TravelJoy

Maria LaDuca

The Agency Chic - Pocono

Join Us for a Special Celebration! Abdul and Rosemary 40th Anniversary in Cabo

Aug 27, 2025 to Sep 3, 2025

Dreams Los Cabos

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		<field type="header" subtype="h2" label="Contact Information"/>&#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" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Lead Passenger"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" 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;
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		<field type="textarea" label="Please Include Additional travelers Names (like on passport) and birthdates." name="please-include-additional-travelers-names-like-on-passport-and-birthdates" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Do you want to include airfare in your package?" name="do-you-want-to-include-airfare-in-your-package">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
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		<field type="text" label="If you selected YES above please indicate your preferred departure airport" name="if-you-selected-yes-above-please-indicate-your-preferred-departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How Many Adults will be traveling in the same room?" description="Include yourself in the count" name="how-many-adults-will-be-traveling-in-the-same-room">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
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			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
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		<field type="radio-group" required="true" label="Select your room category" name="select-your-room-category">&#13;
			<option label="Preferred Club Junior Suite Ocean View Double" value="preferred-club-junior-suite-ocean-view-double">Preferred Club Junior Suite Ocean View Double</option>&#13;
			<option label="Preferred Club Junior Suite Ocean View King" value="preferred-club-junior-suite-ocean-view-king">Preferred Club Junior Suite Ocean View King</option>&#13;
			<option label="Preferred Club Junior Suite Ocean Front King" value="preferred-club-junior-suite-ocean-front-king">Preferred Club Junior Suite Ocean Front King</option>&#13;
			<option label="Preferred Club Junior Suite Ocean Front Double" value="preferred-club-junior-suite-ocean-front-double">Preferred Club Junior Suite Ocean Front Double</option>&#13;
			<option label="Preferred Club One Bedroom Suite Ocean View Double" value="preferred-club-one-bedroom-suite-ocean-view-double">Preferred Club One Bedroom Suite Ocean View Double</option>&#13;
			<option label="Preferred Club One Bedroom Suite Ocean View King" value="preferred-club-one-bedroom-suite-ocean-view-king">Preferred Club One Bedroom Suite Ocean View King</option>&#13;
			<option label="Preferred Club Family Master Two Bedroom Suite Ocean Front" value="preferred-club-family-master-two-bedroom-suite-ocean-front">Preferred Club Family Master Two Bedroom Suite Ocean Front</option>&#13;
			<option label="Preferred Club Presidential Suite Ocean Front" value="preferred-club-presidential-suite-ocean-front">Preferred Club Presidential Suite Ocean Front</option>&#13;
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