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Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND

Bali ONLY!! 5 days 6/17-6/22 —

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Primary Traveler

INCOMPLETE

<html>
  <body>
<form-template>
  <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>
    <field type="header" subtype="h2" label="Travel Insurance"/>
    <field type="paragraph" subtype="p" label="By signing below, I understand that declining travel 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."/>
    <field type="header" subtype="h1" label="  "/>
    <field type="radio-group" label="Please choose:" name="please-choose">
      <option value="accept" label="I ACCEPT Travel Insurance.">I ACCEPT Travel Insurance.</option>
      <option value="decline" label="I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.">I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.</option>
    </field>
  </fields>
</form-template>
</body>
</html>

Click to sign

<html>
  <body>
<form-template>
  <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" label="Email" className="form-control" name="email"></field>
    <field type="header" subtype="h2" label="Travel Insurance"/>
    <field type="paragraph" subtype="p" label="By signing below, I understand that declining travel 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."/>
    <field type="header" subtype="h1" label="  "/>
    <field type="radio-group" label="Please choose:" name="please-choose">
      <option value="accept" label="I ACCEPT Travel Insurance.">I ACCEPT Travel Insurance.</option>
      <option value="decline" label="I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.">I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.</option>
    </field>
  </fields>
</form-template>
</body>
</html>

<html>
  <body>
<form-template>
  <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>
    <field type="header" subtype="h2" label="Travel Insurance"/>
    <field type="paragraph" subtype="p" label="By signing below, I understand that declining travel 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."/>
    <field type="header" subtype="h1" label="  "/>
    <field type="radio-group" label="Please choose:" name="please-choose">
      <option value="accept" label="I ACCEPT Travel Insurance.">I ACCEPT Travel Insurance.</option>
      <option value="decline" label="I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.">I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.</option>
    </field>
  </fields>
</form-template>
</body>
</html>

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Deposit of $0.00 due on September 17, 2026

Monthly Payment #1 of $176.57 due on October 11, 2026

Monthly Payment #2 of $176.57 due on November 11, 2026

Monthly Payment #3 of $176.57 due on December 11, 2026

Monthly Payment #4 of $176.57 due on January 11, 2027

Monthly Payment #5 of $176.57 due on February 11, 2027

Monthly Payment #6 of $176.57 due on March 11, 2027

Final Payment of $176.58 due on April 11, 2027

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Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND

Bali ONLY!! 5 days 6/17-6/22 —

—

Total —

Due now —

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Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND

Bali ONLY!! 5 days 6/17-6/22 —

—

Total —

Due now —

Continue to traveler info

Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND

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Primary Traveler

INCOMPLETE

Credit Card Authorization

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Authorize full amount

$1,236.00

Bali/Thailand June 17-26, 2027

Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND

Bali/Thailand June 17-26, 2027

Jun 17, 2027 to Jun 26, 2027

BALI/THAILAND