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<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Travel Interest Inquiry Form"/> <field type="paragraph" subtype="p" label="Thank you for your interest in R. P. HARDIE CRUISE &amp; TRAVEL LLC to help you with your special travel needs. We look forward to the relationship that we are going to forge while we collaborate on your special vacation and want to ensure that you and your travel desires are our first priority. We are not obligated to sell the products of specific suppliers nor are we driven to sell based on high priced packages that may offer agency incentives. This allows us to deliver a vacation experience that is tailored to YOU and YOUR needs, and delivers high-value, magical experiences, to you and your travel party. Being as we do not work based on sales goals and supplier incentives, we do charge for our services and the support and guidance that we bring to your vacation. You benefit from our vast knowledge of destinations, travel styles, suppliers, personal travel experiences, and our industry certifications and credentials, not to mention, our deep relationships with the top suppliers and providers of travel services in each category of the travel world.&nbsp; Each travel experience is as unique as the travelers themselves, so there is no "one size fits all" program. Your specific travel planning services, and the associated service charges, will be explained to you in detail during our personal consultation.&nbsp;"/> <field type="header" subtype="h3" label="Welcome"/> <field type="paragraph" subtype="p" label="To help us better understand what you are thinking about for your vacation, please provide as much information as possible in the sections below. You need only provide responses for those travel items that are of interest to you so there is no need to complete them all (unless you are looking to plan for more than one vacation).&nbsp; Please understand that the art of planning and creating a truly magical personalized vacation experience, is a multi-step process and is not a simple "point and click" experience that you would get should you book yourself online. We work with you to find every little detail that you want included, to ensure that your vacation is the best that it can be, and includes every extra perks, amenities, or VIP components that are sure to make your vacation an unforgettable experience. We focus on making your travel dreams a reality. We provide person-to-person communications and have personally experienced the destinations, travel options, and special extras, that travelers request and enjoy; the Internet has never done this, nor will it ever."/> <field type="header" subtype="h1" label="PRIMARY CONTACT INFORMATION"/> <field type="header" subtype="h2" label="YOUR FULL 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="header" subtype="h2" label="YOUR ADDRESS"/> <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="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="TRAVEL DETAILS &amp; REQUIREMENTS"/> <field type="text" label="Where do you want to go?" description="If your trip is a cruise or land based (Independent) travel type let us know where you want to visit. You can share as much information as you desire." name="where-do-you-want-to-go" subtype="text" className="form-control"/> <field type="radio-group" label="Is this a Group trip?" description="Group trips require special contract negotiations with suppliers and additional planning; we will gather the full details during our consultation." name="is-this-a-group-trip"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="text" required="true" label="Number of Travelers?" description="How many people are traveling together for this trip? Once we receive your inquiry you will be provided with a form that each traveler is required to complete." name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="TYPE OF TRAVEL" description="Select the type of travel that you are looking for this trip. If you are looking to plan multiple trips you can select those options too." inline="true" name="type-of-travel" other="true"> <option label="Independent Domestic Travel" value="independent-domestic-travel">Independent Domestic Travel</option> <option label="Independent Foreign Travel" value="independent-foreign-travel">Independent Foreign Travel</option> <option label="Domestic Ocean Cruise" value="domestic-ocean-cruise">Domestic Ocean Cruise</option> <option label="Foreign Ocean Cruise" value="foreign-ocean-cruise">Foreign Ocean Cruise</option> <option label="Domestic River Cruise" value="domestic-river-cruise">Domestic River Cruise</option> <option label="Foreign River Cruise" value="foreign-river-cruise">Foreign River Cruise</option> <option label="All-Inclusive Resort: Mexico & Caribbean" value="allinclusive-resort-mexico-caribbean">All-Inclusive Resort: Mexico & Caribbean</option> <option label="All-Inclusive Resort: Europe & Med" value="allinclusive-resort-europe-med">All-Inclusive Resort: Europe & Med</option> <option label="Walt Disney World Vacation" value="walt-disney-world-vacation">Walt Disney World Vacation</option> <option label="Disneyland Vacation" value="disneyland-vacation">Disneyland Vacation</option> <option label="Universal Orlando Vacation" value="universal-orlando-vacation">Universal Orlando Vacation</option> <option label="Universal Studios Hollywood Vacation" value="universal-studios-hollywood-vacation">Universal Studios Hollywood Vacation</option> </field> <field type="checkbox-group" label="Is there a special occasion for this trip?" description="If this trip is for a special occasion or purpose please let us know so that we can target the best options for you." inline="true" name="is-there-a-special-occasion-for-this-trip" other="true"> <option label="Anniversay" value="anniversay">Anniversay</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Babymoon" value="babymoon">Babymoon</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Family Travel" value="family-travel">Family Travel</option> <option label="Friends Getaway" value="friends-getaway">Friends Getaway</option> <option label="Promotion/Acheivement" value="promotionacheivement">Promotion/Acheivement</option> <option label="Incentive/Recognition" value="incentiverecognition">Incentive/Recognition</option> <option label="Seminar/Meeting (Groups only)" value="seminarmeeting-groups-only">Seminar/Meeting (Groups only)</option> </field> <field type="checkbox-group" required="true" label="REQUIRED ELEMENTS/COMPONENTS FOR YOUR TRIP?" description="Select the elements/components (items) that you want to have included for your trip design; this will assist with narrowing the consultation flow so that we are not spending time on non-essential things to your trip." inline="true" name="required-elementscomponents-for-your-trip" other="true"> <option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option> <option label="Hotel/Resort Fees Included" value="hotelresort-fees-included">Hotel/Resort Fees Included</option> <option label="Air Travel" value="air-travel">Air Travel</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Shuttle Service" value="shuttle-service">Shuttle Service</option> <option label="Private Car & Driver" value="private-car-driver">Private Car & Driver</option> <option label="Cruise Cabin/Stateroom" value="cruise-cabinstateroom">Cruise Cabin/Stateroom</option> <option label="Beverage Package (Cruise only)" value="beverage-package-cruise-only">Beverage Package (Cruise only)</option> <option label="Prepaid Gratuities (Cruise only)" value="prepaid-gratuities-cruise-only">Prepaid Gratuities (Cruise only)</option> <option label="Special Dining Options" value="special-dining-options">Special Dining Options</option> <option label="Internet/Wifi Package" value="internetwifi-package">Internet/Wifi Package</option> <option label="Tickets/Passes" value="ticketspasses">Tickets/Passes</option> <option label="Upgraded Services/Experiences" value="upgraded-servicesexperiences">Upgraded Services/Experiences</option> <option label="Tour/Excursions" value="tourexcursions">Tour/Excursions</option> <option label="Special Events" value="special-events">Special Events</option> </field> <field type="header" subtype="h2" label="TRAVEL PREFERENCES"/> <field type="checkbox-group" label="Airplane Cabin Preference?" inline="true" name="airplane-cabin-preference"> <option label="Economy/Main Cabin" value="economymain-cabin">Economy/Main Cabin</option> <option label="Premium Class" value="premium-class">Premium Class</option> <option label="Business Class Cabin" value="business-class-cabin">Business Class Cabin</option> <option label="First-Class Cabin" value="firstclass-cabin">First-Class Cabin</option> </field> <field type="radio-group" label="Airplane Seat preference" description="Seat requests are subject to airline acceptance and approval; we will make every effort to match your seating to your request." inline="true" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Center" value="center">Center</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="radio-group" label="Hotel preference" inline="true" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Accommodation requirements?" description="Let us know what type of accommodations you prefer or require." inline="true" name="hotel-room-requirements" other="true"> <option label="Standard Room, 2 beds" value="standard-room-2-beds">Standard Room, 2 beds</option> <option label="Standard Room, 1 bed" value="standard-room-1-bed">Standard Room, 1 bed</option> <option label="1 Bedroom, King" value="1-bedroom-king">1 Bedroom, King</option> <option label="1 Bedroom, Queen" value="1-bedroom-queen">1 Bedroom, Queen</option> <option label="2 Bedroom" value="2-bedroom">2 Bedroom</option> <option label="Junior Suite" value="junior-suite">Junior Suite</option> <option label="Full Suite" value="full-suite">Full Suite</option> <option label="Family Suite" value="family-suite">Family Suite</option> <option label="Family Villa" value="family-villa">Family Villa</option> </field> <field type="radio-group" label="Bed preference" inline="true" name="bed-preference" other="true"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="checkbox-group" label="Vibe preferences" inline="true" name="vibe-preference"> <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> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" label="Activity preferences" inline="true" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling/Casino" value="gamblingcasino">Gambling/Casino</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 theatre" value="art-theatre">Arts and theatre</option> </field> <field type="textarea" label="Is there any additional information or requests that you want to share with us?" description="The more detail you provide now the easier the planning and design process will be so if there is anything else that you feel is important or that you want us to know here is where you share it." name="is-there-any-additional-information-or-requests-that-you-want-to-share-with-us" className="form-control"/> <field type="radio-group" required="true" label="ACKNOWLEDGEMENT OF ABOVE TERMS" description="If you select NO I DO NOT AGREE your submission will be immediately placed in INACTIVE status with no further activity on your intended travel plans." name="acknowledgement-of-above-terms"> <option label="YES, I AGREE and wish to continue" value="yes-i-agree-and-wish-to-continue">YES, I AGREE and wish to continue</option> <option label="NO, I DO NOT AGREE" value="no-i-do-not-agree">NO, I DO NOT AGREE</option> </field> </fields> </form-template> </body> </html>
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