TravelJoy

TTne Johnson

The Lux Concierge

South Africa Soiree: Cherylene's 50th Birthday

Oct 14, 2025 to Oct 21, 2025

Cape Town, South Africa

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		<field type="header" subtype="h2" label="Primary Traveler's Information"/>&#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="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" 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="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" inline="true" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Secondary Traveler's Information"/>&#13;
		<field type="text" label="Secondary Traveler's First Name" name="secondary-travelers-first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Secondary Traveler's Middle Name" name="secondary-travelers-middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Secondary Traveler's Last Name" name="secondary-travelers-last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Secondary Traveler's Suffix" name="secondary-travelers-suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Secondary Traveler's Email" name="secondary-travelers-email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Secondary Traveler's Phone Number" name="secondary-travelers-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Secondary Traveler's Date of Birth" name="secondary-travelers-date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Secondary Traveler's Gender" inline="true" name="radio-group-1732499068796">&#13;
			<option label="M" value="m">M</option>&#13;
			<option label="F" value="f">F</option>&#13;
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		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="select" required="true" label="Number of Occupants" name="number-of-occupants" className="form-control">&#13;
			<option label="Single" value="single">Single</option>&#13;
			<option label="Double" value="double">Double</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Room Type" description="Please View the Pricing Sheet on the Group Proposal for the estimated cost of each room category" name="room-type">&#13;
			<option label="Pool Club" value="pool-club">Pool Club</option>&#13;
			<option label="Padel Mountain" value="padel-mountain">Padel Mountain</option>&#13;
			<option label="Cabana Pool Club" value="cabana-pool-club">Cabana Pool Club</option>&#13;
			<option label="Sea and Pool" value="sea-and-pool">Sea and Pool</option>&#13;
			<option label="Sea View" value="sea-view">Sea View</option>&#13;
			<option label="Corner Sea View Suite" value="corner-sea-view-suite">Corner Sea View Suite</option>&#13;
			<option label="Sea View Suite" value="sea-view-suite">Sea View Suite</option>&#13;
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		<field type="radio-group" required="true" label="Requested Bed Type&amp;nbsp;" inline="true" name="requested-bed-type-please-note-this-is-not-guaranteed-subject-to-availability-at-checkin">&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="2 Twin Beds" value="2-twin-beds">2 Twin Beds</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Does Each Traveler Require Seperate Payment Links?" inline="true" name="does-each-traveler-require-seperate-payment-links">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="header" subtype="h1" label="Flights Included Package"/>&#13;
		<field type="radio-group" required="true" label="Would you like to receive a quote for flights?" description="Highly suggested to allow you to bundle &amp; save" inline="true" name="would-you-like-to-receive-a-quote-for-flights">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="radio-group" label="Preferred Flight Package" name="radio-group-1737327348904">&#13;
			<option label="United (Departs 10/15 for a 10/16 arrival)" value="united-departs-1015-for-a-1016-arrival">United (Departs 10/15 for a 10/16 arrival)</option>&#13;
			<option label="Delta (Departs 10/14 for a 10/16 arrival)" value="delta-departs-1014-for-a-1016-arrival">Delta (Departs 10/14 for a 10/16 arrival)</option>&#13;
			<option label="No Preference - Whatever is the least expensive" value="no-preference-whatever-is-the-least-expensive">No Preference - Whatever is the least expensive</option>&#13;
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		<field type="text" label="Departing Airport (If flights elected)" name="departing-airport" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Airline Loyalty Numbers" placeholder="i.e. Delta Skymiles or United Number. Please list all passengers." name="airline-loyalty-numbers" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Options"/>&#13;
		<field type="radio-group" required="true" label="I would like to receive a quote for upgraded travel protection&amp;nbsp;" description="Please note  all flight vacation packages will include travel protection for a voucher refund" name="i-would-like-to-receive-a-quote-for-travel-protection-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Special Request including dietary restrictions, flight cabin, accesibility, extended stay, etc.&amp;nbsp;" name="special-request" className="form-control"/>&#13;
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