TravelJoy

Terri Moore

Far Moore Travel

2025- Tanisha's 40th Birthday Celebration

Jun 17, 2025 to Jun 26, 2025

Greece

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Complete one form per person ONLY when you are ready to make your deposit. Enter your Roommate's name in the form. A space will not be reserved until both guests sharing a room pay the deposit.&amp;nbsp; A valid passport is required for travel. &quot;Rates and availability are not guaranteed until booked and are subject to change.&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Package Type" name="package-type">&#13;
			<option label="Tour W/Airfare" value="tour-wairfare">Tour W/Airfare</option>&#13;
			<option label="Tour Without Airfare" value="tour-without-airfare">Tour Without Airfare</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Departure Airport- Rate will be provided for departures from a different airport" name="departure-airport" other="true">&#13;
			<option label="Washington Dulles Int'l" value="washington-dulles-intl">Washington Dulles Int'l</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Room Occupancy" name="room-occupancy">&#13;
			<option label="Single (1 person in room)" value="single-1-person-in-room">Single (1 person in room)</option>&#13;
			<option label="Double (2 people in room)" value="double-2-people-in-room">Double (2 people in room)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Passenger Info"/>&#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" required="true" label="Middle name" description="If no middle name  type &quot;none&quot;" 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="radio-group" label="Gender" inline="true" 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="date" label="Birthday" name="birthday" 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="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Roommate(s) Name (Enter N/A if Single Occupancy)" name="roommates-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="file" label="Passport photo" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="text" label="Known Traveler Number (TSA Pre-Check/Global Entry" name="known-traveler-number-tsa-precheckglobal-entry" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Emergency Contact Name" name="emergency-contact-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Emergency Contact Number" name="emergency-contact-number" 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="1 Double" value="1-double">1 Double</option>&#13;
			<option label="2 Twins" value="2-twins">2 Twins</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#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;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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="text" label="Food Allergies" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Optional Add-Ons"/>&#13;
		<field type="checkbox-group" required="true" label="Travel Insurance" description="Exact cost of insurance based on passenger's age and trip cost" name="cancel-for-any-reason-travel-insurance-110-per-person">&#13;
			<option label="Provide Quote" value="provide-quote">Provide Quote</option>&#13;
			<option label="Declined" value="declined">Declined</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Flying Dress Photo Shoot- $300 per person" name="flying-dress-photo-shoot">&#13;
			<option label="Accept" value="accept">Accept</option>&#13;
			<option label="Decline" value="decline">Decline</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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