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Bali 2026

Bali 2026 —

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Bali 2026

Available until August 2, 2025 - 20 left

$4,250.00
Deposit: $100.00 per person

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Single Occupancy Upgrade

Available until October 1, 2025 - 10 left

$900.00
Deposit: $50.00

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Primary Traveler

INCOMPLETE

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		<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="Preferred name (nickname)" name="preferred-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;
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		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" 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;
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			<option label="F" value="female">F</option>&#13;
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		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="text-1729295653482" 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" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Referral"/>&#13;
		<field type="radio-group" required="true" label="How'd you hear about this trip?" name="howd-you-hear-about-this-trip" other="true">&#13;
			<option label="Travel Buzz (Jade Hood)" value="travel-buzz-jade-hood">Travel Buzz (Jade Hood)</option>&#13;
			<option label="MOTM (Ashley Harris)" value="motm-ashley-harris">MOTM (Ashley Harris)</option>&#13;
			<option label="Paula Hood-Cuffie" value="paula-hoodcuffie">Paula Hood-Cuffie</option>&#13;
			<option label="Calvin Carey" value="calvin-carey">Calvin Carey</option>&#13;
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By signing below, I authorize Travel Buzz to charge the credit card provided herein.

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<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="Preferred name (nickname)" name="preferred-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" required="true" 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" required="true" 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="text-1729295653482" 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" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Referral"/>&#13;
		<field type="radio-group" required="true" label="How'd you hear about this trip?" name="howd-you-hear-about-this-trip" other="true">&#13;
			<option label="Travel Buzz (Jade Hood)" value="travel-buzz-jade-hood">Travel Buzz (Jade Hood)</option>&#13;
			<option label="MOTM (Ashley Harris)" value="motm-ashley-harris">MOTM (Ashley Harris)</option>&#13;
			<option label="Paula Hood-Cuffie" value="paula-hoodcuffie">Paula Hood-Cuffie</option>&#13;
			<option label="Calvin Carey" value="calvin-carey">Calvin Carey</option>&#13;
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	</fields>&#13;
</form-template>
  </body>
</html>

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Bali 2026

Bali 2026 —

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Payment schedule

Pay deposit

Deposit of $0.00 due on March 10, 2025

Monthly Payment #1 of $386.36 due on April 2, 2025

Monthly Payment #2 of $386.36 due on May 2, 2025

Monthly Payment #3 of $386.36 due on June 2, 2025

Monthly Payment #4 of $386.36 due on July 2, 2025

Monthly Payment #5 of $386.36 due on August 2, 2025

Monthly Payment #6 of $386.36 due on September 2, 2025

Monthly Payment #7 of $386.36 due on October 2, 2025

Monthly Payment #8 of $386.36 due on November 2, 2025

Monthly Payment #9 of $386.36 due on December 2, 2025

Monthly Payment #10 of $386.36 due on January 2, 2026

Final Payment of $386.40 due on February 2, 2026

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Pay full amount

$4,250.00

Note: By paying, you agree to the following Terms & Conditions

Terms & Conditions

I authorize Travel Buzz to charge the credit card or bank account indicated on this invoice for the noted amount on today's date. This payment is for the services described on the invoice. I understand that all payments made to Travel Buzz are non-refundable. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated on this invoice.

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Bali 2026

Bali 2026 —

—

Total —

Enter discount code

Due now —

Continue to traveler info

Bali 2026

Select travelers

Select your package

Bali 2026 Available until August 2, 2025 - 20 left

$4,250.00 Deposit: $100.00 per person

Add extra options

Single Occupancy Upgrade Available until October 1, 2025 - 10 left

$900.00 Deposit: $50.00

Enter traveler information

Primary Traveler

INCOMPLETE

Protect Your Trip

Bali 2026

Bali 2026

How would you like to pay?

Payment Type

Credit card

Bank transfer Your bank info will be collected on the next page.

Payment schedule

$0.00

Save time and turn on auto-pay?

Pay full amount

$4,250.00

Terms & Conditions

Bali 2026

Bali 2026

Available until August 2, 2025 - 20 left

$4,250.00
Deposit: $100.00 per person

Single Occupancy Upgrade

Available until October 1, 2025 - 10 left

$900.00
Deposit: $50.00

Bank transfer
Your bank info will be collected on the next page.