TravelJoy

The Travel Empire

Trip Booking Form

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Ready to book your trip?"/>&#13;
		<field type="paragraph" subtype="p" label="**PLEASE READ THE BELOW CAREFULLY**"/>&#13;
		<field type="paragraph" subtype="p" label="1. Please complete the booking form below and submit all required information over our secure connection so we can move forward with booking your trip! Information with an asterisk (*) is required."/>&#13;
		<field type="paragraph" subtype="p" label="2. COMPLETE ONE BOOKING FORM PER PARTY FOR UP TO 4 TRAVELLERS IN YOUR ROOM, OR YOU MAY SHARE THIS BOOKING LINK WITH THE OTHER ADULT TRAVELLERS IN YOUR ROOM/GROUP TO COMPLETE THEIR OWN BOOKING FORM. A SEPARATE FORM IS REQUIRED FOR EACH ROOM WITH A SEPARATE LEAD TRAVELLER ON THE BOOKING."/>&#13;
		<field type="paragraph" subtype="p" label="3. PLEASE RETRIEVE ALL TRAVELLER'S PASSPORTS BEFORE COMPLETING THIS FORM. NB. If your passport has expired or will expire before 6 months beyond your return date, you are advised to renew it ASAP in order to travel and it's highly recommended to start the renewal process FIRST before completing this booking form. You can still proceed to complete the booking form once you have a confirmed date to receive your new passport, however please note that your name MUST MATCH THE SAME NAME IN YOUR RENEWED PASSPORT. NB. PASSPORTS MUST BE VALID FOR AT LEAST 6 MONTHS AFTER YOUR RETURN DATE.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="4. To make the passport upload process run smoothly, we recommend that you snap a picture of your passport before starting to fill out this form. This will save you a few minutes. If you're unable to upload passport photos for all travellers, you can send to us separately via email."/>&#13;
		<field type="date" required="true" label="Today's Date (D/M/Y)" name="todays-date" className="form-control"/>&#13;
		<field type="select" required="true" label="What service/component are you booking?" name="what-servicecomponent-are-you-booking" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Custom Trip Planning Package " value="custom-trip-planning-package-">Custom Trip Planning Package </option>&#13;
			<option label="Advertised Vacation Package Deal" value="advertised-vacation-package-deal">Advertised Vacation Package Deal</option>&#13;
			<option label="Hotel Only " value="hotel-only-">Hotel Only </option>&#13;
			<option label="Flights Only (US$15 P/P service fee applies to book flights upfront, without the hotel component upon booking). Service fee DOES NOT APPLY to custom trip planning." value="flights-only-us15-pp-service-fee-applies-to-book-flights-upfront-without-the-hotel-component-upon-booking-service-fee-does-not-apply-to-custom-trip-planning">Flights Only (US$15 P/P service fee applies to book flights upfront, without the hotel component upon booking). Service fee DOES NOT APPLY to custom trip planning.</option>&#13;
			<option label="Concierge Services " value="concierge-services-">Concierge Services </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Destination and travel dates:" name="what-trip-are-you-booking-and-travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Which hotel are you booking? (If applicable)" name="which-hotel-are-you-booking" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What occupancy are you booking?" name="what-occupancy-are-you-booking" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Single Occupancy (1 person per room)" value="single-occupancy-1-person-per-room">Single Occupancy (1 person per room)</option>&#13;
			<option label="Double Occupancy (2 persons per room)" value="double-occupancy-2-persons-per-room">Double Occupancy (2 persons per room)</option>&#13;
			<option label="Triple Occupancy (3 persons per room)" value="triple-occupancy-3-persons-per-room">Triple Occupancy (3 persons per room)</option>&#13;
			<option label="Quad Occupancy (4 persons per room)" value="quad-occupancy-4-persons-per-room">Quad Occupancy (4 persons per room)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What was the price quoted in USD PER PERSON for the trip/services?" description="Prices are subject to change until booked. If there is any change to the quoted price  we will let you know before proceeding." placeholder="Prices are subject to change until booked. If there is any change to the quoted price  we will let you know before proceeding." name="what-was-the-priced-quoted-in-usd-per-person-for-the-tripservices" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Name of primary traveller on this reservation (this is the person we will send the trip invoice to for payment authorisation)" name="who-is-the-lead-traveller-on-this-reservation" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will you require separate invoices? NB. For advertised travel deals, ONLY ONE invoice/one card can be used for payment." name="will-you-require-separate-invoices" other="true">&#13;
			<option label="No, one invoice only for all travellers on this booking form " value="no-one-invoice-only-for-all-travellers-on-this-booking-form-">No, one invoice only for all travellers on this booking form </option>&#13;
			<option label="Yes, please issue separate invoices for each adult traveller on this form (not applicable for posted upfront payment travel deals)" value="yes-please-issue-separate-invoices-for-each-adult-traveller-on-this-form-not-applicable-for-posted-upfront-payment-travel-deals">Yes, please issue separate invoices for each adult traveller on this form (not applicable for posted upfront payment travel deals)</option>&#13;
		</field>&#13;
		<field type="text" label="If booking separately from your roommate, please enter name(s) of other traveller(s) in your room:" placeholder="Please enter first and last name" name="who-are-the-other-travellers-in-your-travel-party" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Passport &amp;amp; Traveller Information"/>&#13;
		<field type="header" subtype="h3" label="TRAVELLER 1 (Primary Traveller)"/>&#13;
		<field type="text" required="true" 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" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth (M/D/Y)" name="birthday" 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="select" required="true" label="Does traveller have a valid passport?" placeholder="Passport should be valid at least 6 months beyond your return date." name="does-traveller-have-a-valid-passport" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In the process of renewing" value="in-the-process-of-renewing">In the process of renewing</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Does traveller have a valid US Visa (if applicable)?" name="does-traveller-have-a-valid-us-visa-if-applicable" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of applying/renewing" value="in-process-of-applyingrenewing">In process of applying/renewing</option>&#13;
			<option label="Have already applied &amp; awaiting Visa" value="have-already-applied-awaiting-visa">Have already applied &amp; awaiting Visa</option>&#13;
			<option label="Not applicable" value="not-applicable">Not applicable</option>&#13;
		</field>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of passport expiration (M/D/Y)" description="Your passport should be valid at least 6 months beyond your return date." name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" required="true" label="Passport country" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Is this traveller vaccinated?" description="This allows us to advise you as accurately as possible on travel restrictions and protocols for your trip." name="is-this-traveller-vaccinated" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes, fully vaccinated (2 doses)" value="yes-fully-vaccinated-2-doses">Yes, fully vaccinated (2 doses)</option>&#13;
			<option label="Yes, partially vaccinated (1 dose)" value="yes-partially-vaccinated-1-dose">Yes, partially vaccinated (1 dose)</option>&#13;
			<option label="Not applicable, passenger is a child  under 18 (for air travel)" value="not-applicable-passenger-is-a-child-under-18-for-air-travel">Not applicable, passenger is a child  under 18 (for air travel)</option>&#13;
			<option label="Not applicable, passenger is a child  under 12 (for cruise travel)" value="not-applicable-passenger-is-a-child-under-12-for-cruise-travel">Not applicable, passenger is a child  under 12 (for cruise travel)</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Any Loyalty Programs/Frequent Flyer #?" 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="header" subtype="h1" label="Traveller 1 Preferences (Optional)"/>&#13;
		<field type="radio-group" label="Seat preference (if advanced seat selection is available)" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Middle " value="">Middle </option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
		</field>&#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="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h1" label="Additional Travellers"/>&#13;
		<field type="paragraph" subtype="p" label="Important: If you are adding additional travellers in your room on this form, please complete the information requested below OR you may send this booking form link to the OTHER ADULT TRAVELLERS for completion. If minors are included on this room reservation, please complete the below sections. This information is required in order to complete the reservation. If any section is not completed, it will delay booking the reservation until the information has been collected.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="TRAVELLER 2"/>&#13;
		<field type="text" label="Traveller 2: First &amp;amp; Last Name (**EXACTLY as it appears on Passport**)" name="traveller-2-full-name-must-be-as-it-appears-on-their-passport" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 2: Date of Birth (M/D/Y)" name="traveller-2-date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Traveller 2: Gender" inline="true" name="traveller-2-gender">&#13;
			<option label="Male " value="male-">Male </option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" label="Traveller 2: Email Address &amp;amp; Contact No. if not a minor (if a minor, please leave blank)" name="traveller-2-email-address-if-not-a-minor-if-a-minor-please-leave-blank" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Traveller 2: Relationship to Primary Traveller&amp;nbsp;" name="traveller-2-relationship-to-lead-traveller-" className="form-control">&#13;
			<option label="" value=""/>&#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="Spouse " value="spouse-">Spouse </option>&#13;
			<option label="Friend " value="friend-">Friend </option>&#13;
			<option label="Partner " value="partner-">Partner </option>&#13;
			<option label="Relative " value="relative-">Relative </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 2 have a valid passport?" placeholder="Passport should be valid at least 6 months beyond your return date." name="does-traveller-2-have-a-valid-passport" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of renewing" value="in-process-of-renewing">In process of renewing</option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 2 have a valid US Visa (if applicable)?" name="does-traveller-2-have-a-valid-us-visa-if-applicable" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of applying/renewing" value="in-process-of-applyingrenewing">In process of applying/renewing</option>&#13;
			<option label="In process of applying" value="in-process-of-applying">In process of applying</option>&#13;
			<option label="Have already applied &amp; awaiting Visa" value="have-already-applied-awaiting-visa">Have already applied &amp; awaiting Visa</option>&#13;
			<option label="Not applicable" value="not-applicable">Not applicable</option>&#13;
		</field>&#13;
		<field type="text" label="Travel 2: Passport number" name="travel-2-passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 2: Date of passport expiration (M/D/Y)" description="Your passport should be valid at least 6 months beyond your return date." name="traveller-2-date-of-passport-expiration-" className="form-control"/>&#13;
		<field type="text" label="Traveller 2: Passport country&amp;nbsp;" name="traveller-2-passport-country-" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Is Traveller 2 vaccinated?" description="This allows us to advise you as accurately as possible on travel restrictions and protocols for your trip." name="is-traveller-2-vaccinated" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes, fully vaccinated (2 doses)" value="yes-fully-vaccinated-2-doses">Yes, fully vaccinated (2 doses)</option>&#13;
			<option label="Yes, partially vaccinated (1 dose)" value="yes-partially-vaccinated-1-dose">Yes, partially vaccinated (1 dose)</option>&#13;
			<option label="Not applicable, passenger is a child  under 18 (for air travel)" value="not-applicable-passenger-is-a-child-under-18-for-air-travel">Not applicable, passenger is a child  under 18 (for air travel)</option>&#13;
			<option label="Not applicable, passenger is a child  under 12 (for cruise travel)" value="not-applicable-passenger-is-a-child-under-12-for-cruise-travel">Not applicable, passenger is a child  under 12 (for cruise travel)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Traveller 2: Seat preference (if advanced seat selection is available)" name="traveller-2-seat-preference-if-advanced-seat-selection-if-available">&#13;
			<option label="Window " value="window-">Window </option>&#13;
			<option label="Middle " value="middle-">Middle </option>&#13;
			<option label="Aisle " value="aisle-">Aisle </option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h3" label="TRAVELLER 3"/>&#13;
		<field type="text" label="Traveller 3: First &amp;amp; Last Name (**EXACTLY as it appears on Passport**)" name="traveller-3-full-name-must-be-as-it-appears-on-their-passport" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 3: Date of Birth (M/D/Y)" name="traveller-3-date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Traveller 3: Gender" inline="true" name="traveller-3-gender">&#13;
			<option label="Male " value="male-">Male </option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" label="Traveller 3: Email Address &amp;amp; Contact No. if not a minor (if a minor, please leave blank)" name="traveller-3-email-address-if-not-a-minor-if-a-minor-please-leave-blank" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Traveller 3: Relationship to Primary Traveller&amp;nbsp;" name="traveller-3-relationship-to-lead-traveller-" className="form-control">&#13;
			<option label="" value=""/>&#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="Spouse " value="spouse-">Spouse </option>&#13;
			<option label="Friend " value="friend-">Friend </option>&#13;
			<option label="Partner " value="partner-">Partner </option>&#13;
			<option label="Relative " value="relative-">Relative </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 3 have a valid passport?" placeholder="Passport should be valid at least 6 months beyond your return date." name="does-traveller-3-have-a-valid-passport" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of renewing" value="in-process-of-renewing">In process of renewing</option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 3 have a valid US Visa (if applicable)?" name="does-traveller-3-have-a-valid-us-visa-if-applicable" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of applying/renewing" value="in-process-of-applyingrenewing">In process of applying/renewing</option>&#13;
			<option label="In process of applying" value="in-process-of-applying">In process of applying</option>&#13;
			<option label="Have already applied &amp; awaiting Visa" value="have-already-applied-awaiting-visa">Have already applied &amp; awaiting Visa</option>&#13;
			<option label="Not applicable" value="not-applicable">Not applicable</option>&#13;
		</field>&#13;
		<field type="text" label="Travel 3: Passport number" name="travel-3-passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 3: Date of passport expiration (M/D/Y)" description="Your passport should be valid at least 6 months beyond your return date." name="traveller-3-date-of-passport-expiration-" className="form-control"/>&#13;
		<field type="text" label="Traveller 3: Passport country&amp;nbsp;" name="traveller-3-passport-country-" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Is Traveller 3 vaccinated?" description="This allows us to advise you as accurately as possible on travel restrictions and protocols for your trip." name="is-traveller-3-vaccinated" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes, fully vaccinated (2 doses)" value="yes-fully-vaccinated-2-doses">Yes, fully vaccinated (2 doses)</option>&#13;
			<option label="Yes, partially vaccinated (1 dose)" value="yes-partially-vaccinated-1-dose">Yes, partially vaccinated (1 dose)</option>&#13;
			<option label="Not applicable, passenger is a child  under 18 (for air travel)" value="not-applicable-passenger-is-a-child-under-18-for-air-travel">Not applicable, passenger is a child  under 18 (for air travel)</option>&#13;
			<option label="Not applicable, passenger is a child  under 12 (for cruise travel)" value="not-applicable-passenger-is-a-child-under-12-for-cruise-travel">Not applicable, passenger is a child  under 12 (for cruise travel)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Traveller 3: Seat preference (if advanced seat selection is available)" name="traveller-3-seat-preference-if-advanced-seat-selection-if-available">&#13;
			<option label="Window " value="window-">Window </option>&#13;
			<option label="Middle " value="middle-">Middle </option>&#13;
			<option label="Aisle " value="aisle-">Aisle </option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h3" label="TRAVELLER 4"/>&#13;
		<field type="text" label="Traveller 4: First &amp;amp; Last Name (**EXACTLY as it appears on Passport**)" name="traveller-4-full-name-must-be-as-it-appears-on-their-passport" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 4: Date of Birth (M/D/Y)" name="traveller-4-date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Traveller 4: Gender" inline="true" name="traveller-4-gender">&#13;
			<option label="Male " value="male-">Male </option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" label="Traveller 4: Email Address &amp;amp; Contact No. if not a minor (if a minor, please leave blank)" name="traveller-4-email-address-if-not-a-minor-if-a-minor-please-leave-blank" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Traveller 4: Relationship to Primary Traveller&amp;nbsp;" name="traveller-4-relationship-to-lead-traveller-" className="form-control">&#13;
			<option label="" value=""/>&#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="Spouse " value="spouse-">Spouse </option>&#13;
			<option label="Friend " value="friend-">Friend </option>&#13;
			<option label="Partner " value="partner-">Partner </option>&#13;
			<option label="Relative " value="relative-">Relative </option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 4 have a valid passport?" placeholder="Passport should be valid at least 6 months beyond your return date." name="does-traveller-4-have-a-valid-passport" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of renewing" value="in-process-of-renewing">In process of renewing</option>&#13;
		</field>&#13;
		<field type="select" label="Does Traveller 4 have a valid US Visa (if applicable)?" name="does-traveller-4-have-a-valid-us-visa-if-applicable" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In process of applying/renewing" value="in-process-of-applyingrenewing">In process of applying/renewing</option>&#13;
			<option label="In process of applying" value="in-process-of-applying">In process of applying</option>&#13;
			<option label="Have already applied &amp; awaiting Visa" value="have-already-applied-awaiting-visa">Have already applied &amp; awaiting Visa</option>&#13;
			<option label="Not applicable" value="not-applicable">Not applicable</option>&#13;
		</field>&#13;
		<field type="text" label="Travel 4: Passport number" name="travel-4-passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Traveller 4: Date of passport expiration (M/D/Y)" description="Your passport should be valid at least 6 months beyond your return date." name="traveller-4-date-of-passport-expiration-" className="form-control"/>&#13;
		<field type="text" label="Traveller 4: Passport country&amp;nbsp;" name="traveller-4-passport-country-" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Is Traveller 4 vaccinated?" description="This allows us to advise you as accurately as possible on travel restrictions and protocols for your trip." name="is-traveller-4-vaccinated" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes, fully vaccinated (2 doses)" value="yes-fully-vaccinated-2-doses">Yes, fully vaccinated (2 doses)</option>&#13;
			<option label="Yes, partially vaccinated (1 dose)" value="yes-partially-vaccinated-1-dose">Yes, partially vaccinated (1 dose)</option>&#13;
			<option label="Not applicable, passenger is a child  under 18 (for air travel)" value="not-applicable-passenger-is-a-child-under-18-for-air-travel">Not applicable, passenger is a child  under 18 (for air travel)</option>&#13;
			<option label="Not applicable, passenger is a child  under 12 (for cruise travel)" value="not-applicable-passenger-is-a-child-under-12-for-cruise-travel">Not applicable, passenger is a child  under 12 (for cruise travel)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Traveller 4: Seat preference (if advanced seat selection is available)" name="traveller-4-seat-preference-if-advanced-seat-selection-if-available">&#13;
			<option label="Window " value="window-">Window </option>&#13;
			<option label="Middle " value="middle-">Middle </option>&#13;
			<option label="Aisle " value="aisle-">Aisle </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Information&amp;nbsp;"/>&#13;
		<field type="textarea" label="Any Special Requests/Celebrating a Special Occasion? Other Questions/Comments?" name="any-special-requestscelebrating-a-special-occasion-other-questionscomments" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Emergency Contact Name, Number &amp;amp; Relationship" placeholder="One emergency contact can be included for all travellers on this reservation" name="emergency-contact-name-number-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Upload/Email/WhatsApp Passport Bio-Data Page&amp;nbsp;"/>&#13;
		<field type="file" label="Passport photo" description="Please upload copies for all travellers or send via email within 24 hours of submitting this form." name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Passport Terms &amp;amp; Conditions"/>&#13;
		<field type="checkbox-group" required="true" label="I/We have provided our first and last names as they appear on our passports. The Travel Empire is not responsible for any denied boarding situations or change fees, if name(s) are entered incorrectly or passport(s) are expired." name="iwe-have-provided-our-first-and-last-names-as-they-appear-on-our-passports-the-travel-empire-is-not-responsible-for-any-denied-boarding-situations-if-names-are-entered-incorrectly-or-passports-are-expired">&#13;
			<option label="I have read and agree to the Passport Terms &amp; Conditions" value="i-have-read-and-agree-to-the-passport-terms-conditions">I have read and agree to the Passport Terms &amp; Conditions</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Insurance Acknowledgement"/>&#13;
		<field type="select" required="true" label="TRAVEL INSURANCE (OPTIONAL). Emergencies can happen when you least expect them. Travel insurance is optional, however we HIGHLY RECOMMEND that clients purchase travel insurance to protect their investment. Travel Insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage (loss, theft or damage), Medical Emergencies and Transportation among other unforeseen events depending on the specific travel insurance coverage. PLEASE CONSULT YOUR PREFERRED INSURANCE PROVIDER/ADVISOR IF YOU ARE DESIROUS OF PURCHASING TRAVEL INSURANCE TO PROTECT YOUR TRIP.&amp;nbsp; NB. WE ARE NOT INSURANCE AGENTS AND DO NOT SELL TRAVEL INSURANCE. THE TRAVEL INSURANCE WITH&amp;nbsp; SUPPLIERS ARE FOR USA CITIZENS ONLY. If you choose not to purchase travel insurance/protection, you acknowledge and accept that you may be liable for any cancellation penalties and out-of-pocket expenses incurred. You also accept that you will make your own provisions in the event of an emergency while travelling. Please select &quot;Yes&quot; or &quot;No&quot; below to confirm your preference." name="travel-insurance-optional-nb-it-is-strongly-recommended-to-purchase-travel-insurance-to-protect-your-investment-if-you-choose-not-to-purchase-travel-insuranceprotection-you-acknowledge-and-accept-that-you-may-be-liable-for-any-cancellation-penalties-and-outofpocket-expenses-incurred-you-also-accept-that-you-will-make-your-own-provisions-in-the-event-of-an-emergency-while-travelling-please-select-yes-or-no-below-to-confirm-your-preference" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes, I (and my travel party) are interested in purchasing travel insurance and will consult with our insurance advisor for advice on the required travel insurance coverage for this trip." value="yes-i-and-my-travel-party-are-interested-in-purchasing-travel-insurance-and-will-consult-with-our-insurance-advisor-for-advice-on-the-required-travel-insurance-coverage-for-this-trip">Yes, I (and my travel party) are interested in purchasing travel insurance and will consult with our insurance advisor for advice on the required travel insurance coverage for this trip.</option>&#13;
			<option label="No, I (and my travel party) do not wish to purchase travel insurance and I/we understand that if I/we voluntarily cancel this trip, all funds may be non-refundable without any liability to The Travel Empire." value="no-i-and-my-travel-party-do-not-wish-to-purchase-travel-insurance-and-iwe-understand-that-if-iwe-voluntarily-cancel-this-trip-all-funds-may-be-nonrefundable-without-any-liability-to-the-travel-empire">No, I (and my travel party) do not wish to purchase travel insurance and I/we understand that if I/we voluntarily cancel this trip, all funds may be non-refundable without any liability to The Travel Empire.</option>&#13;
		</field>&#13;
	</fields>&#13;
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BOOKING TERMS & POLICIES

All payments are made via debit or credit card authorisation on your invoice once issued. Please wait until your invoice is issued BEFORE submitting any payments to us. Your invoice is usually generated within 24-48 hours after submission of your booking form.
By signing this form and clicking "Submit", you confirm you have read, understand and agree to The Travel Empire's Terms and Conditions and Privacy Policy (click the highlighted links to review).
By submitting this form, I, lead traveller (and on behalf of my travel party listed on this form) confirm that I/we have been made aware of the benefits of purchasing travel insurance as indicated above. I have read, understand and accept the Terms and Conditions provided herein. Subject to travel insurance being purchased and applicable cancellation penalties, I understand all funds are non-refundable and non-transferable unless a flexible cancellation/refundable trip component is booked.**
It is Client's responsibility to ensure that names are spelt correctly and that they are your legal names as it appears in your Passport. Please verify all legal names match the name in your passport and provide birth dates of each passenger. Change fees may by applied by the airline if names are not entered correctly. By submitting this form, you certify that all information provided above is verified to be correct.
You confirm that you have reviewed your travel quotation itinerary for accuracy (dates, cruise, flights, hotels, etc.) and you have been advised of all applicable fees imposed by your agent and the suppliers as well as any scheduled fees that may be required if this booking is cancelled or changed.
Please review the cancellation/change penalties that may apply to changes or cancellations of your trip. If you have any questions, please contact us at info@thetravelempirebb.com or 246-269-8120.

Please note all information provided on this form is strictly CONFIDENTIAL and will only be used for the purposes of your trip.

PLEASE ALLOW 24-48 BUSINESS HOURS TO RECEIVE YOUR TRIP INVOICE (UNLESS WE ARE CLOSED FOR BUSINESS/OUT OF OFFICE). **PLEASE NOTE THAT PRICES & AVAILABILITY ARE SUBJECT TO CHANGE UNTIL BOOKED AND PAYMENT SUCCESSFULLY APPLIED TO YOUR BOOKING. IF THERE ARE ANY PRICES INCREASES, WE WILL INFORM YOU BEFORE PROCEEDING TO BOOK..

BUSINESS HOURS: MON-FRI 5-8 PM. SATURDAY 11AM-3PM. CLOSED ON SUNDAYS & PUBLIC HOLIDAYS.

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