TravelJoy

Carita Coughlin

Charmed Compass Travel

Live Aqua - Punta Cana

Sep 12, 2022 to Sep 17, 2022

Punta Cana

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Room Rate Request"/>
		<field type="select" required="true" label="How Many Adults?" description="Number of adults in room" name="how-many-adults" className="form-control">
			<option label="1 Adult" value="1-adult" selected="true">1 Adult</option>
			<option label="2 Adults" value="2-adults">2 Adults</option>
			<option label="3 Adults" value="3-adults">3 Adults</option>
		</field>
		<field type="header" subtype="h2" label="Name as it appears on your passport:"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name (only include this if it is on your passport)" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" label="If you have one or more passengers traveling with you provide their First and Last Name along with birthdate here:" description="PLESAE NOTE - Names must match passports" name="if-you-have-one-or-more-passengers-traveling-with-you-provide-their-first-and-last-name-along-with-birthdate-here" subtype="text" className="form-control"/>
		<field type="select" required="true" label="Bed Preference (Bedding is not 100% guaranteed)" name="bed-preference-bedding-is-not-100-guaranteed" className="form-control">
			<option label="King Bed" value="king-bed" selected="true">King Bed</option>
			<option label="Double Beds (two beds)" value="double-beds-two-beds">Double Beds (two beds)</option>
		</field>
		<field type="select" required="true" label="Which Travel Advisor referred you for this retreat?" name="which-travel-advisor-referred-you-for-this-retreat" className="form-control">
			<option label="Carita Coughlin " value="carita-coughlin-" selected="true">Carita Coughlin </option>
			<option label="Krissy Terrilion" value="krissy-terrilion">Krissy Terrilion</option>
			<option label="Kristina Keller" value="kristina-keller">Kristina Keller</option>
			<option label="Kelcie Martin" value="kelcie-martin">Kelcie Martin</option>
		</field>
		<field type="textarea" label="Anything else we should know or any special requests?" name="anything-else-we-should-know-or-any-special-requests" className="form-control"/>
	</fields>
</form-template>