<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="REQUEST FOR MORE INFORMATION &amp; CONTACT"/> <field type="paragraph" subtype="p" label="Once you have provided me with the basic contact information below, you will receive additional email communications asking for you to provide more details regarding your travel interests. You will also find information on how the planning process works, how to schedule your initial conversation appointment, and invitations to complete additional forms and agreements. By submitting this initial interest form, you are agreeing to receive all required and essential communications from R. P. Hardie Cruise &amp; Travel LLC, and to abide by all presented agreements and terms &amp; conditions (you will be required to acknowledge each applicable agreement as part of this process). I look forward to our first meeting and the opportunity to learn more about your travel desires.&nbsp; So let's get started and create that dream vacation experience that you have long waited for!"/> <field type="header" subtype="h2" label="Share some basic information with me so we can get started on your travel planning needs."/> <field type="header" subtype="h2" label="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="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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Tell us a little about your vacation experience desires!" description="Give us some basic context as to what type of experience you are looking for possible destinations that you are interested in, or just a little bit about what your inspiration is for your travel desires. We will get the deep details in later communications." name="tell-us-a-little-about-your-vacation-experience-desires" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="You will receive additional forms and emails from R. P. Hardie Cruise &amp; Travel LLC for the purpose of guiding the consultation, research, planning, and design process for your desired travel. We look forward to being of assistance to you for your travel needs and can't wait to get started on creating your dream vacation."/> <field type="radio-group" required="true" label="Agreement to receive further communications from R. P. Hardie Cruise &amp; Travel LLC" description="Please select your response regarding further communications. You may opt-out from further communications at any time by submitting your request via email. If you select I DO NOT ACCEPT or AGREE or your submit a request to opt-out your contract with Agency will be terminated with no further action or redress." name="agreement-to-receive-further-communications-from-r-p-hardie-cruise-travel-llc"> <option label="I ACCEPT and AGREE to receive further communications from Agency." value="i-accept-and-agree-to-receive-further-communications-from-agency">I ACCEPT and AGREE to receive further communications from Agency.</option> <option label="I DO NOT ACCEPT or AGREE to receive further communications from Agency." value="i-do-not-accept-or-agree-to-receive-further-communications-from-agency">I DO NOT ACCEPT or AGREE to receive further communications from Agency.</option> </field> <field type="radio-group" required="true" label="Acknowledgement of Service Fees by Agency/Advisor" description="We are a service provider who charges fees for the services that we deliver. These service fees compensate us for the time and resources that we invest in bringing your travel dreams to life and making them a reality." name="acknowledgement-of-service-fees-by-agencyadvisor"> <option label="YES, I UNDERSTAND and AGREE to being charged SERVICE FEES for the services that I am about to request." value="yes-i-understand-and-agree-to-being-charged-service-fees-for-the-services-that-i-am-about-to-request">YES, I UNDERSTAND and AGREE to being charged SERVICE FEES for the services that I am about to request.</option> <option label="NO, I DO NOT AGREE to being charged SERVICE FEES and no longer wish to continue with my travel planning requests." value="no-i-do-not-agree-to-being-charged-service-fees-and-no-longer-wish-to-continue-with-my-travel-planning-requests">NO, I DO NOT AGREE to being charged SERVICE FEES and no longer wish to continue with my travel planning requests.</option> </field> </fields> </form-template> </body> </html>
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