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HH Social Club Med Memorial Day All Inclusive

May 25, 2024 to May 30, 2024

Punta Cana, Dominican Republic

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		<field type="header" subtype="h1" label="YOUR INFORMATION"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" label="Suffix" name="suffix" subtype="text" 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="Country" name="address-country" 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="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="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" 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="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="If you plan to room with a specific person please enter their information here, and they will have to fill out their own form."/>&#13;
		<field type="header" subtype="h2" label="ROOMING PREFERENCE"/>&#13;
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="One Bed" value="one-bed">One Bed</option>&#13;
			<option label="Two Beds" value="two-beds">Two Beds</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="ROOMING WITH"/>&#13;
		<field type="text" label="Roommate Full Name" name="roommate-full-name" value="Full Name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Roommate Phone" name="roommate-phone" value="Phone" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Roommate Email" name="roommate-email" value="Email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How are you traveling &amp;amp; paying?" name="how-are-you-traveling-paying">&#13;
			<option label="Traveling Solo In a Single Room " value="traveling-solo-in-a-single-room-">Traveling Solo In a Single Room </option>&#13;
			<option label="Traveling with roommate - I am paying for both " value="traveling-with-roommate-i-am-paying-for-both-">Traveling with roommate - I am paying for both </option>&#13;
			<option label="Traveling with roommate - I am paying for myself only (roommate MUST fill out this form within 24 hours)" value="traveling-with-roommate-i-am-paying-for-myself-only-roommate-must-fill-out-this-form-within-24-hours">Traveling with roommate - I am paying for myself only (roommate MUST fill out this form within 24 hours)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="TRIP PROTECTION"/>&#13;
		<field type="paragraph" subtype="p" label="The approximate cost for travel protection is $120 dollars if you are under 60 years old and Florida resident, we will contact you if you are outside those parameters with personalized quote. Please indicate if you'd like to purchase travel insurance to protect your investment. Travel Insurance per person is non-refundable, and optional; however, it is HIGHLY RECOMMENDED. Club Med includes a basic trip interruption insurance with low levels of coverage $1000 trip interruption coverage and $5000 medical coverage (no dental) in case you get injured while on your trip. This does not include medical evacuation coverage or travel insurance compensation for missing your trip if you are sick or injured before your trip. We highly recommend purchasing additional travel insurance to protect your investment and proper medical coverage/evacuation.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Purchasing Travel Insurance" name="purchasing-travelers-protection-plan">&#13;
			<option label="Yes, I want Travel Insurance, $120" value="yes-i-want-travel-insurance-120">Yes, I want Travel Insurance, $120</option>&#13;
			<option label="No, I'm declining insurance. I understand that my trip is not insured." value="no-im-declining-insurance-i-understand-that-my-trip-is-not-insured">No, I'm declining insurance. I understand that my trip is not insured.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cancellation Policy"/>&#13;
		<field type="paragraph" subtype="p" label="61 days or more: non-refundable Club Med Membership Fee/Cancellation Fee $100 per person"/>&#13;
		<field type="paragraph" subtype="p" label="60 to 31 days: 25% Accommodation penalty fee  + non-refundable Club Med Membership Fee/Cancellation Fee $100 per person"/>&#13;
		<field type="paragraph" subtype="p" label="30 to 15 days: 50% Accommodation penalty fee + non-refundable Club Med Membership Fee/Cancellation Fee $100 per person"/>&#13;
		<field type="paragraph" subtype="p" label="14 days or less: 100% Accommodation penalty fee + non-refundable Club Med Membership Fee/Cancellation Fee $100 per person"/>&#13;
		<field type="paragraph" subtype="p" label="*Do NOT book flights until you receive confirmation from Info@TravelFunBiz.com (will receive within 24 hours of booking)"/>&#13;
		<field type="header" subtype="h1" label="PRICING"/>&#13;
		<field type="paragraph" subtype="p" label="Double Occupancy $1349.00 per person (deepest discount applied ends Sunday)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Double Occupancy $2698.00 per room (deepest discount applied ends Sunday)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Double Occupancy $2698.00 per room (deepest discount applied ends Sunday)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Single Occupancy $1509.99 (Prices fluctuate based on Club Med policy &amp;amp; availability)"/>&#13;
		<field type="radio-group" label="I Authorize Payment In Full&amp;nbsp;" name="payment-authorization">&#13;
			<option label="Double Occupancy - Paying Both - With Insurance $2938" value="double-occupancy-paying-both-with-insurance-2938">Double Occupancy - Paying Both - With Insurance $2938</option>&#13;
			<option label="Double Occupancy - Paying Both - No Insurance $2698.00" value="double-occupancy-paying-both-no-insurance-269800">Double Occupancy - Paying Both - No Insurance $2698.00</option>&#13;
			<option label="Double Occupancy - Paying Myself - With Insurance $1469" value="double-occupancy-paying-myself-with-insurance-1469">Double Occupancy - Paying Myself - With Insurance $1469</option>&#13;
			<option label="Double Occupancy - Paying Myself - No Insurance $1349" value="double-occupancy-paying-myself-no-insurance-1349">Double Occupancy - Paying Myself - No Insurance $1349</option>&#13;
			<option label="Singles Occupancy With Insurance $1629.99" value="singles-occupancy-with-insurance-162999">Singles Occupancy With Insurance $1629.99</option>&#13;
			<option label="Single Occupancy No Insurance $1509.99" value="single-occupancy-no-insurance-150999">Single Occupancy No Insurance $1509.99</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="-----------------------------------------------------------------------------------------------------"/>&#13;
		<field type="text" label="Enter the amount to authorize:" name="amount" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="*If submission doesn't go through scroll UP you have missed a required field."/>&#13;
	</fields>&#13;
</form-template>
  </body>
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