TravelJoy

Essence '24

Jul 4, 2024 to Jul 7, 2024

New Orleans, LA

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Please only complete this form if you're interested in attending this trip or event. We will be reaching out to share additional information, via e-mail. &lt;br&gt;&lt;br&gt;&lt;i&gt; Some e-mail providers may send our emails to your Spam/Junk or Promotions folders automatically. To avoid this, add &quot;Trips@TheTravelBugVacations.com&quot; to your Address Book and/or Safe Senders list.&lt;/i&gt;&lt;br&gt;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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" 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="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" placeholder="mm/dd/yyyy" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" 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="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="header" subtype="h2" label="Travel Preferences"/>&#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" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="text" label="Name(s) of Additional Travelers" name="names-of-additional-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Comments/Questions" name="commentsquestions" className="form-control"/>&#13;
		<field type="text" required="true" label="Were you referred to us by anyone? Please include their name or their Referral Code." name="were-you-referred-to-us-by-anyone-please-include-their-name-or-their-referral-code" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to receive email notifications about new trips and offers?" description="You can unsubscribe at any time. Mailing list e-mails will have an Unsubscribe link at the bottom." name="would-you-like-to-receive-email-notifications-about-new-trips-and-offers" className="form-control">&#13;
			<option label="" value="" selected="selected"/>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
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