TravelJoy

Jermainne Biagas

JC Royalty Xcapes

New Orleans Saints Take Paris

Paris, France

<html>
  <body>
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	<fields>&#13;
		<field type="header" subtype="h1" label="Lead Traveler Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="date" required="true" label="Date of Birth" name="date-of-birth" 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="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" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="List the names, birth dates, and ages of ALL adults and children at the time of travel." placeholder="Failure to provide this information will prolong your travel planning services." name="list-the-names-birth-dates-and-ages-of-all-adults-and-children-at-the-time-of-travel" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="For hotel/how many guests PER ROOM?" name="for-hotelcruise-cabin-accommodations-how-many-guests-per-room" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="checkbox-group" required="true" label="Do you and/or guest have valid passports?" inline="true" name="do-you-andor-guest-have-valid-passports">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Need information to acquire one" value="need-information-to-acquire-one">Need information to acquire one</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="About Your Trip"/>&#13;
		<field type="select" required="true" label="Please let me know which option works best for you." name="select-1770426186538" className="form-control">&#13;
			<option label="Flights Package Deal " value="flights-package-deal-" selected="selected">Flights Package Deal </option>&#13;
			<option label="Flights Package Deal without Tickets" value="flights-package-deal-without-tickets">Flights Package Deal without Tickets</option>&#13;
			<option label="Hotel Only Package (Flights not included)" value="hotel-only-package-flights-not-included">Hotel Only Package (Flights not included)</option>&#13;
			<option label="Hotel Only Package (Flights not included)  without Tickets" value="hotel-only-package-flights-not-included-without-tickets">Hotel Only Package (Flights not included)  without Tickets</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you want to change travel package dates or extend your trip?" name="select-1770425947122" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Option 3" value="option-3">Option 3</option>&#13;
		</field>&#13;
		<field type="text" label="If yes to the above question; please provide the travel dates." name="text-1770425872518" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Anything you absolutely must do or see?" placeholder="example; swimming with pigs; ATV  horseback riding on beach  etc." name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="checkbox-group" required="true" label="Airline Preference" description="Check all that apply" inline="true" name="activity-preferences" other="true">&#13;
			<option label="No preference" value="no-preference">No preference</option>&#13;
			<option label="Delta" value="delta">Delta</option>&#13;
			<option label="American" value="american">American</option>&#13;
			<option label="United" value="united">United</option>&#13;
			<option label="Southwest" value="southwest">Southwest</option>&#13;
			<option label="Jet Blue" value="jet-blue">Jet Blue</option>&#13;
			<option label="Spirit" value="spirit">Spirit</option>&#13;
			<option label="Frontier" value="frontier">Frontier</option>&#13;
			<option label="No Flight Needed" value="no-flight-needed">No Flight Needed</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If multiple airports are needed, please list cities, name and the number of passengers for each airport." placeholder="example John &amp;amp; Liz (New Orleans)   - Jaden (Dallas)" name="if-multiple-airports-please-list-cities-and-number-of-passengers-for-each" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Seat Preference (Check all that apply)" inline="true" name="seat-preference-check-all-that-apply">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Extra Leg Room/Premium" value="extra-leg-roompremium">Extra Leg Room/Premium</option>&#13;
			<option label="Business Class" value="business-class">Business Class</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
			<option label=" Window Seat" value="-window-seat"> Window Seat</option>&#13;
			<option label="Middle Seat" value="middle-seat">Middle Seat</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Exit Row" value="exit-row">Exit Row</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Important Questions"/>&#13;
		<field type="radio-group" required="true" label="Are you aware tickets aren&#39;t available now.&amp;nbsp;" description="Ticket Cost is unknown " name="radio-group-1770426511911">&#13;
			<option label="Yes, I'm aware tickets aren't available now - please book my package" value="yes-im-aware-tickets-arent-available-now-please-book-my-package">Yes, I'm aware tickets aren't available now - please book my package</option>&#13;
			<option label="I'm not ready to book and want to wait until tickets are available" value="im-not-ready-to-book-and-want-to-wait-until-tickets-are-available">I'm not ready to book and want to wait until tickets are available</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you deposit ready?&amp;nbsp; Rates are subject to change until booked. Any rates given today may not be the same tomorrow, next week, or even next month.&amp;nbsp;" name="are-you-ready-to-make-a-deposit">&#13;
			<option label="I am deposit ready and would like to book today." value="i-am-deposit-ready-and-would-like-to-book-today">I am deposit ready and would like to book today.</option>&#13;
			<option label="I am deposit ready and would like to book within 1 week." value="i-am-deposit-ready-and-would-like-to-book-within-1-week">I am deposit ready and would like to book within 1 week.</option>&#13;
			<option label="I am not deposit ready. I'm just curious." value="i-am-not-deposit-ready-im-just-curious">I am not deposit ready. I'm just curious.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you aware that rates are subject to change until booked. Placing a down payment locks in your rate. Any rates given today may not be the same tomorrow or by the close of business.*?" description="Any rates given today may not be the same tomorrow  next week, or even next month." name="are-you-aware-that-rates-are-subject-to-change-until-booked-placing-a-down-payment-locks-in-your-rate-any-rates-given-today-may-not-be-the-same-tomorrow-or-by-the-close-of-business">&#13;
			<option label="Yes, I'm aware that the price may be different tomorrow if I do not book today." value="yes-im-aware-that-the-price-may-be-different-tomorrow-if-i-do-not-book-today">Yes, I'm aware that the price may be different tomorrow if I do not book today.</option>&#13;
			<option label="I'm not ready to book.  I'm aware that rates may be totally different if I request a quote tomorrow or in a month." value="im-not-ready-to-book-im-aware-that-rates-may-be-totally-different-if-i-request-a-quote-tomorrow-or-in-a-month">I'm not ready to book.  I'm aware that rates may be totally different if I request a quote tomorrow or in a month.</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs ( Please list all to get all of your points)" 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="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="TERMS &amp;amp; CONDITIONS"/>&#13;
		<field type="paragraph" subtype="p" label="STOP...... Please ensure you have the completed all sections relating to your Xcape Getaway. Upon booking with me, you will receive pre-trip travel tips and advisories; email/phone assistance before, during and after your travel. I take pride in my finding your dream vacation and the happiness and satisfaction of my travelers is of the utmost importance to me.&amp;nbsp; There is a $50 fee for cancellations. You will be invoiced and made payable to JC Royalty Xcapes.&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Agree to Terms &amp;amp; Conditions" name="checkbox-group-1770428258424">&#13;
			<option label="Yes I agree with the Terms and Conditions and  understand there is a $50 cancellation fee, if I cancel." value="yes-i-agree-with-the-terms-and-conditions-and-understand-there-is-a-50-cancellation-fee-if-i-cancel">Yes I agree with the Terms and Conditions and  understand there is a $50 cancellation fee, if I cancel.</option>&#13;
		</field>&#13;
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		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1770427432182" rule="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"/>&#13;
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