Share your information with Sail Away Group Travel

Sail Away Group Travel

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		<field type="header" subtype="h2" label="Douro Dreamers River Cruise 2027&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Please note: each passenger requires their own form."/>&#13;
		<field type="header" subtype="h3" label="Contact Information"/>&#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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Date of Birth"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Stateroom Choice"/>&#13;
		<field type="radio-group" required="true" label="Price of Stateroom is based on double occupancy" description="For solo traveler pricing  please fill out form and we will be in touch." name="budget">&#13;
			<option label="Suite (Balcony) - $9,528 per person (Waitlisted)" value="suite-balcony-9528-per-person-waitlisted">Suite (Balcony) - $9,528 per person (Waitlisted)</option>&#13;
			<option label="Category A (Balcony) - $8,028 per person" value="category-a-balcony-8028-per-person">Category A (Balcony) - $8,028 per person</option>&#13;
			<option label="Category B (Balcony) - $7,728 per person" value="category-b-balcony-7728-per-person">Category B (Balcony) - $7,728 per person</option>&#13;
			<option label="Category D (Fixed Window) - $5,728 per person" value="category-d-fixed-window-5728-per-person">Category D (Fixed Window) - $5,728 per person</option>&#13;
			<option label="Category E (Fixed Window) - $5,329 per person" value="category-e-fixed-window-5329-per-person">Category E (Fixed Window) - $5,329 per person</option>&#13;
		</field>&#13;
		<field type="text" label="Who, if anyone, will you be sharing a stateroom with? (Kindly complete a separate form for them)" description="If solo traveler  please indicate here by typing the word “Solo”" name="text-1764787792873" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Who, if anyone, will you be traveling with that will be in a separate stateroom?" name="text-1770131572592" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Pricing Details"/>&#13;
		<field type="paragraph" subtype="p" label="Prices are quoted in U.S. dollars and include shipboard accommodations, all onboard meals, shore excursions, specialty coffee and tea, Wi-Fi, Wellness Host and classes, and port charges. Unlimited beverages (select wines, beer, soft drinks, and spirits) included during meal period and nightly Sip ‘n Sail. &amp;nbsp;Prepaid gratuities - typically not included with AmaWaterways - have been specially added for our Guests. Prices do not include roundtrip air, premium wines and spirits, optional pre- or post-cruise land extensions, travel insurance, or personal expenses. Sail Away Group Travel and AmaWaterways reserve the right to correct any pricing errors or omissions. Prices will not increase after the deposit is received, except in the case of fuel surcharges or taxes or levies imposed by government agencies. Solo traveler pricing is available upon request. Single rooms for solo travelers are limited and offered on a first-come, first-served basis."/>&#13;
		<field type="header" subtype="h1" label="Deposit Information"/>&#13;
		<field type="paragraph" subtype="p" label="A $400 per person deposit is due within 7 days of holding the booking. &amp;nbsp;Final payment would be due 90 days prior to sailing. &amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Help Us Personalize Your Experience"/>&#13;
		<field type="text" label="Any Dietary Restrictions/Special Needs?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any Special Celebrations?" name="text-1764609142626" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are you interested in a quote for either the pre or post cruise land extensions?" name="are-you-interested-in-a-quote-for-either-the-pre-or-post-cruise-land-extensions">&#13;
			<option label="Pre-Cruise in Lisbon" value="precruise-in-lisbon">Pre-Cruise in Lisbon</option>&#13;
			<option label="Post-Cruise in Madrid" value="postcruise-in-madrid">Post-Cruise in Madrid</option>&#13;
			<option label="Both " value="both-">Both </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in a quote for travel protection? (Highly recommended and facilitated by Sail Away Group Travel)" name="are-you-interested-in-a-quote-for-travel-protection">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in assistance with airfare?" name="are-you-interested-in-a-quote-for-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you would like us to know?" description="What else would you like me to know about your travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Terms &amp;amp; Conditions"/>&#13;
		<field type="header" subtype="h1" label="Responsibility"/>&#13;
		<field type="paragraph" subtype="p" label="Passenger acknowledges that (i) the sponsoring wineries are solely responsible for the wine education program, which is not affiliated with Sail Away Group Travel, and they reserve the right to substitute program elements or presenters without notice; and (ii) AmaWaterways is responsible for all cruise-related services, which are governed by AmaWaterways’ Terms and Conditions as stated in their cruise brochure."/>&#13;
		<field type="header" subtype="h1" label="Photo Release"/>&#13;
		<field type="paragraph" subtype="p" label="I understand and agree that while participating in this wine education cruise program, I may be photographed and/or videotaped for internal and/or promotional purposes. I hereby grant to Sail Away Group Travel all rights, title, and interest—including, but not limited to, any royalties, proceeds, or other benefits—in any such photographs or recordings. I consent to Sail Away Group Travel’s use of my name, image, likeness, and voice in perpetuity, in any medium or format (including but not limited to brochures, invitations, books, newspapers, magazines, television, and websites) for publicity purposes without further compensation or additional permission."/>&#13;
		<field type="header" subtype="h1" label="Termination"/>&#13;
		<field type="paragraph" subtype="p" label="This wine education cruise program requires a minimum number of participants. Sail Away Group Travel reserves the right to cancel the program prior to the final payment date listed above if the minimum participation is not met. In the event of cancellation, Sail Away Group Travel will issue a refund, and you agree that Sail Away Group Travel shall have no further liability regarding such cancellation. Participants are strongly encouraged not to purchase non-refundable airline tickets earlier than 90 days prior to the tour departure date to avoid airline cancellation penalties."/>&#13;
		<field type="radio-group" required="true" label="Do you acknowledge you have read and agree to the terms and conditions?" name="radio-group-1764609402964">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Signature"/>&#13;
		<field type="text" required="true" label="Type Your Name" name="type-your-name" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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