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Maria LaDuca
The Agency Chic - Pocono
She Is The Journey Cambodia 2026
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="She Is The Journey: Cambodia Women’s Expedition&nbsp;"/> <field type="paragraph" subtype="p" label="Begin Your Journey"/> <field type="paragraph" subtype="p" label="This is not a booking form. This is the beginning of a curated experience."/> <field type="paragraph" subtype="p" label="This Is Your First Step"/> <field type="paragraph" subtype="p" label="You’re here for a reason."/> <field type="paragraph" subtype="p" label="This journey was created for women who feel called to explore more—more of the world, and more of themselves. Before we match you with the right departure and experience, we want to understand a bit about you and what you’re seeking."/> <field type="paragraph" subtype="p" label="Before You Continue"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• Deposit: $400 per person (only processed after your approval)"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• Pricing: Dynamic and based on availability at time of confirmation"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• Rooming: Double occupancy or single rooms starting at an additional $275"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• Experience Style: Small group, culturally immersive, women-only"/> <field type="paragraph" subtype="p" label="Please take a moment to review a few important details:"/> <field type="paragraph" subtype="p" label="What Happens Next"/> <field type="paragraph" subtype="p" label="Once you submit your inquiry:"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• No payment is required at this stage"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• You’ll receive personalized options tailored to you"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• We confirm availability and current pricing"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;• We review your preferences and selected departure date"/> <field type="paragraph" subtype="p" label="From there, you decide if this journey feels aligned."/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="date" label="Date of birth" name="birthday" className="form-control"/> <field type="select" label="Select Your Preferred 2026 Departure Date" name="select-your-preferred-2026-departure-date" className="form-control"> <option label="September 26 – October 3" value="september-26-october-3">September 26 – October 3</option> <option label="October 24 – October 31" value="october-24-october-31">October 24 – October 31</option> <option label="November 7 – November 14" value="november-7-november-14">November 7 – November 14</option> <option label="November 21 – November 28" value="november-21-november-28">November 21 – November 28</option> <option label="December 19 – December 26" value="december-19-december-26">December 19 – December 26</option> </field> <field type="textarea" label="What is calling you to this journey?&nbsp;" description="(Transformation, culture, connection, something personal, etc.)" placeholder="(Transformation, culture, connection, something personal, etc.)" name="what-is-calling-you-to-this-journey-" className="form-control"/> <field type="radio-group" label="Have you traveled internationally before?&nbsp;" name="have-you-traveled-internationally-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Room Preference&nbsp;" name="room-preference-"> <option label="I am open to sharing a room" value="i-am-open-to-sharing-a-room">I am open to sharing a room</option> <option label="I prefer a single room (additional cost applies)" value="i-prefer-a-single-room-additional-cost-applies">I prefer a single room (additional cost applies)</option> </field> <field type="textarea" label="Is there anything specific you are hoping to experience in Cambodia?&nbsp;" name="is-there-anything-specific-you-are-hoping-to-experience-in-cambodia-" className="form-control"/> </fields> </form-template> </body> </html>
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