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Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Central Sea Terrace —

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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information (as it appears on passport or Official Government ID)"/>&#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="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="State of Residence" name="address-state" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Do you have a passport?" name="do-you-have-a-passport" className="form-control">&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Country of Citizenship" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" label="Name and Phone Number" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" label="Allergies/Accommodations/Comments" name="allergiesaccommodations" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="Please choose a loyalty program relevant to this trip" 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="Who referred you?" inline="true" name="who-referred-you" other="true">&#13;
			<option label="Dee" value="dee">Dee</option>&#13;
			<option label="Ayisha" value="ayisha">Ayisha</option>&#13;
			<option label="Jerilyn" value="jerilyn">Jerilyn</option>&#13;
			<option label="Qamar" value="qamar">Qamar</option>&#13;
			<option label="Zina" value="zina">Zina</option>&#13;
			<option label="Jackie" value="jackie">Jackie</option>&#13;
			<option label="Michelle and Rogernelle" value="michelle-and-rogernelle">Michelle and Rogernelle</option>&#13;
			<option label="Marlyn" value="marlyn">Marlyn</option>&#13;
			<option label="Maria" value="maria">Maria</option>&#13;
			<option label="Kecia" value="kecia">Kecia</option>&#13;
			<option label="Kim Marie" value="kim-marie">Kim Marie</option>&#13;
			<option label="Yvette" value="yvette">Yvette</option>&#13;
		</field>&#13;
		<field type="text" label="Promo Code" name="promo-code" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Would you like to split the initial deposit and individual invoices for each traveler on your booking?" name="select-1763568743413" className="form-control">&#13;
			<option label="No" value="no" selected="selected">No</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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Final payment of $1,185.00 is due on December 7, 2025

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Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Central Sea Terrace —

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Total —

Due now —

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Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Central Sea Terrace —

—

Total —

Due now —

Continue to traveler info

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Protect Your Trip

Credit Card Authorization

Authorize deposit

Final payment of $1,185.00 is due on December 7, 2025

$0.00

Authorize full amount

$1,185.00

Valiant Lady New York Spring 2026 68709

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Protect Your Trip

Credit Card Authorization

Authorize deposit Final payment of $1,185.00 is due on December 7, 2025

$0.00

Authorize full amount

$1,185.00

Valiant Lady New York Spring 2026 68709

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Valiant Lady New York Spring 2026 68709

Apr 6, 2026 to Apr 11, 2026

Authorize deposit

Final payment of $1,185.00 is due on December 7, 2025