested-in-learning-more">I am interested in learning more</option>&#13;
			<option label="I decline coverage" value="i-decline-coverage">I decline coverage</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1777232010085" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h3" label="Collaboration &amp;amp; Service Preferences"/>&#13;
		<field type="radio-group" label="I offer two ways to plan: a Digital-First approach or Full-Service (phone/video consults. Which best fits your style?" name="i-offer-two-ways-to-plan-a-digitalfirst-approach-or-fullservice-phonevideo-consults-which-best-fits-your-style">&#13;
			<option label="Digital-First (email, text, or online form(s) only)" value="digitalfirst-email-text-or-online-forms-only">Digital-First (email, text, or online form(s) only)</option>&#13;
			<option label="Full-Service (Digital-First plus phone calls, video consults)" value="fullservice-digitalfirst-plus-phone-calls-video-consults">Full-Service (Digital-First plus phone calls, video consults)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Preferred Frequency of Updates" inline="true" name="preferred-frequency-of-updates">&#13;
			<option label="Weekly" value="weekly">Weekly</option>&#13;
			<option label="As Needed" value="as-needed">As Needed</option>&#13;
			<option label="Major Milestones Only" value="major-milestones-only">Major Milestones Only</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any communication quirks or preferences?" description="Tell me anything that will help me serve you better." name="any-communication-quirks-or-preferences" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Your Travel Story"/>&#13;
		<field type="textarea" label="Feel free to share any personal background, goals, or wishes that might help me design your ideal trip." description="Write as much or as little as you&#39;d like." name="feel-free-to-share-any-personal-background-goals-or-wishes-that-might-help-me-design-your-ideal-trip" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Final Thoughts"/>&#13;
		<field type="textarea" label="Anything else you&#39;d like me to know?" name="anything-else-youd-like-me-to-know" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to complete this form! Once you submit your information, I&#39;ll review your responses and information and will be in touch with you within a few business days with personalized recommendations or next steps information."/>&#13;
		<field type="checkbox-group" required="true" label="My Commitment to Quality" description="If you agree to the below statement and wish to actively work with a professional travel consultant  select the checkbox and submit your inquiry." name="my-commitment-to-quality">&#13;
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My signature below is acknowledgement that I have read and understand the Full Version of the Terms & Conditions of R. P. Hardie Cruise & Travel™ and that I confirm that I will comply with their contents to include all additional agency policies regarding privacy and accessibility as presented on the agency website at: https://www.rphardiecruisetravelllc.com/terms-conditions.

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