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Margaritaville Mothers Day Getaway

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		<field type="header" subtype="h2" label="Primary Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name or Initial" 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="header" subtype="h2" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
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		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Travel insurance reimburses you for the non-refundable trip costs you lose if you cancel due to a &quot;covered reason&quot; listed in your policy.&amp;nbsp; I understand vacation protection insurance is NOT included in the package price if I need to cancel. If I decline vacation protection insurance, I understand I am solely responsible for any cancellation penalties and out-if-pocket expenses incurred. If I decline travel insurance, I&#39;m also agreeing to hold harmless Bon Voyage Travel Services from any financial losses that I might incur during my vacation. I understand that I am not protected from loss in the event of any travel vendor or travel supplier defaults. (airlines, hotels, tour operators etc.)" name="i-understand-that-all-payments-are-nonrefundable-and-vacation-protection-insurance-is-included-in-the-package-price-if-i-need-to-cancel">&#13;
			<option label="Yes. I need to protect my vacation investment. " value="yes-i-need-to-protect-my-vacation-investment-">Yes. I need to protect my vacation investment. </option>&#13;
			<option label="No. I decline travel insurance and understand the penalties and financial loss of not insuring my trip. " value="no-i-decline-travel-insurance-and-understand-the-penalties-and-financial-loss-of-not-insuring-my-trip-">No. I decline travel insurance and understand the penalties and financial loss of not insuring my trip. </option>&#13;
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Deposit of $0.00 due on October 30, 2025

Monthly Payment #1 of $126.75 due on November 21, 2025

Monthly Payment #2 of $126.75 due on December 21, 2025

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Margaritaville Mothers Day Getaway

Ocean View Room with Window —

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Margaritaville Mothers Day Getaway

Ocean View Room with Window —

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Total —

Due now —

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Margaritaville Mothers Day Getaway

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Deposit of $0.00 due on October 30, 2025

Monthly Payment #1 of $126.75 due on November 21, 2025

Monthly Payment #2 of $126.75 due on December 21, 2025

Monthly Payment #3 of $126.75 due on January 21, 2026

Final Payment of $126.75 due on February 21, 2026

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Margaritaville Mothers Day Getaway

Margaritaville Mothers Day Getaway

Margaritaville Mothers Day Getaway

Margaritaville Mothers Day Getaway

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Authorize deposit Deposit of $0.00 due on October 30, 2025 Monthly Payment #1 of $126.75 due on November 21, 2025 Monthly Payment #2 of $126.75 due on December 21, 2025 Monthly Payment #3 of $126.75 due on January 21, 2026 Final Payment of $126.75 due on February 21, 2026

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Authorize full amount

$507.00

Margaritaville Mothers Day Getaway

Margaritaville Mothers Day Getaway

Margaritaville Mothers Day Getaway

Authorize deposit

Deposit of $0.00 due on October 30, 2025

Monthly Payment #1 of $126.75 due on November 21, 2025

Monthly Payment #2 of $126.75 due on December 21, 2025

Monthly Payment #3 of $126.75 due on January 21, 2026

Final Payment of $126.75 due on February 21, 2026