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2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita

Panama Cityscapes & Beach Daze Tour - Hotel & Tour Only Package (Triple Occupancy/Fam Kg & 2 Qn Beds) —

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INCOMPLETE

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		<field type="header" subtype="h1" label="TRAVELER 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" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Street Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="PASSPORT INFORMATION"/>&#13;
		<field type="paragraph" subtype="p" label="If we are making an air reservation, the passenger name(s) MUST match the passport exactly in order to board the plane. If you are going through a name change, please consult your agent prior to submission. NOTE: if you do not have a passport currently, that is not an issue and you will be given another opportunity prior to travel to provide these details.&amp;nbsp; Keep in mind that&amp;nbsp; passports should be valid 6 months or more beyond your travel return date and it is your responsibility to ensure that you have the proper documents for international travel."/>&#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 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 as it appears on passport/gov. ID&amp;nbsp;" 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;
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		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="TOUR PREFERENCES"/>&#13;
		<field type="radio-group" required="true" label="How many guest will occupy room?&amp;nbsp;" name="radio-group-1767371303308">&#13;
			<option label="(1) Single Occupancy" value="1-single-occupancy">(1) Single Occupancy</option>&#13;
			<option label="(2) Double Occupancy" value="2-double-occupancy">(2) Double Occupancy</option>&#13;
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		<field type="radio-group" required="true" label="Please specify bed configuration" name="radio-group-1767371442194">&#13;
			<option label="One bed" value="one-bed">One bed</option>&#13;
			<option label="Two beds/Apart" value="two-bedsapart">Two beds/Apart</option>&#13;
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		<field type="radio-group" label="If you are a solo traveler, but would like to be paired with a roommate, please let us know." name="radio-group-1767371993665">&#13;
			<option label="Yes, I would like help to try to find a roommate" value="yes-i-would-like-help-to-try-to-find-a-roommate">Yes, I would like help to try to find a roommate</option>&#13;
			<option label="No, I am solo all  the way" value="no-i-am-solo-all-the-way">No, I am solo all  the way</option>&#13;
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		<field type="radio-group" required="true" label="Are you interested in the group flight arrangements?" name="are-you-interested-group-flight-arrangements">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No. I plan to make my own arrangements" value="no-i-plan-to-make-my-own-arrangements">No. I plan to make my own arrangements</option>&#13;
			<option label="Not Sure. Please provide information when available." value="not-sure-please-provide-information-when-available">Not Sure. Please provide information when available.</option>&#13;
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		<field type="text" label="Preferred Airport(s)" name="text-1761522850952" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="TRAVELER PREFERENCES"/>&#13;
		<field type="text" label="Do you have any specific dietary requirements or allergies?" name="do-you-have-any-specific-dietary-requirements-or-allergies" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Favorite Beverages&amp;nbsp;" name="favorite-beverages-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Favorite Desserts&amp;nbsp;" name="favorite-desserts-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please share any other trip requirements or preferences." name="please-share-any-other-trip-requirements-or-preferences" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="KNOWN TRAVELER NUMBERS (including TSA PreCheck or Global Entry)"/>&#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="header" subtype="h1" label="EMERGENCY CONTACT INFORMATION"/>&#13;
		<field type="text" label="Contact Name &amp;amp; Relationship" name="contact-name-relationship" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Contact Phone Number" name="contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Contact Email" name="contact-email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="INVOICE &amp;amp; PAYMENT PREFERENCES"/>&#13;
		<field type="radio-group" required="true" label="If you selected and are booking a room for two guests, please complete the Additional Traveler Form. Check below if you will require two separate invoices for making payments. We will manually create the second invoice and provide it with the deposits separated before any payments are processed with the supplier.&amp;nbsp; To be clear, you will authorize&amp;nbsp; the full deposit payment, but&amp;nbsp; if you check &quot;Yes&quot;, you will only be charged&amp;nbsp; for half of the deposit when it is submitted to the suppliers." description="Check yes to have separate invoices for payment." name="if-you-are-booking-a-room-for-two-guests-please-complete-the-additional-traveler-form-check-below-if-you-will-require-two-separate-invoices-for-making-payments-we-will-manually-create-the-second-invoice-and-provide-it-with-the-deposits-separated-before-any-payments-are-processed-with-the-supplier">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="header" subtype="h1" label="TRAVEL INSURANCE"/>&#13;
		<field type="radio-group" required="true" label="By making an insurance selection below, I understand that declining insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred.&amp;nbsp;" name="by-making-an-insurance-selection-below-i-understand-that-declining-insurance-could-result-in-the-loss-of-my-travel-cost-andor-require-more-money-to-correct-the-situation-i-also-acknowledge-that-without-insurance-there-may-be-no-way-to-recoup-any-losses-costs-or-expenses-incurred-">&#13;
			<option label="I accept insurance and would like to include it in my travel package." value="i-accept-insurance-and-would-like-to-include-it-in-my-travel-package">I accept insurance and would like to include it in my travel package.</option>&#13;
			<option label="I decline insurance and understand that this could result in the loss of all travel costs associated with this booking." value="i-decline-insurance-and-understand-that-this-could-result-in-the-loss-of-all-travel-costs-associated-with-this-booking">I decline insurance and understand that this could result in the loss of all travel costs associated with this booking.</option>&#13;
			<option label="I need additional information on insurance." value="i-need-additional-information-on-insurance">I need additional information on insurance.</option>&#13;
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Aspire To More Travel, LLC, an Independent Travel Advisor with Inteletravel, is pleased to offer retail travel services to our valued clients. These services are provided by separate and independent vendors of travel services. Aspire To More Travel, LLC does not operate, control, or otherwise provide the services of the independent travel vendors. Hence, customer agrees that Aspire To More Travel, LLC., acts only as agent for the client in acquiring transportation, hotel accommodations, sightseeing, and other privileges, or services for the clients’ benefit, and on the express condition that Aspire To More Travel, LLC shall not be responsible for any loss, accident, injury, delay, defect, omission or irregularity which may occur or be occasioned, whether by reason of any act, negligence or default of any company or person engaged in or responsible for carrying out any of the arrangements, or otherwise in connection therewith.

By placing a reservation, you hereby accept the inclusions/exclusions of the package and acknowledge and agree to the terms and conditions.

The choice to travel is a personal decision and all travelers are responsible for following all destination, airline and vendor protocols. While Aspire To More Travel LLC will share travel requirement information, you understand that you are responsible for obtaining the appropriate documentation for entry to your destination. Entry & re-entry rules are country specific. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination and your connecting points, and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination. Make sure to note rules are subject to change whether your travels are foreign or domestic. Many countries require your passport to be valid for six months or more after your date of entry.

For your protection, we strongly recommend purchasing trip cancellation and travel accident insurance. Please be aware that most policies may not cover epidemics and pandemics, especially during travel warnings. Our description of insurance does not constitute a binding assurance. You agree to hold us harmless for your decision not to purchase travel insurance or for any denial of claims by the insurer, particularly related to COVID-19 or any other policy claim.

By signing below, you acknowledge that you, on behalf of your entire party, are in agreement and understand that Aspire To More Travel, LLC and/or its hosting agency/consortia do not claim liability for any losses due to a lack of pre-travel compliance or cancellations due to closures. In addition, you understand that travel involves the risk of a variety of hazards to health and/or safety (including but not limited to injury, illness, death), of which Aspire To More Travel, LLC is not responsible.

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Credit Card Authorization

Select the amount you would like to authorize:

Authorize deposit

Deposit of $0.00 due on July 15, 2026

Monthly Payment #1 of $161.92 due on August 15, 2026

Monthly Payment #2 of $161.92 due on September 15, 2026

Monthly Payment #3 of $161.92 due on October 15, 2026

Monthly Payment #4 of $161.92 due on November 15, 2026

Monthly Payment #5 of $161.92 due on December 15, 2026

Monthly Payment #6 of $161.92 due on January 15, 2027

Final Payment of $161.95 due on February 15, 2027

$0.00

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$1,133.47

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Independent Travel Advisor: Avia Banks (PIN: P354515)

Advisor Telephone: 570-242-7866

Advisor Email: avia.banks@aspire2moretravel.com

TRAVEL PURCHASE AUTHORIZATION

The Independent Travel Advisor listed above is pleased to confirm your travel arrangements. In order to finalize your arrangements, your payment information and signature on this credit card authorization form is required. Please note that charges are payable ONLY to InteleTravel.com or the specific travel supplier such as the hotel, resort, tour operator, cruise line, etc. Independent Travel Advisors may not accept and process charges through any other account, or accept checks, cash or other forms of payment.

Your electronic signature below, hereby authorizes Avia Banks of Aspire To More Travel, LLC., InteleTravel.com, or the hotel, resort, tour operator, cruise line or other travel supplier to charge the credit card provided herein to secure approved travel services.

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2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita

Panama Cityscapes & Beach Daze Tour - Hotel & Tour Only Package (Triple Occupancy/Fam Kg & 2 Qn Beds) —

—

Total —

Due now —

Continue to traveler info

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

2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita

Panama Cityscapes & Beach Daze Tour - Hotel & Tour Only Package (Triple Occupancy/Fam Kg & 2 Qn Beds) —

—

Total —

Due now —

Continue to traveler info

2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita

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Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

$0.00

Authorize full amount

$1,133.47

2027 Panama Cityscapes & Beach Daze

2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita

2027 Panama Cityscapes & Beach Daze

Apr 7, 2027 to Apr 14, 2027

Panama City & Playa Bonita