Share your information with Sarah Mickus

Sarah Mickus

Mickus Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Celebrity Cruises Transfer Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please complete this request form if you would like to transfer your existing booking to Mickus Travel"/>&#13;
		<field type="paragraph" subtype="p" label="MUST MEET THE FOLLOWING ELIGIBILITY REQUIREMENTS:"/>&#13;
		<field type="paragraph" subtype="p" label="-Booked directly with Celebrity in the past 30 days"/>&#13;
		<field type="paragraph" subtype="p" label="-Not paid in full yet"/>&#13;
		<field type="paragraph" subtype="p" label="You will receive an email from us as soon as your booking is transferred. We look forward to ensuring you have the best cruise vacation possible!"/>&#13;
		<field type="header" subtype="h1" label="Client Information"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Booking Information"/>&#13;
		<field type="text" required="true" label="Booking Number" name="booking-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Ship" name="ship" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Once my booking is transferred, I understand that I will authorize all future booking payments through Inteletravel.com/Mickus Travel payment link. All payments will still go directly through Celebrity.*&amp;nbsp;" name="once-my-booking-is-transferred-i-understand-that-i-will-authorize-all-future-booking-payments-through-inteletravelcommickus-travel-payment-link-all-payments-will-still-go-directly-through-royal-caribbean-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I am requesting that Inteletravel.com/ Mickus Travel&amp;nbsp; operates as my travel agency." name="i-am-requesting-that-inteletravelcom-mickus-travel-operates-as-my-travel-agency">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>