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Lisa N. Bluitt
Holistic Luxury Travel Club
Holistic Luxury Travel Club - 10 Day Greek and Croatian Adventure (Jun 2025)
Jun 12, 2025 to Jun 22, 2025
Athens, Kotor, Dubrovnik, Corfu and Mykonos
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="10-Day Greek and Croatian Adventure ~~ (20% Deposit Due at time of booking)"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="header" subtype="h3" label="VACATION PACKAGE FOR TWO (2) TRAVELERS INCLUDES ~~~ Seven (7) Night Corfu, Dubrovnik &amp; More on Virgin Voyages Resilient Lady from June 15th - June 22nd, 2025 | Pre-Voyage Three (3) Night Stay at 4 Star Hotel Accommodations with Daily Breakfast | 2 Day Hop On/Hop Off Bus Passes | Private Air Conditioned Transportation from Hotel to Port Cruise Terminal and from Cruise Terminal to Airport | Welcome Gift at Hotel from Holistic Luxury Travel Club"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="header" subtype="h3" label="If you are a solo traveler or want a triple or quad room, please do not submit this form and contact us at 469.564.8484, so we can follow up with you on options and a quote."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="text" required="true" label="Legal First Name (Primary Contact)" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Legal Last Name (Primary Contact)" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Preferred Name (Primary Contact)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" placeholder="ex: example@email.com" 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="date" required="true" label="Date of Birth (Primary Contact)" name="birthday" className="form-control"/> <field type="text" required="true" label="State of Residence" name="state-of-residence" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Active or Retired Military?" name="active-or-retired-military"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Full Legal Name of Second Traveler" name="full-legal-name-of-second-traveler" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth of Second Traveler" name="date-of-birth-of-second-traveler" className="form-control"/> <field type="text" subtype="email" required="true" label="Email Address of Second Traveler" name="email-address-of-second-traveler" className="form-control"/> <field type="checkbox-group" required="true" label="Which cabin category are you interested in?&nbsp;" name="which-cabin-category-are-you-interested-in-"> <option label="Social Insider (Interior)" value="social-insider-interior">Social Insider (Interior)</option> <option label="Insider (Interior)" value="insider-interior">Insider (Interior)</option> <option label="Sea View (Port Hole)" value="sea-view-port-hole">Sea View (Port Hole)</option> <option label="Ltd View Sea Terrace" value="ltd-view-sea-terrace">Ltd View Sea Terrace</option> <option label="Sea Terrace" value="sea-terrace">Sea Terrace</option> <option label="Central Sea Terrace (Mid-Ship)" value="central-sea-terrace-midship">Central Sea Terrace (Mid-Ship)</option> <option label="XL Sea Terrace" value="xl-sea-terrace">XL Sea Terrace</option> <option label="Rockstar or Mega Rockstar Suite" value="rockstar-or-mega-rockstar-suite">Rockstar or Mega Rockstar Suite</option> </field> <field type="select" required="true" label="Do you want to purchase Voyage Protection for your cruise?" name="do-you-want-to-purchase-voyage-protection-for-your-cruise" className="form-control"> <option label="Yes, Please protect my investment" value="yes-please-protect-my-investment">Yes, Please protect my investment</option> <option label="No, I am going to risk losing my deposit & payments on my cruise and NOT purchase Voyage Protection for my cruise" value="no-i-am-going-to-risk-losing-my-deposit-payments-on-my-cruise-and-not-purchase-voyage-protection-for-my-cruise">No, I am going to risk losing my deposit & payments on my cruise and NOT purchase Voyage Protection for my cruise</option> </field> <field type="text" required="true" label="What is your departure city and/or airport code?" description="What airport code will you be flying from? (i.e. Dallas DFW or DAL)" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Who referred you?" description="We LOVE to thank who sent you to us" name="who-referred-you" subtype="text" className="form-control"/> <field type="textarea" label="Any additional information I need to know?" description="What else would you like me to know about your travel preferences?" name="notes" className="form-control"/> <field type="header" subtype="h3" label="This form is for SERIOUS TRAVEL BOOKINGS ONLY! If you have questions or need additional information, please contact me directly at 469-564-8484 or email at holisticluxurytravelclub@gmail.com. Please allow 2-3 business days to receive your invoice for your vacation.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h3" label="NOTE: A valid passport is required to travel to Greece and on Virgin Voyages. If you do not have a passport or are due for a renewal, please go to https://travel.state.gov/ and start that process today as processing times have increased. If you already have a passport, please check and make sure it expires later than December 22, 2025 (6 months from the travel return date).&nbsp;"/> </fields> </form-template> </body> </html>
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