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Bali Unlocked - The Ultimate Escape

Shared Villa and Single Occupancy Hotel —

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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 (as it appears on your passport" 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;
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		<field type="text" required="true" label="Roommate Name If Single Occupancy Type N/A" name="roommate-name-if-single-occupancy-type-na" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="REQUEST ONLY - King or Double beds (can not be gauranteed)" name="request-only-king-or-double-beds-can-not-be-gauranteed" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Airport of Departure" name="airport-of-departure" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="T-shirt Size" name="tshirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any Known Allergies" name="any-known-allergies" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Anything thing we need to know? Special requests, bottom floor, Health conditions, mobility issues, wheelchairs, etc.&amp;nbsp;" name="anything-thing-we-need-to-know-special-requests-bottom-floor-health-conditions-mobility-issues-wheelchairs-etc-" subtype="text" className="form-control"/>&#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="text-1726515530219" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Emergency Contact 2 Information"/>&#13;
		<field type="text" required="true" label="Full name" name="text-1726515524699" 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="radio-group" required="true" label="I understand that I am purchasing a room category. KING or DOUBLE BEDS ARE A REQUEST ONLY. The bottom floor or your proximity to your family/friends is only a request. Thomas Exclusive Travel LLC has no control over the resort assignment of beds or location.&amp;nbsp;" name="i-understand-that-i-am-purchasing-a-room-category-king-or-double-beds-are-a-request-only-the-bottom-floor-or-your-proximity-to-your-familyfriends-is-only-a-request-thomas-exclusive-travel-llc-has-no-control-over-the-resort-assignment-of-beds-or-location-">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No - STOP! DO NOT COMPLETE YOUR PURCHASE" value="no-stop-do-not-complete-your-purchase">No - STOP! DO NOT COMPLETE YOUR PURCHASE</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand that all deposits and payments are non-refundable and non-transferrable. I have been advised to purchase &quot;Cancel For Any Reason Travel Insurance.&quot; Insurance companies require purchase from the day of deposit up to 21 days after making the deposit, depending on the company. If you do not understand, please STOP and contact us immediately. If you answer NO, your reservation will be canceled and refunded.&amp;nbsp;" name="i-understand-that-all-deposits-and-payments-are-nonrefundable-and-nontransferrable-i-have-been-advised-to-purchase-cancel-for-any-reason-travel-insurance-insurance-companies-require-purchase-from-the-day-of-deposit-up-to-21-days-after-making-the-deposit-depending-on-the-company-if-you-do-not-understand-please-stop-and-contact-us-immediately-if-you-answer-no-your-reservation-will-be-canceled-and-refunded-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - STOP! DO NOT COMPLETE YOUR PURCHASE" value="no-stop-do-not-complete-your-purchase">No - STOP! DO NOT COMPLETE YOUR PURCHASE</option>&#13;
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		<field type="radio-group" required="true" label="I will purchase travel insurance as advised by Thomas Exclusive Travel LLC" name="i-will-purchase-travel-insurance-as-advised-by-thomas-exclusive-travel-llc">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No -  I UNDERSTAND THAT I ASSUME ALL FINANCIAL RISKS." value="no-i-understand-that-i-assume-all-financial-risks">No -  I UNDERSTAND THAT I ASSUME ALL FINANCIAL RISKS.</option>&#13;
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		<field type="radio-group" label="I understand a failed and late payment will incur a fee of $50. Any account 2 months past due will be canceled. A $100 fee is required to rebook.&amp;nbsp;" name="i-understand-a-failed-and-late-payment-will-incur-a-fee-of-50-any-account-2-months-past-due-will-be-canceled-a-100-fee-is-required-to-rebook-">&#13;
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		<field type="radio-group" required="true" label="I have read and agree to the terms and conditions of Thomas Exclusive Travel LLC. I understand the signed agreement must be returned within 72 hours of booking, or my reservation will be canceled and refunded" name="i-have-read-and-agree-to-the-terms-and-conditions-of-thomas-exclusive-travel-llc-i-understand-the-signed-agreement-must-be-returned-within-72-hours-of-booking-or-my-reservation-will-be-canceled-and-refunded">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - STOP! DO NOT COMPLETE PURCHASE." value="no-stop-do-not-complete-purchase">No - STOP! DO NOT COMPLETE PURCHASE.</option>&#13;
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Terms and Conditions

Reservation must be made in your full name as it appears on your passport and government issued ID.
Prices are subject to change without notice. Please make your reservations today at this low price to be locked in.
Monthly payments are required to keep your reservations current.
* Payments are NOT automatically drafted from your account UNLESS you select the autopay feature. You will be sent automated reminders.
Roommate Payments -roommates must complete separate registration from and submit their deposit within 24 hours of one another to secure a double occupancy reservation if they intend payment of separate deposits.
If roommates’ payment is not received within 24 hours, room will be booked at the single rate. Traveler would be responsible for any charges assess if roommate is later added.
You must ensure your roommate, if applicable, is also making timely monthly payments.
Rooms with more than one guest will be responsible for any price difference if any party in the stateroom cancels and is not replaced with a new roommate.
Reservation changes are allowed with a $100 change fee with supplier approval, plus any supplier-imposed fees.
All late payment requests must be approved by management before the final payment deadline. *Late payment fee will be added to invoice upon approval.
Late payment fee of $200 per person is required if payment is not received by on final due date. Fee will be applied one day after final payment date. You will then have 5 calendar days to make full payment before reservation cancels.
If your travel reservations have been cancelled, and you notify us within 5 calendar days of cancellation that you want to reinstate your reservation, a service reinstatement fee of $100.00 ($250.00 for international tours) will be added to your invoice and must be paid in advance in order to apply for reconfirmation of services. This is in addition to any supplier-imposed fees or rate changes.
Resorts and hotels have the right to either forfeit or charge and additional fee at the current rate for reservations that do not state the correct occupancy upon arrival.
All cancellations must be in writing to info@thomasexclusivetravel.com.
THERE ARE NO REFUNDS FOR CUSTOMIZED GROUP TRIPS. Travel protection is HIGHLY RECOMMENDED.

Please seriously consider protecting your investment by securing travel protection.

You may purchase travel protection here: Roam Right Travel Protection

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Click to sign

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name (as it appears on your passport)" 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 (as it appears on your passport" 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="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" 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="date" required="true" label="Date of birth" name="birthday" 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;
		</field>&#13;
		<field type="text" required="true" label="Roommate Name If Single Occupancy Type N/A" name="roommate-name-if-single-occupancy-type-na" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="REQUEST ONLY - King or Double beds (can not be gauranteed)" name="request-only-king-or-double-beds-can-not-be-gauranteed" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Airport of Departure" name="airport-of-departure" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="T-shirt Size" name="tshirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any Known Allergies" name="any-known-allergies" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Anything thing we need to know? Special requests, bottom floor, Health conditions, mobility issues, wheelchairs, etc.&amp;nbsp;" name="anything-thing-we-need-to-know-special-requests-bottom-floor-health-conditions-mobility-issues-wheelchairs-etc-" subtype="text" className="form-control"/>&#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="text-1726515530219" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Emergency Contact 2 Information"/>&#13;
		<field type="text" required="true" label="Full name" name="text-1726515524699" 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="radio-group" required="true" label="I understand that I am purchasing a room category. KING or DOUBLE BEDS ARE A REQUEST ONLY. The bottom floor or your proximity to your family/friends is only a request. Thomas Exclusive Travel LLC has no control over the resort assignment of beds or location.&amp;nbsp;" name="i-understand-that-i-am-purchasing-a-room-category-king-or-double-beds-are-a-request-only-the-bottom-floor-or-your-proximity-to-your-familyfriends-is-only-a-request-thomas-exclusive-travel-llc-has-no-control-over-the-resort-assignment-of-beds-or-location-">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No - STOP! DO NOT COMPLETE YOUR PURCHASE" value="no-stop-do-not-complete-your-purchase">No - STOP! DO NOT COMPLETE YOUR PURCHASE</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand that all deposits and payments are non-refundable and non-transferrable. I have been advised to purchase &quot;Cancel For Any Reason Travel Insurance.&quot; Insurance companies require purchase from the day of deposit up to 21 days after making the deposit, depending on the company. If you do not understand, please STOP and contact us immediately. If you answer NO, your reservation will be canceled and refunded.&amp;nbsp;" name="i-understand-that-all-deposits-and-payments-are-nonrefundable-and-nontransferrable-i-have-been-advised-to-purchase-cancel-for-any-reason-travel-insurance-insurance-companies-require-purchase-from-the-day-of-deposit-up-to-21-days-after-making-the-deposit-depending-on-the-company-if-you-do-not-understand-please-stop-and-contact-us-immediately-if-you-answer-no-your-reservation-will-be-canceled-and-refunded-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - STOP! DO NOT COMPLETE YOUR PURCHASE" value="no-stop-do-not-complete-your-purchase">No - STOP! DO NOT COMPLETE YOUR PURCHASE</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I will purchase travel insurance as advised by Thomas Exclusive Travel LLC" name="i-will-purchase-travel-insurance-as-advised-by-thomas-exclusive-travel-llc">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No -  I UNDERSTAND THAT I ASSUME ALL FINANCIAL RISKS." value="no-i-understand-that-i-assume-all-financial-risks">No -  I UNDERSTAND THAT I ASSUME ALL FINANCIAL RISKS.</option>&#13;
		</field>&#13;
		<field type="radio-group" label="I understand a failed and late payment will incur a fee of $50. Any account 2 months past due will be canceled. A $100 fee is required to rebook.&amp;nbsp;" name="i-understand-a-failed-and-late-payment-will-incur-a-fee-of-50-any-account-2-months-past-due-will-be-canceled-a-100-fee-is-required-to-rebook-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - STOP! DO NOT COMPLETE PURCHASE" value="no-stop-do-not-complete-purchase">No - STOP! DO NOT COMPLETE PURCHASE</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I have read and agree to the terms and conditions of Thomas Exclusive Travel LLC. I understand the signed agreement must be returned within 72 hours of booking, or my reservation will be canceled and refunded" name="i-have-read-and-agree-to-the-terms-and-conditions-of-thomas-exclusive-travel-llc-i-understand-the-signed-agreement-must-be-returned-within-72-hours-of-booking-or-my-reservation-will-be-canceled-and-refunded">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - STOP! DO NOT COMPLETE PURCHASE." value="no-stop-do-not-complete-purchase">No - STOP! DO NOT COMPLETE PURCHASE.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="List your &quot;friend circle&quot; that is traveling with you so we can try to get you into the same villa."/>&#13;
		<field type="textarea" required="true" label="Type N/A if traveling Solo" name="textarea-1776350556890" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

Continue to traveler info

Bali Unlocked - The Ultimate Escape

Shared Villa and Single Occupancy Hotel —

—

Convenience fee —

Total —

Due now —

Continue to traveler info

How would you like to pay?

Payment Type

Credit card

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Your bank info will be collected on the next page.

Payment schedule

Pay deposit

Deposit of $0.00 due on April 25, 2026

Monthly Payment #1 of $186.55 due on May 20, 2026

Monthly Payment #2 of $186.55 due on June 20, 2026

Monthly Payment #3 of $186.55 due on July 20, 2026

Monthly Payment #4 of $186.55 due on August 20, 2026

Monthly Payment #5 of $186.55 due on September 20, 2026

Monthly Payment #6 of $186.55 due on October 20, 2026

Monthly Payment #7 of $186.55 due on November 20, 2026

Monthly Payment #8 of $186.55 due on December 20, 2026

Monthly Payment #9 of $186.55 due on January 20, 2027

Monthly Payment #10 of $186.55 due on February 20, 2027

Monthly Payment #11 of $186.55 due on March 20, 2027

Monthly Payment #12 of $186.55 due on April 20, 2027

Final Payment of $186.59 due on May 20, 2027

$0.00

Save time and turn on auto-pay?

Yes, turn on auto-pay. I agree that future payments on this invoice will be charged automatically on the due dates indicated in the payment schedule.

Pay full amount

$2,421.37

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

Full Terms and Conditions

Reservation must be made in your full name as it appears on your passport and government issued ID.
Prices are subject to change without notice. Please make your reservations today at this low price to be locked in.
Monthly payments are required to keep your reservations current.
* Payments are NOT automatically drafted from your account UNLESS you select the autopay feature. You will be sent automated reminders.
Roommate Payments -roommates must complete separate registration from and submit their deposit within 24 hours of one another to secure a double occupancy reservation if they intend payment of separate deposits.
If roommates’ payment is not received within 24 hours, room will be booked at the single rate. Traveler would be responsible for any charges assess if roommate is later added.
You must ensure your roommate, if applicable, is also making timely monthly payments.
Rooms with more than one guest will be responsible for any price difference if any party in the stateroom cancels and is not replaced with a new roommate.
Name changes are allowed with a $100 name change fee with management approval.
Reinstatement fee of $200 per person is required if payment is received by final due date. *You will have 5 days to reinstate reservation*
All late payment requests must be approved by management before the final payment deadline. *Late payment fee will be added to invoice. *
Resorts and hotels have the right to either forfeit or charge and additional fee at the current rate for reservations that do not state the correct occupancy upon arrival.

Please seriously consider protecting your investment by securing travel protection.

You may purchase travel protection here: ROAM RIGHT TRAVEL PROTECTION

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Continue to traveler info

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

Bali Unlocked - The Ultimate Escape

Shared Villa and Single Occupancy Hotel —

—

Convenience fee —

Total —

Due now —

Continue to traveler info

Bali Unlocked - The Ultimate Escape

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Please seriously consider protecting your investment by securing travel protection.

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Bali Unlocked - The Ultimate Escape

Bali Unlocked - The Ultimate Escape

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

$2,421.37

Please seriously consider protecting your investment by securing travel protection.

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Bali Unlocked - The Ultimate Escape

Bali Unlocked - The Ultimate Escape

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Please seriously consider protecting your investment by securing travel protection.

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Bali Unlocked - The Ultimate Escape

Bali Unlocked - The Ultimate Escape

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

$2,421.37

Please seriously consider protecting your investment by securing travel protection.

By purchasing this travel package, you acknowledge that you have read the full terms and conditions and accept all terms.

Bali Unlocked - The Ultimate Escape

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