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Rebecca Gibson
The Rebecca Gibson Travel Agency
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Thank you for contacting The Rebecca Gibson Travel Agency! We look forward to helping you plan your cruise vacation. Please fill out this form if you'd like to receive a NO OBLIGATION CRUISE quote. We will reach out to you with a quote within 5-7 business days. If you need to provide additional information please contact us at RGibsonTravel@outlook.com or give us a call at 513-463-6788.PLEASE complete this form in its entirety. Due to the high volume of inquiries we are unable to respond if the form is not completed."/> <field type="header" subtype="h2" label="Contact Information"/> <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" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Mailing Address&nbsp;" name="guest-1-mailing-address-" subtype="text" className="form-control"/> <field type="text" required="true" label="&nbsp;City, State and Zip Code" name="guest-1-city-state-and-zip-code" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions For Your Trip"/> <field type="text" label="Where would you like to go?&nbsp;" description="Example: Caribbean" name="where-would-you-like-to-go-" subtype="text" className="form-control"/> <field type="text" label="Do you have a ship and sail date you have picked out already?&nbsp;" name="do-you-have-a-ship-and-sail-date-you-have-picked-out-already-" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to depart?&nbsp;" description="Please be specific travel dates impact the cost of travel. If you are open to any dates please list that below." name="when-would-you-like-to-depart-" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to return?" description="Please be specific travel dates impact the cost of travel. If you are open to any dates please list that below." name="when-would-you-like-to-return" subtype="text" className="form-control"/> <field type="text" label="Anything else I should know about your dates/range of travel?" description="Your time of travel determines price $" name="anything-else-i-should-know-about-your-datesrange-of-travel" subtype="text" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> </field> <field type="text" required="true" label="What is you airport code?&nbsp;" description="Example: MCO- Orlando" name="what-is-you-airport-code-" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?&nbsp;" name="how-many-travelers-" subtype="text" className="form-control"/> <field type="text" required="true" label="Are there any children traveling? If so what are their ages at the time of travel?" name="text-1746658353049" subtype="text" className="form-control"/> <field type="select" required="true" label="Type of Trip&nbsp;" name="type-of-trip-" className="form-control"> <option label="Solo Traveler " value="solo-traveler-">Solo Traveler </option> <option label="Couple's Trip " value="couples-trip-">Couple's Trip </option> <option label="Family Vacation " value="family-vacation-">Family Vacation </option> <option label="Girl's Trip " value="girls-trip-">Girl's Trip </option> <option label="Guy's Trip " value="guys-trip-">Guy's Trip </option> <option label="Birthday/Anniversary Celebration " value="birthdayanniversary-celebration-">Birthday/Anniversary Celebration </option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Group Trip (10 + guests)" value="group-trip-10-guests">Group Trip (10 + guests)</option> <option label="Other " value="other-">Other </option> </field> <field type="text" required="true" label="How many cabins are needed for this booking?&nbsp;" name="text-1746658314985" subtype="text" className="form-control"/> <field type="select" required="true" label="Is anyone over the age of 55?&nbsp;" name="is-anyone-over-the-age-of-55-" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="select" required="true" label="Is anyone else traveling a past quest?" name="is-anyone-else-traveling-a-past-quest" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="select" required="true" label="Will anyone be pregnant on this sailing?&nbsp;" name="will-anyone-be-pregnant-on-this-sailing-" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="I am not sure" value="i-am-not-sure">I am not sure</option> </field> <field type="select" required="true" label="What is your budget for all travelers? (Cost of the trip)&nbsp;" name="what-is-your-budget-for-all-travelers-cost-of-the-trip-" className="form-control"> <option label="Under 1,000 total " value="under-1000-total-">Under 1,000 total </option> <option label="1,500-2,500" value="15002500">1,500-2,500</option> <option label="2,000-3,000" value="20003000">2,000-3,000</option> <option label="3,000-4,500" value="30004500">3,000-4,500</option> <option label="4,500-6,000" value="45006000">4,500-6,000</option> <option label="Open to options/Just want the best value! " value="open-to-optionsjust-want-the-best-value-">Open to options/Just want the best value! </option> </field> <field type="checkbox-group" required="true" label="What is your cruise vibe or preference with Carnival?&nbsp;" name="what-is-your-cruise-vibe-or-preference-with-carnival-" other="true"> <option label="Relaxation & Luxury " value="relaxation-luxury-">Relaxation & Luxury </option> <option label="Non-Stop Fun " value="nonstop-fun-">Non-Stop Fun </option> <option label="Family Friendly " value="family-friendly-">Family Friendly </option> <option label="Foodie Cruise - I want great food options" value="foodie-cruise-i-want-great-food-options">Foodie Cruise - I want great food options</option> <option label="Entertainment & Shows " value="entertainment-shows-">Entertainment & Shows </option> <option label="Short & Sweet - 2-5 day weekend getaway is perfect for me" value="short-sweet-25-day-weekend-getaway-is-perfect-for-me">Short & Sweet - 2-5 day weekend getaway is perfect for me</option> <option label="Long & Lavish - 6-8 day cruise with plenty of time to relax " value="long-lavish-68-day-cruise-with-plenty-of-time-to-relax-">Long & Lavish - 6-8 day cruise with plenty of time to relax </option> <option label="Extended Stay - 9+ day cruise " value="extended-stay-9-day-cruise-">Extended Stay - 9+ day cruise </option> <option label="New & Modern - I want one of Carnival's newer ships" value="new-modern-i-want-one-of-carnivals-newer-ships">New & Modern - I want one of Carnival's newer ships</option> <option label="Budget Conscious - Help me cruise without breaking the bank" value="budget-conscious-help-me-cruise-without-breaking-the-bank">Budget Conscious - Help me cruise without breaking the bank</option> <option label="Balcony View - I NEED a room with a walk out balcony" value="balcony-view-i-need-a-room-with-a-walk-out-balcony">Balcony View - I NEED a room with a walk out balcony</option> <option label="Group Friendly - I'm cruising with a crew or planning a group trip" value="group-friendly-im-cruising-with-a-crew-or-planning-a-group-trip">Group Friendly - I'm cruising with a crew or planning a group trip</option> <option label="Special Celebration " value="special-celebration-">Special Celebration </option> </field> <field type="text" required="true" label="Have you used a travel agent before? If so, how was your experience?&nbsp;" name="have-you-used-a-travel-agent-before-if-so-how-was-your-experience-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Documentation&nbsp;"/> <field type="select" required="true" label="Citizenship - Please be advised there are different travel requirements for each category.&nbsp;" name="citizenship-please-be-advised-there-are-different-travel-requirements-for-each-category-" className="form-control"> <option label="U.S Citizen " value="us-citizen-">U.S Citizen </option> <option label="U.S Permanent Residents " value="us-permanent-residents-">U.S Permanent Residents </option> <option label="Canadian Citizen " value="canadian-citizen-">Canadian Citizen </option> <option label="Non- U.S Citizen " value="non-us-citizen-">Non- U.S Citizen </option> </field> <field type="select" required="true" label="Do you have a passport or will you be using your birth certificate?&nbsp;" name="do-you-have-a-passport-or-will-you-be-using-your-birth-certificate-" className="form-control"> <option label="I have a passport I will be using for travel" value="i-have-a-passport-i-will-be-using-for-travel">I have a passport I will be using for travel</option> <option label="I do not have a passport but will be applying for one for this cruise" value="i-do-not-have-a-passport-but-will-be-applying-for-one-for-this-cruise" selected="selected">I do not have a passport but will be applying for one for this cruise</option> <option label="I will be using my birth certificate and state ID " value="i-will-be-using-my-birth-certificate-and-state-id-">I will be using my birth certificate and state ID </option> </field> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="date" label="Passport Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Passport Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Sex" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="header" subtype="h2" label="Cruise Travel Information&nbsp;"/> <field type="select" required="true" label="First time cruising?&nbsp;" name="first-time-cruising-" className="form-control"> <option label="Yes - I've never cruised before" value="yes-ive-never-cruised-before">Yes - I've never cruised before</option> <option label="No -I cruise regularly " value="no-i-cruise-regularly-">No -I cruise regularly </option> <option label="No - but I cruised as a child or many years ago" value="no-but-i-cruised-as-a-child-or-many-years-ago">No - but I cruised as a child or many years ago</option> </field> <field type="text" label="If you have cruised before, please list which cruise line" name="if-you-have-cruised-before-please-list-which-cruise-line" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs (Hotel/Cruise/Car) Please include all loyalty numbers" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="text" label="Roommate Name(s) &amp; DOB Requeted" description="Complete spelling and DOB needed to the best quote (VIFP #)" name="roommate-names" subtype="text" className="form-control"/> <field type="checkbox-group" label="Extras &amp; Interest" name="extras-interest" other="true"> <option label="Travel Insurance (highly recommended)" value="travel-insurance-highly-recommended">Travel Insurance (highly recommended)</option> <option label="Drink Package " value="drink-package-">Drink Package </option> <option label="Wi-Fi Package " value="wifi-package-">Wi-Fi Package </option> <option label="Shore Excursions" value="shore-excursions">Shore Excursions</option> <option label="Speciality Dining " value="speciality-dining-">Speciality Dining </option> <option label="Pre-Cruise Hotel Stay " value="precruise-hotel-stay-">Pre-Cruise Hotel Stay </option> <option label="Post-Cruise Hotel Stay " value="postcruise-hotel-stay-">Post-Cruise Hotel Stay </option> <option label="Transportation to/from the Cruise Port " value="transportation-tofrom-the-cruise-port-">Transportation to/from the Cruise Port </option> </field> <field type="select" required="true" label="Does Additional Guest want to purchase insurance for your cruise? (Payment is due at the time of booking)?&nbsp;" name="does-guest-1-want-to-purchase-insurance-for-your-cruise-payment-is-due-at-the-time-of-booking-" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="I plan to add it later after booking" value="i-plan-to-add-it-later-after-booking">I plan to add it later after booking</option> </field> <field type="select" required="true" label="Would you like to include pre paid gratuity (tips)?" name="would-you-like-to-include-pre-paid-gratuity-tips" className="form-control"> <option label="Yes- Add Now To Booking" value="yes-add-now-to-booking">Yes- Add Now To Booking</option> <option label="No- Do Not Add To Booking" value="no-do-not-add-to-booking">No- Do Not Add To Booking</option> <option label="I Will Add Them Later" value="i-will-add-them-later">I Will Add Them Later</option> </field> <field type="select" required="true" label="Requested Location&nbsp;" name="requested-location-" className="form-control"> <option label="Froward (Front of the Ship)" value="froward-front-of-the-ship">Froward (Front of the Ship)</option> <option label="Mid (Middle of the Ship)" value="mid-middle-of-the-ship">Mid (Middle of the Ship)</option> <option label="Aft (Back of the Ship" value="aft-back-of-the-ship">Aft (Back of the Ship</option> <option label="Doesn't Matter (As long as I'm on the Ship)" value="doesnt-matter-as-long-as-im-on-the-ship">Doesn't Matter (As long as I'm on the Ship)</option> </field> <field type="select" required="true" label="Room Type" name="select-1746662701249" className="form-control"> <option label="Interior Cabin " value="interior-cabin-">Interior Cabin </option> <option label="Oceanview " value="oceanview-">Oceanview </option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Suite " value="suite-">Suite </option> <option label="Speciality Accommodations (example: Havana Suite)" value="speciality-accommodations-example-havana-suite">Speciality Accommodations (example: Havana Suite)</option> <option label="Not sure yet " value="not-sure-yet-">Not sure yet </option> </field> <field type="select" required="true" label="Deck Preference (Oceanview cabins are typically located on lower decks on some ships)" name="deck-preference-oceanview-cabins-are-typically-located-on-lower-decks-on-some-ships" className="form-control"> <option label="Doesn't Matter (As long as I'm on the Ship)" value="doesnt-matter-as-long-as-im-on-the-ship">Doesn't Matter (As long as I'm on the Ship)</option> <option label="Lido Deck " value="lido-deck-">Lido Deck </option> <option label="Deck 6 or Higher " value="deck-6-or-higher-">Deck 6 or Higher </option> </field> <field type="select" required="true" label="Dinning Time Request&nbsp;" name="dinning-time-request-" multiple="multiple" className="form-control"> <option label="Early Dinning (around 6pm) depending on ship" value="early-dinning-around-6pm-depending-on-ship">Early Dinning (around 6pm) depending on ship</option> <option label="Late Dinning (around 8pm) depending on ship" value="late-dinning-around-8pm-depending-on-ship">Late Dinning (around 8pm) depending on ship</option> <option label="My Time Dining (anytime between 5:30pm to 9pm) depending on ship" value="my-time-dining-anytime-between-530pm-to-9pm-depending-on-ship">My Time Dining (anytime between 5:30pm to 9pm) depending on ship</option> <option label="Whatever the Group Selected (if traveling with a party)" value="whatever-the-group-selected-if-traveling-with-a-party">Whatever the Group Selected (if traveling with a party)</option> <option label="Doesn't Matter " value="doesnt-matter-">Doesn't Matter </option> </field> <field type="select" required="true" label="Will need additional assistance with your travel plans?&nbsp;" name="will-need-additional-assistance-with-your-travel-plans-" multiple="multiple" className="form-control"> <option label="No" value="no">No</option> <option label="I am not sure " value="i-am-not-sure-">I am not sure </option> <option label="Yes - Information about cruising in general" value="yes-information-about-cruising-in-general">Yes - Information about cruising in general</option> </field> <field type="textarea" label="Additional Guest: Any Medical or Mobility Issues?&nbsp;" name="guest-1-any-medical-or-mobility-issues-" className="form-control"/> <field type="header" subtype="h2" label="Emergency Contact Information"/> <field type="text" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/> <field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Let's Make It Official!&nbsp;"/> <field type="select" required="true" label="Are you ready to book now if the quote is right?&nbsp;" name="are-you-ready-to-book-now-if-the-quote-is-right-" className="form-control"> <option label="Yes, I'm ready!" value="yes-im-ready">Yes, I'm ready!</option> <option label="I'm just gathering info for now. " value="im-just-gathering-info-for-now-">I'm just gathering info for now. </option> <option label="I'm planning for a future trip. " value="im-planning-for-a-future-trip-">I'm planning for a future trip. </option> </field> </fields> </form-template> </body> </html>
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Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways
Type
Draw
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