TravelJoy

Terri Moore

Far Moore Travel

2026- Thailand

Nov 5, 2026 to Nov 14, 2026

Luxury Thailand Tour

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	<fields>&#13;
		<field type="header" subtype="h3" label="Complete one form per person when you are ready to pay your deposit. Although a valid Passport is required for travel, you do not have to enter your Passport information into this form in order to submit it, however, a copy of your Passport is required within 60 days of departure. Rates and availability are subject to change until a deposit is paid"/>&#13;
		<field type="checkbox-group" required="true" label="Tour Type" name="tour">&#13;
			<option label="Package with Airfare from IAD ($7,900 Single/$5,820 per person Double)" value="package-with-airfare-from-iad-7900-single5820-per-person-double">Package with Airfare from IAD ($7,900 Single/$5,820 per person Double)</option>&#13;
			<option label="Land Package Only  ($6,900 Single/$4,820 per person Double)" value="land-package-only-6900-single4820-per-person-double">Land Package Only  ($6,900 Single/$4,820 per person Double)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Room Occupancy" name="room-occupancy">&#13;
			<option label="Single (1 person in the room)" value="single-1-person-in-the-room">Single (1 person in the room)</option>&#13;
			<option label="Double (2 people in the room)" value="double-2-people-in-the-room">Double (2 people in the room)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Departure Airport (rate will be provided for alternate airports if available)" name="departure-airport" other="true">&#13;
			<option label="Washington Dulles (IAD)" value="washington-dulles-iad">Washington Dulles (IAD)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Roommate&#39;s Name (Enter N/A if Single Occupancy)" name="roommates-name-enter-na-if-single-occupancy" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Invoice Type" name="invoice-type">&#13;
			<option label="Separate Invoices" value="separate-invoices">Separate Invoices</option>&#13;
			<option label="One Invoice for All Guests Sharing the Room" value="one-invoice-for-all-guests-sharing-the-room">One Invoice for All Guests Sharing the Room</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Passenger Info"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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" description="If no middle name  type &quot;none&quot;" 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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" 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;
		</field>&#13;
		<field type="date" label="Birthday" name="birthday" 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" label="Country" name="address-country" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" label="Full name as it appears on passport" description="Passport must be valid for six (6) months after travel ends and have 2 blank pages back to back. Please provide a copy of your passport prior to the final payment date" 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="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<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="text" label="KTN (Global Entry/TSA Pre-Check" name="ktn-global-entrytsa-precheck" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Emergency Contact Name" name="emergency-contact-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Emergency Contact Number" name="emergency-contact-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Optional Add-Ons"/>&#13;
		<field type="checkbox-group" required="true" label="Travel Insurance (Actual cost of insurance based on trip cost and traveler&#39;s age)" name="travel-insurance--89-per-person">&#13;
			<option label="Provide a Quote" value="provide-a-quote">Provide a Quote</option>&#13;
			<option label="Declined" value="declined">Declined</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Golf (3 Rounds)- $600 per golfer" name="golf-3-rounds-600-per-golfer">&#13;
			<option label="Accept" value="accept">Accept</option>&#13;
			<option label="Decline" value="decline">Decline</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Golf Club Rental ($225 per person for 3 rounds)" name="golf-club-rental-225-per-person-for-3-rounds">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="PHUKET TOUR: Yona Beach Club Sunset Experience $310 per person (includes transportation, Welcome Drink, Credit to Spend, Towel" name="phuket-tour-phang-nga-khai-premium-tour-jmes-bond-island-150-per-person">&#13;
			<option label="Accept" value="accept">Accept</option>&#13;
			<option label="Decline" value="decline">Decline</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite Aisle" value="opposite-aisle">Opposite Aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen/Twin" value="2-doublequeentwin">2 Double/Queen/Twin</option>&#13;
		</field>&#13;
		<field type="text" label="Food Allergies/Restrictions" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Special Needs (Accessibility, Traveling with a Cpap Machine, etc)" name="special-needs-accessibility-traveling-with-a-cpap-machine-etc" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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  </body>
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