TravelJoy

Team Travelooza

Travelooza

NEW LEADS

<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="h1" label="Travel with the Agents 2022"/>
		<field type="paragraph" subtype="p" label="TRAVELOOZA Agents!"/>
		<field type="paragraph" subtype="p" label="Info@Travelooza.com"/>
		<field type="paragraph" subtype="p" label="We would like to make your Planet Hollywood reservation and believe preparing accurate paperwork is an essential step. Please complete the following form fully and accurately so that we can plan accordingly. All submitted information is secure, properly protected, and used exclusively for your upcoming reservation. It comes only to Travelooza via email and then we will input to confirm the reservation. This trip will be on the beach in beautiful Playa Mujeresa, Mexico!Paragraph"/>
		<field type="text" required="true" label="Lead Traveler on the Reservation:" description="First/Last Name" name="lead-traveler-on-the-reservation" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Best Contact Phone" name="best-contact-phone" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Sun, July 24 to Sat July 30th, 2022" description="Planet Hollywood &amp; Adult Scene  *Rooms available from July 24-30  2022 at group rates. You pick the days you want to go!" name="sun-july-24-to-sat-july-30th-2022">
			<option label="5 nights - Sun July 24 to Fri July 29" value="5-nights-sun-july-24-to-fri-july-29" selected="true">5 nights - Sun July 24 to Fri July 29</option>
			<option label="7 nights - Sun July 24 to Sat July 30" value="7-nights-sun-july-24-to-sat-july-30">7 nights - Sun July 24 to Sat July 30</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="checkbox-group" required="true" label="For air, we are interested in:" name="for-air-we-are-interested-in">
			<option label="Fly with group from Denver" value="fly-with-group-from-denver" selected="true">Fly with group from Denver</option>
			<option label="Fly with group from Minnesota" value="fly-with-group-from-minnesota">Fly with group from Minnesota</option>
			<option label="I/We will arrange my own air/transportation." value="iwe-will-arrange-my-own-airtransportation">I/We will arrange my own air/transportation.</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="checkbox-group" required="true" label="My preference on a room Secrets-&amp;nbsp;" description="RATES DO NOT INCLUDE AIRFARE. All rates are based on double occupancy (two people in a room-- prices will adjust some if more. Please note child rates on the website are only applicable when sharing a room with 2 full paying adults." name="my-preference-on-a-room-secrets-">
			<option label="Jr Ste - 5 nights is $963.27 person" value="jr-ste-5-nights-is-96327-person" selected="true">Jr Ste - 5 nights is $963.27 person</option>
			<option label="Jr Ste Ocean View - 5 nights $1,036.82 person" value="jr-ste-ocean-view-5-nights-103682-person">Jr Ste Ocean View - 5 nights $1,036.82 person</option>
			<option label="Star Class Jr Ste - 5 nights is $1,152.73 person" value="star-class-jr-ste-5-nights-is-115273-person">Star Class Jr Ste - 5 nights is $1,152.73 person</option>
			<option label="Director's Ste 1 bdrm - 5 nights is $1,523.63 person" value="directors-ste-1-bdrm-5-nights-is-152363-person">Director's Ste 1 bdrm - 5 nights is $1,523.63 person</option>
			<option label="Director's Ste 2 bdrm- 5 nights is $2,659.55 person" value="directors-ste-2-bdrm-5-nights-is-265955-person">Director's Ste 2 bdrm- 5 nights is $2,659.55 person</option>
			<option label="Junior Ste Swim Out - Adult Scene - $1,216.50 person" value="junior-ste-swim-out-adult-scene-121650-person">Junior Ste Swim Out - Adult Scene - $1,216.50 person</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="textarea" required="true" label="MEMBERS OF YOUR PARTY Please list full legal name of persons you are responsible for booking. Names must match driver's license/passport exactly." name="members-of-your-party-please-list-full-legal-name-of-persons-you-are-responsible-for-booking-names-must-match-drivers-licensepassport-exactly" className="form-control"/>
		<field type="text" label="Mailing Address" name="mailing-address" subtype="text" className="form-control"/>
		<field type="textarea" required="true" label="Comments/Questions:" name="commentsquestions" className="form-control"/>
		<field type="paragraph" subtype="p" label="CONTACT INFORMATION For any questions on the form and details, please call Kristen Pfeifer at 785-639-1060 or email kristen@travelooza.comParagraph"/>
	</fields>
</form-template>