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November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Central Sea Terrace —

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INCOMPLETE

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="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" 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" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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"/>&#13;
		<field type="text" label="Dates of Travel" name="dates-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Allergies" name="allergies" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Terms and Agreement: I have read and accept the terms and agreement listed" name="terms-and-agreement-i-have-read-and-accept-the-terms-and-agreement-listed">&#13;
			<option label="Agree" value="agree" selected="selected">Agree</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="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" 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="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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"/>&#13;
		<field type="text" label="Dates of Travel" name="dates-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Allergies" name="allergies" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Terms and Agreement: I have read and accept the terms and agreement listed" name="terms-and-agreement-i-have-read-and-accept-the-terms-and-agreement-listed">&#13;
			<option label="Agree" value="agree" selected="selected">Agree</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

Continue to traveler info

Credit Card Authorization

Select the amount you would like to authorize:

Authorize deposit

Final payment of $809.00 is due on July 14, 2026

$540.00

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$1,349.00

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By signing below, I authorize MedQueen Tours & Travel to charge the credit card provided herein.

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November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Central Sea Terrace —

—

Total —

Due now —

Continue to traveler info

Our system uses SSL encryption, which is the same technology banks use to protect sensitive information.

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Central Sea Terrace —

—

Total —

Due now —

Continue to traveler info

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit

Final payment of $809.00 is due on July 14, 2026

$540.00

Authorize full amount

$1,349.00

November Indulgence in the Tropics

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $809.00 is due on July 14, 2026

$540.00

Authorize full amount

$1,349.00

November Indulgence in the Tropics

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

November Indulgence in the Tropics

Nov 14, 2026 to Nov 20, 2026

Authorize deposit

Final payment of $809.00 is due on July 14, 2026