TravelJoy

Alesia Hawkins

Peacock Travel Agency

Your Vacation

<form-template>
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>
		<field type="header" subtype="h1" label="Peacock Membership/Vacation Proposal Questionnaire"/>
		<field type="paragraph" subtype="blockquote" label="Thank you for considering Peacock Travel Agency.&amp;nbsp; We ae super excited that you will Celebrate Life with a vacation.&amp;nbsp; We are dedicated to providing you with excellent, professional and attentive service!"/>
		<field type="header" subtype="h1" label="Peacock Membership/Vacation Proposal Terms"/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp; To begin the process, we need two things: 1) the details of your vacation (please see the questions below); and 2) payment of the Vacation Proposal fee, which will be refunded within five business days after booking your vacation. The Vacation Proposal fee is otherwise non-refundable. Upon receipt of the aforementioned, we will follow up in three to five days with a Vacation Proposal that has two or more options for your vacation."/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp; &amp;nbsp;The Vacation Proposal will be based on the information you provide in this questionnaire, so please include as much information as possible.&amp;nbsp; &amp;nbsp;The Vacation Proposal fee includes ONE adjustment request (i.e., refreshed pricing, a change in the proposed flights, room category, resort/hotel and/or the number of occupants in a room/suite)."/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;A deposit between $265 and $425 per person is GENERALLY required to book your vacation, with final payment due 45 to 60 days prior to departure.&amp;nbsp; A larger deposit amount, up to the full payment, may be required if you book your vacation 60 days or less before departure or as otherwise determined by the travel supplier/airline.&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;All prices in the Vacation Proposal are subject to change until booked. Please DO NOT hesitate to contact us at 844-3PEACOCK, if you have any questions prior to submitting your questionnaire."/>
		<field type="header" subtype="h1" label="Peacock Memberships"/>
		<field type="radio-group" required="true" label="How many destinations would you like included on your Vacation Proposal?" name="select-your-peacock-membership">
			<option label="Silver Peacock Membership: One Destination &amp; up to two departing cities ($35)" value="silver-peacock-membership-one-destination-up-to-two-departing-cities-35">Silver Peacock Membership: One Destination &amp; up to two departing cities ($35)</option>
			<option label="Bronze Peacock Membership: Two Destinations &amp; up to two departing cities ($70)" value="bronze-peacock-membership-two-destinations-up-to-two-departing-cities-70">Bronze Peacock Membership: Two Destinations &amp; up to two departing cities ($70)</option>
			<option label="Gold Peacock Membership:  Three Destinations &amp; up to two departing cities ($105)" value="gold-peacock-membership-three-destinations-up-to-two-departing-cities-105">Gold Peacock Membership:  Three Destinations &amp; up to two departing cities ($105)</option>
		</field>
		<field type="header" subtype="h1" label="Contact Person's Information"/>
		<field type="text" required="true" label="First Name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Address"/>
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" label="What's the best time to contact you?" name="whats-the-best-time-to-contact-you" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="General Information"/>
		<field type="text" required="true" label="Where would you like to go?&amp;nbsp;" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Type of vacation experience." name="what-type-of-vacation-experience-do-you-want" other="true">
			<option label="Cruise " value="cruise-">Cruise </option>
			<option label="Disney World" value="disney-world">Disney World</option>
			<option label="Disneyland" value="disneyland">Disneyland</option>
			<option label="Adults-Only, All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only, All-Inclusive Resort</option>
			<option label="Adults-Only Resorts" value="adultsonly-resorts">Adults-Only Resorts</option>
			<option label="Family-Friendly, All-Inclusive Resort" value="familyfriendly-allinclusive-resort">Family-Friendly, All-Inclusive Resort</option>
			<option label="Family-Friendly Resort" value="familyfriendly-resort">Family-Friendly Resort</option>
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>
		</field>
		<field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/>
		<field type="date" required="true" label="When would you like to leave?" name="when-would-you-like-to-leave" className="form-control"/>
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp; Enter any flexible dates in &quot;Other&quot;." inline="true" name="are-the-dates-flexible" other="true">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" label="Preferred resort/hotel or cruise line?&amp;nbsp; Enter your preference in &quot;Other&quot;." inline="true" name="whats-your-preferred-resorthotel-or-cruise-line-enter-your-preference-in-other" other="true">
			<option label="I'm flexible" value="im-flexible">I'm flexible</option>
		</field>
		<field type="text" required="true" label="How many rooms/staterooms are needed" name="how-many-roomsstaterooms-are-needed" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many travelers will be at least 18 years old at the time of travel" name="how-many-travelers-will-be-at-least-18-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" label="How many travelers will be 13 to 17 years old at the time of travel" name="how-many-travelers-will-be-13-to-17-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" label="How many travelers will be 4 to 12 years old at the time of travel" name="how-many-travelers-will-be-4-to-12-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" label="How many travelers will be 0 to 3 years old at the time of travel" name="how-many-travelers-will-be-0-to-3-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many people per room/stateroom?&amp;nbsp; Enter &quot;Unknown&quot; if this hasn't been determined." name="how-many-people-per-room" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="RESORTS/HOTELS"/>
		<field type="radio-group" label="What best describes your resort/hotel preference?" name="hotel-preference" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="Economy" value="value">Economy</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Boutique" value="boutique">Boutique</option>
		</field>
		<field type="header" subtype="h1" label="Airfare"/>
		<field type="radio-group" required="true" label="Are airline tickets needed?&amp;nbsp;" inline="true" name="for-cruises-would-like-cruisearranged-airfare">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" label="If yes, what's the preferred airline(s)?" name="whats-your-preferred-airlines" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="I'm Flexible" value="im-flexible">I'm Flexible</option>
			<option label="American" value="american">American</option>
			<option label="United" value="united">United</option>
			<option label="Southwest" value="southwest">Southwest</option>
			<option label="Delta" value="delta">Delta</option>
		</field>
		<field type="text" label="What time would you prefer to leave on your outbound flight?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed.&amp;nbsp;&amp;nbsp;" name="preferred-time-of-flight-departure" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred departure city/airport?&amp;nbsp; &amp;nbsp;Enter &quot;N/A&quot; if airline tickets are not needed.&amp;nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred arrival city/airport?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed?&amp;nbsp;&amp;nbsp;" name="whats-your-preferred-arrival-airport-enter-na-if-airline-tickets-are-not-needed-" subtype="text" className="form-control"/>
		<field type="text" label="What time would you prefer to leave on your return flight? Enter &quot;N/A&quot; if airline tickets aren't needed." name="what-time-would-you-prefer-to-leave-on-your-return-flight-enter-na-if-airline-tickets-arent-needed" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Budget"/>
		<field type="radio-group" required="true" label="What's the maximum amount of your budget PER PERSON?&amp;nbsp; &amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">
			<option label="$100 to $500" value="100-to-500">$100 to $500</option>
			<option label="$500 to $1,000" value="500-to-1000">$500 to $1,000</option>
			<option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option>
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>
			<option label="$10,000+" value="10000">$10,000+</option>
		</field>
		<field type="checkbox-group" label="Are any travelers a member of a Loyalty Program(s) for the preferred airline or hotel/resort?" name="are-any-travelers-a-member-of-a-loyalty-programs-for-your-preferred-airline-or-hotelresort" other="true">
			<option label="Yes, Airline Loyalty Program" value="yes-airline-loyalty-program">Yes, Airline Loyalty Program</option>
			<option label="Yes, Cruise or Hotel/Resort Loyalty Program" value="yes-cruise-or-hotelresort-loyalty-program">Yes, Cruise or Hotel/Resort Loyalty Program</option>
			<option label="No" value="no">No</option>
			<option label="Not sure" value="not-sure">Not sure</option>
		</field>
		<field type="checkbox-group" label="Are any travelers (check all that apply):" name="are-any-travelers-check-all-that-apply">
			<option label="Fire Department EMT" value="fire-department-emt">Fire Department EMT</option>
			<option label="U.S. Military" value="us-military">U.S. Military</option>
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>
			<option label="55+" value="55">55+</option>
		</field>
		<field type="textarea" label="What else would you like Peacock Travel Agency to know that would make your vacation extra special?" name="notes" className="form-control"/>
		<field type="text" required="true" label="Amount Authorized (Enter Below)" name="amount-authorized-enter-below" subtype="text" className="form-control"/>
		<field type="paragraph" subtype="p" label="Paragraph"/>
	</fields>
</form-template>

Peacock Membership/Vacation Proposal Payment Terms & Conditions

I authorize Peacock Travel Agency to charge the credit card or bank account indicated on this invoice for the noted amount on today's date. This payment is for the services and pursuant to the terms provided on the Peacock Membership/Vacation Proposal Questionnaire. I certify that I am an authorized user of the credit/bank card that I entered and that I will not dispute the payment with my credit/bank card company, so long as the transaction is for the Peacock Membership/Vacation Proposal. I and any traveler(s) covered under this invoice acknowledge, understand and agree that Peacock Travel Agency is not the owner or operator of any airline, hotel, resort, transportation, recreational establishment, etc. (referred to as "travel supplier") included on the Vacation Proposal. Further, I and any additional traveler(s) covered under this invoice agree that I (we) shall hold Peacock Travel Agency harmless for changes made by the travel supplier included on the Vacation Proposal. All traveler(s) covered under this reservation have been made aware of and has/have agreed to these Terms & Conditions.

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