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Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO

Triple Occupancy - Interior —

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INCOMPLETE

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		<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" required="true" 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;
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		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
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		<field type="text" required="true" label="Country" name="address-country" 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="radio-group" required="true" label="Special Qualifiers" name="special-qualifiers">&#13;
			<option label="Military" value="military">Military</option>&#13;
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		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
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		<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;
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<html>
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		<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" required="true" 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="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="Country" name="address-country" 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="radio-group" required="true" label="Special Qualifiers" name="special-qualifiers">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Senior (55+)" value="senior-55">Senior (55+)</option>&#13;
		</field>&#13;
		<field type="text" label="Known Traveler Numbers (TSA Pre-Check, Clear etc.)" name="known-traveler-numbers-tsa-precheck-clear-etc" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="paragraph" subtype="p" label="Passport information is required at the time of booking.&amp;nbsp;"/>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" 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" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender" other="true">&#13;
			<option label="F" value="female">F</option>&#13;
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			<option label="X" value="x">X</option>&#13;
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		<field type="text" required="true" label="DEPARTURE AIRPORT" name="departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="DEPARTURE DATE" name="departure-date" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="FLIGHT CLASS" name="flight-class">&#13;
			<option label="ECONOMY" value="economy">ECONOMY</option>&#13;
			<option label="PREMIUM ECONOMY" value="premium-economy">PREMIUM ECONOMY</option>&#13;
			<option label="BUSINESS CLASS" value="business-class">BUSINESS CLASS</option>&#13;
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		<field type="radio-group" required="true" label="HOTEL" name="hotel">&#13;
			<option label="5-STAR" value="5star">5-STAR</option>&#13;
			<option label="4-STAR" value="4star">4-STAR</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="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" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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  </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" required="true" 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="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="Country" name="address-country" 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="radio-group" required="true" label="Special Qualifiers" name="special-qualifiers">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Senior (55+)" value="senior-55">Senior (55+)</option>&#13;
		</field>&#13;
		<field type="text" label="Known Traveler Numbers (TSA Pre-Check, Clear etc.)" name="known-traveler-numbers-tsa-precheck-clear-etc" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="paragraph" subtype="p" label="Passport information is required at the time of booking.&amp;nbsp;"/>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" 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" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender" other="true">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="x">X</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="FLIGHT"/>&#13;
		<field type="text" required="true" label="DEPARTURE AIRPORT" name="departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="DEPARTURE DATE" name="departure-date" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="FLIGHT CLASS" name="flight-class">&#13;
			<option label="ECONOMY" value="economy">ECONOMY</option>&#13;
			<option label="PREMIUM ECONOMY" value="premium-economy">PREMIUM ECONOMY</option>&#13;
			<option label="BUSINESS CLASS" value="business-class">BUSINESS CLASS</option>&#13;
			<option label="FIRST CLASS" value="first-class">FIRST CLASS</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="PRE-ACCOMMODATION"/>&#13;
		<field type="radio-group" required="true" label="HOTEL" name="hotel">&#13;
			<option label="5-STAR" value="5star">5-STAR</option>&#13;
			<option label="4-STAR" value="4star">4-STAR</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" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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Deposit of $487.00 due on July 7, 2026

Monthly Payment #1 of $3.26 due on July 14, 2026

Monthly Payment #2 of $3.26 due on August 14, 2026

Monthly Payment #3 of $3.26 due on September 14, 2026

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Final Payment of $3.26 due on March 14, 2027

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I, as a cardholder, hereby authorize Flo Knowles Travel, LLC, to charge the selected amount to the credit card. I guarantee and warrant that I am the legal cardholder for this debit or credit card. Completing this form and the electronic signature signifies acceptance in lieu of my signature. By authorizing this charge, I agree to the Flo Knowles Travel, LLC Terms and Conditions, which are located here. I agree with the terms and conditions, cancellation policies, and refund policies of the travel supplier partner, Carnival Cruise Line, located here, which may limit my right to a refund if I choose to cancel or change my plans.

Supplier: Carnival Cruise Lines

Travel Dates: June 11-14, 2027

Ship: Carnival Radiance

Cruise: 3-Day Baja Mexico

Group: Maria's 60th Birthday

Departure Port: Long Beach, CA

Final Payment Date: March 14, 2027

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Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO

Triple Occupancy - Interior —

—

Total —

Due now —

Continue to traveler info

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Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO

Triple Occupancy - Interior —

—

Total —

Due now —

Continue to traveler info

Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO

Select travelers

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Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

$487.00

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$516.34

Maria's 60th Birthday Celebration

Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO

Maria's 60th Birthday Celebration

Jun 11, 2027 to Jun 14, 2027

BAJA, MEXICO