Share your information with Jacob Morisi

Jacob Morisi

Deep Blue Travel Agency

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Group Trip/Deep Blue Event - Custom Quote Form"/>&#13;
		<field type="paragraph" subtype="p" label="Submit this form if you need a custom quote for one of our group trips. Our group trips are priced for two people, so if you need to book for a different number or a different room category than what is on the event page, please submit this form and we will reach out to you with your individualized price. In most cases, all trip amenities are the same, we can just only hold cabin space for double occupancy."/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" 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="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="select" required="true" label="Select Group Trip" name="select-group-trip" className="form-control">&#13;
			<option label="9/6/2026 - Deep Blue Labor Day Cruise Bus Trip" value="962026-deep-blue-labor-day-cruise-bus-trip" selected="selected">9/6/2026 - Deep Blue Labor Day Cruise Bus Trip</option>&#13;
			<option label="Other" value="Other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="How many passengers?" name="how-many-passengers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What room category are you interested in?" name="what-room-category-are-you-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="List all passenger full names and dates of birth. (As listed on travel documents.)" name="list-all-passenger-full-names-and-dates-of-birth-as-listed-on-travel-documents" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>