TravelJoy

Kasey Wynn

Dazzling Getaways LLC

Askevold + Santiago Destination Wedding

Secrets Akumal Riviera Maya

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	<fields>&#13;
		<field type="header" subtype="h1" label="Courtney &amp;amp; Brandon's Wedding Room Block Reservation Form"/>&#13;
		<field type="paragraph" subtype="p" label="Submitting information via this reservation form DOES NOT automatically confirm your reservation. The booking process is as follows:&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="1) Complete this form, telling Dazzling Getaways who will be sharing your room(s), and which room category you would like to book."/>&#13;
		<field type="paragraph" subtype="p" label="2) Dazzling Getaways will confirm availability for your room request and email you an invoice.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="3) If everything looks good, you will authorize your $100 per person deposit via a link within the invoice. After deposit is paid, your reservation is confirmed!"/>&#13;
		<field type="paragraph" subtype="p" label="**Please enter your legal names EXACTLY as it appears (or will appear) on your valid passport. Make sure to list middle name or initial if they are listed on your passport. Dazzling Getaways is not liable if the information below is not entered accurately.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="Let's Begin!"/>&#13;
		<field type="select" required="true" label="Total Number of Guests in Your Party" name="total-number-of-guests-in-your-party" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Primary Guest"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" inline="true" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
			<option label="Non-Binary" value="nonbinary">Non-Binary</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Address" 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="Email" 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="header" subtype="h1" label="Additional Guests"/>&#13;
		<field type="paragraph" subtype="p" label="Important - if you are adding additional guests to your reservation, please fill out each piece of information requested. This information is required to confirm your reservation.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Guest 2"/>&#13;
		<field type="text" label="Guest 2 Full Name **as it appears or will appear on their passport**" name="guest-2-full-name-as-it-appears-or-will-appear-on-their-passport" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Guest 2: Relationship to You" name="guest-2-relationship-to-you" className="form-control">&#13;
			<option label="Spouse" value="spouse">Spouse</option>&#13;
			<option label="Significant Other" value="significant-other">Significant Other</option>&#13;
			<option label="Child" value="child">Child</option>&#13;
			<option label="Parent" value="parent">Parent</option>&#13;
			<option label="Sibling" value="sibling">Sibling</option>&#13;
			<option label="Friend" value="friend">Friend</option>&#13;
			<option label="Relative" value="relative">Relative</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Guest 2 Gender" inline="true" name="guest-2-gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
			<option label="Non-Binary" value="nonbinary">Non-Binary</option>&#13;
		</field>&#13;
		<field type="date" label="Guest 2 Date of Birth" name="guest-2-date-of-birth" className="form-control"/>&#13;
		<field type="text" label="Guest 2 Email Address" name="guest-2-email-address" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="select" required="true" label="Which Room Category Would You Like to Book?&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; Rates are listed on wedding website for reference" name="which-room-category-would-you-like-to-book" className="form-control">&#13;
			<option label="Tropical View" value="tropical-view">Tropical View</option>&#13;
			<option label="Partial Ocean View" value="partial-ocean-view">Partial Ocean View</option>&#13;
			<option label="Swim Out" value="swim-out">Swim Out</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Bedding Request (NOT guaranteed, but we do our best)" name="bedding-request" className="form-control">&#13;
			<option label="1 King " value="1-king-">1 King </option>&#13;
			<option label="2  Double Beds" value="2-double-beds">2  Double Beds</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Arrival Date" name="arrival-date" 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="Would you like Dazzling Getaways to arrange your flight?&amp;nbsp;" name="would-you-like-dazzling-getaways-to-arrange-your-flight-">&#13;
			<option label="No thanks, I'll handle that on my own" value="no-thanks-ill-handle-that-on-my-own">No thanks, I'll handle that on my own</option>&#13;
			<option label="Yes! I'm ok with the $75 per person air booking fee, and would like Dazzling Getaways to handle my air arrangements." value="yes-im-ok-with-the-75-per-person-air-booking-fee-and-would-like-dazzling-getaways-to-handle-my-air-arrangements">Yes! I'm ok with the $75 per person air booking fee, and would like Dazzling Getaways to handle my air arrangements.</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected yes, please tell me which airport you would like to fly out of" name="if-you-selected-yes-please-tell-me-which-airport-you-would-like-to-fly-out-of" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How can we make your trip extra special? Please let us know if you have other requests / celebrating a birthday or anniversary / etc." name="how-can-we-make-your-trip-extra-special-please-let-us-know-if-you-have-other-requests-celebrating-a-birthday-or-anniversary-etc" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any questions that I can answer at this time?&amp;nbsp;" name="do-you-have-any-questions-that-i-can-answer-at-this-time-" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Optional Travel Insurance"/>&#13;
		<field type="paragraph" subtype="p" label="Travel insurance is HIGHLY recommended, to protect your investment from unforeseeable circumstances. Would you like for me to send you a travel insurance quote?"/>&#13;
		<field type="select" required="true" label="Please Select" name="please-select" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No - I will opt out of travel insurance, and will not hold Dazzling Getaways liable for any loss" value="no-i-will-opt-out-of-travel-insurance-and-will-not-hold-dazzling-getaways-liable-for-any-loss">No - I will opt out of travel insurance, and will not hold Dazzling Getaways liable for any loss</option>&#13;
		</field>&#13;
	</fields>&#13;
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By signing below, I agree to the following terms

I understand that a passport is required for international travel, including for children & babies and that for some countries (including Mexico, Costa Rica, St. Lucia, Europe) passports must be valid 6 months AFTER RETURN DATE OF TRAVEL (If you have additional questions, please contact your travel planner).
I certify that I will verify all information listed on my travel invoice, and will notify Dazzling Getaways of any discrepancies within 24 hours.
I understand that Trip Insurance is optional and the cost is non-refundable. I understand that if I selected "yes" above, a travel insurance quote will be emailed to me from Travel Insured International, and it is my responsibility to purchase my policy from the emailed link. Dazzling Getaways will not be held liable for any guest choosing not to purchase travel insurance.
I understand that if I decline the purchase of travel insurance, this 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. I will not hold Dazzling Getaways LLC liable for any losses that may occur.
I authorize Dazzling Getaways to charge a change fee of $25 per person per request for any changes that are requested or required after 24 hours of receiving my reservation confirmation email. This may include travel date changes, name changes, room category changes, and more.

Once a payment is authorized, please note that you may not see a charge from Dazzling Getaways on your credit card statement: the charge may come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.

If there are any issues with your submission, an agent will get back to you soon.

Note - After you sign the form below, click on the blue "Make My Reservation" button. If nothing happens when you click the button below, please scroll back up and see if you missed any required fields.

Click to sign