<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Cruise Vacation Request"/> <field type="header" subtype="h3" label="Thank you for your interest in planning a cruise vacation!&nbsp;"/> <field type="paragraph" subtype="p" label="Please enter full names and birthdays as they appear on the documents you will be using to travel on this trip."/> <field type="header" subtype="h2" label="Full name"/> <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="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="select" label="Is this a cell phone?" name="is-this-a-cell-phone" className="form-control"> <option label="Yes, and it's OK to text me" value="yes-and-its-ok-to-text-me">Yes, and it's OK to text me</option> <option label="Yes, but please don't text me" value="yes-but-please-dont-text-me">Yes, but please don't text me</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State/Province" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip/Postal Code" name="address-zip" subtype="text" className="form-control"/> <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="textarea" label="What are your travel dates/date range?" name="what-are-your-travel-datesdate-range" className="form-control"/> <field type="header" subtype="h1" label="Cruise Specifics"/> <field type="paragraph" subtype="p" label="If you've never cruised before I can base my recommendations on the way you normally vacation. Which specific hotel or hotel chain do you usually prefer? For example would your budget translate to a Residence Inn (budget friendly hotel) a Marriott (mid-range hotel), or a JW Marriot (a luxury property)? There's a cruise line for everyone!"/> <field type="text" label="Which cruise line(s) are you interested in?" description="If you've never cruised before think about the kind of hotel you'd like to stay in." name="which-cruise-lines-are-you-interested-in" subtype="text" className="form-control"/> <field type="checkbox-group" label="&nbsp;Where do you want to cruise?" name="-where-do-you-want-to-cruise" other="true"> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Caribbean - Eastern" value="caribbean-eastern">Caribbean - Eastern</option> <option label="Caribbean - Western" value="caribbean-western">Caribbean - Western</option> <option label="Caribbean - Southern" value="caribbean-southern">Caribbean - Southern</option> <option label="Europe - Mediterranean" value="europe-mediterranean">Europe - Mediterranean</option> <option label="Europe - Other" value="europe-other">Europe - Other</option> </field> <field type="text" label="How many nights do you want to cruise? Typical Bahamas cruises are 3-4 nights, while most Caribbean and Mediterranean cruises are 7-10 nights" name="how-many-nights-do-you-want-to-cruise-typical-bahamas-cruises-are-34-nights-while-most-caribbean-and-mediterranean-cruises-are-710-nights" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What are the full names and birthdays of all additional travelers? If you are traveling solo, enter N/A.&nbsp;" name="notes" className="form-control"/> <field type="radio-group" required="true" label="Which type of room are you interested in?" name="budget"> <option label="Balcony" value="balcony">Balcony</option> <option label="Ocean view" value="ocean-view">Ocean view</option> <option label="Inside " value="inside-">Inside </option> </field> <field type="checkbox-group" label="Would you like help booking additional components of your trip?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Pre- or post-cruise hotels" value="pre-or-postcruise-hotels">Pre- or post-cruise hotels</option> <option label="Transfers to and from the port" value="transfers-to-and-from-the-port">Transfers to and from the port</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Travel insurance" value="travel-insurance">Travel insurance</option> </field> <field type="text" label="Do you have any special needs (including dietary needs or an accessible room)?" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Any other questions? Is there anything else I need to know?" name="any-other-questions-is-there-anything-else-i-need-to-know" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Passport Information"/> <field type="paragraph" subtype="p" label="Purple Martin Vacations, LLC, strongly recommends that travelers cruise with a passport, even when not required by the State Department. Some cruises beginning and ending in the SAME *US* PORT may permit travel using an official birth certificate issued by a state in the United States AND a drivers license (if 16 or older). BOTH the US birth certificate AND the valid license (if 16 or older) are required when a passport is not necessary."/> <field type="paragraph" subtype="p" label="Purple Martin Vacations, LLC, will not be responsible for losses incurred because of incorrect or missing documentation. If you have any questions about whether you can travel, please email your agent immediately."/> <field type="radio-group" label="By checking the box below and submitting this form, I acknowledge that I am responsible for securing all documents necessary for my specific trip." name="by-checking-the-box-below-and-submitting-this-form-i-acknowledge-that-i-am-responsible-for-securing-all-documents-necessary-for-my-specific-trip"> <option label="I Agree - I have a passport that will be valid for 6 months after my return and I know where my passport is" value="i-agree-i-have-a-passport-that-will-be-valid-for-6-months-after-my-return-and-i-know-where-my-passport-is">I Agree - I have a passport that will be valid for 6 months after my return and I know where my passport is</option> <option label="I Agree - I will apply for a passport immediately at: https://travel.state.gov/content/travel/en/passports/how-apply.html " value="i-agree-i-will-apply-for-a-passport-immediately-at-httpstravelstategovcontenttravelenpassportshowapplyhtml-" selected="selected">I Agree - I will apply for a passport immediately at: https://travel.state.gov/content/travel/en/passports/how-apply.html </option> <option label="I Agree - I am eligible to sail with an official US birth certificate AND license and I know where both documents are" value="i-agree-i-am-eligible-to-sail-with-an-official-us-birth-certificate-and-license-and-i-know-where-both-documents-are">I Agree - I am eligible to sail with an official US birth certificate AND license and I know where both documents are</option> </field> <field type="header" subtype="h1" label="Purple Martin Vacations, LLC, Client Agreement"/> <field type="paragraph" subtype="p" label="When you retain Purple Martin Vacations, LLC, to help plan your travel, you’re hiring a professional travel advisor to ensure that your trip is tailored to your taste, preferences, and budget. You get the benefit of our skills, experience, and training; our professional relationships; and our industry connections. Our Professional Services Fee covers your consultation, our research and recommendations, preparation of quotes and itineraries, reserving and booking each element of your trip, securing quotes for comprehensive travel insurance, administration of your booking from deposit to departure, and follow-up with suppliers after your trip (as needed)."/> <field type="checkbox-group" required="true" label="By checking the box below and submitting this form, you acknowledge that you are hiring us to plan tour trip and that you have read and agree to our Terms and Conditions of Booking, which are located at: http://www.purplemartinvacations.com/purple-martin-vacations-llc-terms-and-conditions/" inline="true" name="by-checking-the-box-below-and-submitting-this-form-you-acknowledge-that-you-are-hiring-us-to-plan-tour-trip-and-that-you-have-read-and-agree-to-our-terms-and-conditions-of-booking-which-are-located-at-httpwwwpurplemartinvacationscompurplemartinvacationsllctermsandconditions"> <option label="I Agree" value="i-agree">I Agree</option> </field> <field type="header" subtype="h1" label="Professional Services Fee"/> <field type="paragraph" subtype="p" label="Some trips will require a non-refundable fee for vacation planning services. The Planning Service Fee varies by trip type. During your initial vacation consultation (via phone or email) Purple Martin Vacations, LLC, will notify you if your trip type requires a fee, the amount, and what it includes. In addition, Purple Martin Vacations, LLC, will implement a $50 change fee for each modification made to a reservation after the deposit has been made. Purple Martin Vacations, LLC, will implement a cancellation fee of $250 per reservation prior to cancelling any confirmed reservations. Purple Martin Vacations, LLC, reserves the right to waive Professional Service Fees at their discretion."/> <field type="checkbox-group" required="true" label="By checking the box below and submitting this form, I acknowledge the Professional Services Fees, including modification and cancellation fees." inline="true" name="by-checking-the-box-below-and-submitting-this-form-i-acknowledge-the-professional-services-fees-including-modification-and-cancellation-fees"> <option label="I Agree" value="i-agree">I Agree</option> </field> <field type="header" subtype="h1" label="Travel Insurance Acknowledgement"/> <field type="paragraph" subtype="p" label="Emergencies can happen when you least expect them. Purple Martin Vacations, LLC, highly recommends that all clients purchase a travel insurances policy to protect their investment in their travel. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. "/> <field type="paragraph" subtype="p" label="Keep in mind that most health insurance polices will not cover you when you are out of the country.&nbsp; Travel insurance can protect you in the event of trip cancellation, trip delay, trip interruption missed connection, baggage loss, theft, or damage, baggage delay, emergency medical and dental expenses, and emergency medical transportation, among other unforeseen circumstances. Please also note that in order to obtain pre-existing condition coverage or to cover supplier default, your policy must be purchased within 2 weeks of booking.&nbsp;"/> <field type="paragraph" subtype="p" label="The agents at Purple Martin Vacations, LLC, are not licensed insurance afents and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you upon request. If Purple Martin Vacations, LLC, does not is is not able to obtain coverage on your behalf, it is our strong recommendation that you purchase a policy on your own."/> <field type="checkbox-group" required="true" label="By checking the box below and submitting this form, I acknowledge that Purple Martin Vacations, LLC, has recommended travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining coverage." inline="true" name="i-acknowledge-that-purple-martin-vacations-llc-has-recommended-travel-insurance-protection-to-me-should-i-choose-not-to-purchase-such-a-policy-i-accept-all-responsibility-for-declining-coverage"> <option label="I Agree" value="i-agree">I Agree</option> </field> </fields> </form-template> </body> </html>
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