{"id":16,"date":"2015-06-15T13:29:35","date_gmt":"2015-06-15T13:29:35","guid":{"rendered":"https:\/\/nauticalweddingbells.gvate.com\/?page_id=16"},"modified":"2022-07-20T15:30:34","modified_gmt":"2022-07-20T15:30:34","slug":"information-form-and-reservation","status":"publish","type":"page","link":"https:\/\/nauticalweddingbells.com\/information-form-and-reservation\/","title":{"rendered":"Information Form and Reservation"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row overlay_color_opacity=&#8221;50&#8243; overlay_pattern_opacity=&#8221;50&#8243; full_page_width=&#8221;&#8221; toc_id=&#8221;&#8221; bg_image_fb=&#8221;&#8221; bg_image_repeat_fb=&#8221;&#8221;][vc_column]\n\t\t\t<!-- START Slider 1 REVOLUTION SLIDER 6.6.15 --><p class=\"rs-p-wp-fix\"><\/p>\n\t\t\t<rs-module-wrap id=\"rev_slider_1_1_wrapper\" data-source=\"gallery\" style=\"visibility:hidden;background:transparent;padding:0;margin:0px auto;margin-top:0;margin-bottom:0;\">\n\t\t\t\t<rs-module id=\"rev_slider_1_1\" style=\"\" data-version=\"6.6.15\">\n\t\t\t\t\t<rs-slides style=\"overflow: hidden; position: absolute;\">\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-1\" data-title=\"Slide\" data-anim=\"adpr:false;\" data-in=\"o:0;\" data-out=\"a:false;\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"\/\/nauticalweddingbells.com\/wp-content\/plugins\/revslider\/public\/assets\/assets\/dummy.png\" alt=\"\" title=\"slider-reservation-form\" width=\"1400\" height=\"698\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/nauticalweddingbells.com\/wp-content\/uploads\/2022\/07\/slider-reservation-form.png\" data-no-retina>\n<!---->\t\t\t\t\t\t<\/rs-slide>\n\t\t\t\t\t<\/rs-slides>\n\t\t\t\t<\/rs-module>\n\t\t\t\t<script>\n\t\t\t\t\tsetREVStartSize({c: 'rev_slider_1_1',rl:[1240,1024,778,480],el:[698],gw:[1500],gh:[698],type:'hero',justify:'',layout:'fullwidth',mh:\"0\"});if (window.RS_MODULES!==undefined && window.RS_MODULES.modules!==undefined && window.RS_MODULES.modules[\"revslider11\"]!==undefined) {window.RS_MODULES.modules[\"revslider11\"].once = false;window.revapi1 = undefined;if (window.RS_MODULES.checkMinimal!==undefined) window.RS_MODULES.checkMinimal()}\n\t\t\t\t<\/script>\n\t\t\t<\/rs-module-wrap>\n\t\t\t<!-- END REVOLUTION SLIDER -->\n[\/vc_column][\/vc_row][vc_row overlay_color_opacity=&#8221;50&#8243; overlay_pattern_opacity=&#8221;50&#8243; full_page_width=&#8221;&#8221; toc_id=&#8221;&#8221; bg_image_fb=&#8221;&#8221; bg_image_repeat_fb=&#8221;&#8221; css=&#8221;.vc_custom_1658309743998{padding-top: 80px !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\">For More Information Or To Reserve Your Wedding Date Right Now!\u2026<\/h1>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<h4><strong>If you are at this page now, it means one of two things:<\/strong><\/h4>\n<p>1. You have already spoken with me and retained my services. At my request you are completing this \u201cInformation and Reservation\u201d form so that I will have the necessary details to prepare what will be the most beautiful, magnificent and spectacular wedding ceremony that will always be remembered by you and your guests. Or&#8230;<\/p>\n<p>2. You have been lucky enough to find my website by searching the internet. You are impressed with what you saw and would like to talk with me ASAP. You want to know if I\u2019m available for the date of your wedding (keep your fingers crossed!) and what my fee is. If this is the case, just submit this \u201cInformation and Reservation\u201d form and I promise to get back to you within 24 hours by phone so we can chat about planning a beautiful wedding ceremony for your special day. If you prefer you may contact me in New York at <a href=\"tel:718767-6242\"><b>(718) 767-6242<\/b><\/a> or on my cell phone <a href=\"tel:5164134555\"><b>(516) 413-4555<\/b><\/a>.<\/p>\n<p><strong>Please Note:<\/strong> By submitting this form to me, you are under no obligation whatsoever. This form is for informational purposes only and to determine if I am available for the date and time you require. It is not to be construed as an agreement of any kind.<\/p>\n<p><span style=\"color: #ff0000;\"><b>Urgent: When completing this form, be absolutely sure you complete every field that is marked with an asterisk*. If it doesn&#8217;t apply to you, then you must enter NA. Otherwise this \u201cInformation and Reservation\u201d form will not be transmitted! After you submit the form, please wait for the acknowledgment reply indicating to you that the \u201cInformation and Reservation\u201d form has been received. Thank you.<\/b><\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10750&#8243; img_size=&#8221;full&#8221; css=&#8221;.vc_custom_1658311339285{padding-top: 50px !important;}&#8221;][\/vc_column][\/vc_row][vc_row overlay_color_opacity=&#8221;50&#8243; overlay_pattern_opacity=&#8221;50&#8243; full_page_width=&#8221;&#8221; toc_id=&#8221;&#8221; bg_image_fb=&#8221;&#8221; bg_image_repeat_fb=&#8221;&#8221;][vc_column css=&#8221;.vc_custom_1658309440118{background-image: url(https:\/\/nauticalweddingbells.com\/wp-content\/uploads\/2022\/07\/bg-images-reservation-form.jpg?id=10744) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;]\n                <div class='gf_browser_chrome gform_wrapper' id='gform_wrapper_2' ><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/16?ertthndxbcvs=yes'>\n                        <div class='gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_1' class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_1_3' >PARTNER 1 or BRIDE - Name<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_2_1'>\n                            \n                            <span id='input_2_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_2_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_2_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/li><li id='field_2_2' class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_2' >PARTNER 1 or BRIDE - Email<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_2_2' type='email' value='' class='medium'    placeholder='email'\/>\n                        <\/div><\/li><li id='field_2_11' class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_11_3' >PARTNER 2 or GROOM - Name<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_2_11'>\n                            \n                            <span id='input_2_11_3_container' class='name_first' >\n                                                    <input type='text' name='input_11.3' id='input_2_11_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_11_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_11_6_container' class='name_last' >\n                                                    <input type='text' name='input_11.6' id='input_2_11_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_11_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/li><li id='field_2_12' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_12' >PARTNER 2 or GROOM - Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_2_12' type='email' value='' class='medium'    placeholder='email'\/>\n                        <\/div><\/li><li id='field_2_13' class='gfield gf_left_full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_13_1' >Your Home Address (Please add Apt-# if applicable)<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gfield_trigger_change' id='input_2_13' >\n                         <span class='ginput_full address_line_1' id='input_2_13_1_container' >\n                                        <input type='text' name='input_13.1' id='input_2_13_1' value=''   \/>\n                                        <label for='input_2_13_1' id='input_2_13_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_13_2_container' >\n                                        <input type='text' name='input_13.2' id='input_2_13_2' value=''   \/>\n                                        <label for='input_2_13_2' id='input_2_13_2_label' >Apartment# Or Suite#<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_13_3_container' >\n                                    <input type='text' name='input_13.3' id='input_2_13_3' value=''   \/>\n                                    <label for='input_2_13_3' id='input_2_13_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_13_4_container' >\n                                        <input type='text' name='input_13.4' id='input_2_13_4' value=''     \/>\n                                        <label for='input_2_13_4' id='input_2_13_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_13_5_container' >\n                                    <input type='text' name='input_13.5' id='input_2_13_5' value=''   \/>\n                                    <label for='input_2_13_5' id='input_2_13_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_13.6' id='input_2_13_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/li><li id='field_2_14' class='gfield gf_first_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_14' >Home Phone<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_2_14' type='tel' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_24' class='gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_24' >Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_2_24' type='tel' value='' class='medium'     aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_15' class='gfield gf_third_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_15' >Cell Phone<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_2_15' type='tel' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_16' class='gfield gf_fourth_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><fieldset aria-required='true' class='gfieldset'><legend class='gfield_label'>Best Time To Contact You<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/legend><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_2_16'>\n                            <input type='number' maxlength='2' name='input_16[]' id='input_2_16_1' value=''  min='0' max='12' step='1'  \/> <i>:<\/i>\n                            <label for='input_2_16_1' >HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='number' maxlength='2' name='input_16[]' id='input_2_16_2' value=''  min='0' max='59' step='1'  \/>\n                            <label for='input_2_16_2' >MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                                            <label for='input_2_16_3' class='sr-only' >AM\/PM<\/label><select name='input_16[]' id='input_2_16_3'  >\n                                                                <option value='am' >AM<\/option>\n                                                                <option value='pm' >PM<\/option>\n                                                            <\/select>\n                                                          <\/div>\n                    <\/div><\/fieldset><\/li><li id='field_2_3' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>WEDDING INFORMATION<\/h2><\/li><li id='field_2_4' class='gfield gf_first_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_4' >Wedding Date <span id='field_2_4_dmessage' class='sr-only'> - must be mm\/dd\/yyyy format<\/span><span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input aria-describedby='field_2_4_dmessage' name='input_4' id='input_2_4' type='text' value='' class='datepicker medium mdy datepicker_no_icon'   \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_4' class='gform_hidden' value='https:\/\/nauticalweddingbells.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_2_23' class='gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_23' >Day of the Week<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_2_23' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_5' class='gfield gf_third_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><fieldset aria-required='true' class='gfieldset'><legend class='gfield_label'>Wedding Time<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/legend><div class='clear-multi'>\n                        <div class='gfield_time_hour ginput_container ginput_container_time' id='input_2_5'>\n                            <input type='number' maxlength='2' name='input_5[]' id='input_2_5_1' value=''  min='0' max='12' step='1'  \/> <i>:<\/i>\n                            <label for='input_2_5_1' >HH<\/label>\n                        <\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time'>\n                            <input type='number' maxlength='2' name='input_5[]' id='input_2_5_2' value=''  min='0' max='59' step='1'  \/>\n                            <label for='input_2_5_2' >MM<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time' >\n                                                            <label for='input_2_5_3' class='sr-only' >AM\/PM<\/label><select name='input_5[]' id='input_2_5_3'  >\n                                                                <option value='am' >AM<\/option>\n                                                                <option value='pm' >PM<\/option>\n                                                            <\/select>\n                                                          <\/div>\n                    <\/div><\/fieldset><\/li><li id='field_2_6' class='gfield gf_fourth_quarter gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_6' >Approximate Number of Guests<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_2_6' type='number' step='any'   value='' class='medium'      aria-required=\"true\" aria-invalid=\"false\"\/><\/div><\/li><li id='field_2_17' class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>If it doesn\u2019t apply to you, then you must enter NA<\/h2><\/li><li id='field_2_7' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_7' >Name of Reception Facility<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_10' class='gfield gf_left_full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_10_1' >Address of Facility<span class='gfield_required'> * <span class='sr-only'> Required<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gfield_trigger_change' id='input_2_10' >\n                         <span class='ginput_full address_line_1' id='input_2_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_2_10_1' value=''   \/>\n                                        <label for='input_2_10_1' id='input_2_10_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_2_10_3' value=''   \/>\n                                    <label for='input_2_10_3' id='input_2_10_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_10_4_container' >\n                                        <input type='text' name='input_10.4' id='input_2_10_4' value=''     \/>\n                                        <label for='input_2_10_4' id='input_2_10_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_2_10_5' value=''   \/>\n                                    <label for='input_2_10_5' id='input_2_10_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_10.6' id='input_2_10_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/li><li id='field_2_18' class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_18' >How Were You Referred To Me?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_2_18' class='textarea medium'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description'>If website, paste the link here<\/div><\/li><li id='field_2_19' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_19' >Do you have loved ones that cannot attend your Wedding because they are too ill to travel, serving in the military, separated by great distances, or in other parts of the world?<\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_2_19'  class='medium gfield_select'    aria-invalid=\"false\"><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id='field_2_20' class='gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_20' >If yes, please explain...<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_2_20' class='textarea medium'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_21' class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_21' >Additional Comments or Questions<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_2_21' class='textarea medium'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_25' class='gfield field_sublabel_below field_description_below gfield_visibility_' ><label class='gfield_label' for='input_2_25' >CAPTCHA<\/label><div id='input_2_25' class='ginput_container ginput_recaptcha' data-sitekey='6LfVZwoTAAAAADE9xEFr5Gub-CbqgTOmzu7a3Eus' data-stoken='rZ5l239l-57zNLnuUvfG3HbOVy86WNEAEhPtu1d_d0Q3GyjrNI9taTYYDH426dK9Y6ae9vyr1rIBFhf0av1tDSLiMUJFuOHZddE1N3SqxQc' data-theme='light' ><\/div><\/li><li id='field_2_26' class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_' ><label class='gfield_label' for='input_2_26' >Name<\/label><div class='ginput_container'><input name='input_26' id='input_2_26' type='text' value='' autocomplete='off'\/><\/div><div class='gfield_description'>This field is for validation purposes and should be left unchanged.<\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='image' src='https:\/\/nauticalweddingbells.com\/wp-content\/uploads\/2022\/06\/button-contact.png' id='gform_submit_button_2' class='gform_button gform_image_button' alt='Submit'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='WyJbXSIsIjdhYzJmNmVlMTBmNWUwM2NlNDc0NjMyYWJiOWRjZmRlIl0=' \/>\n            <input type='hidden' 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