TravelJoy

Love + Leisure Boutique Travel Agency

Mexico Family Vacation

Aug 26, 2023 to Sep 2, 2023

Playa Mujeres, Mexico

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		<field type="header" subtype="h2" label="Travel Services Form and Agreement"/>&#13;
		<field type="date" label="Date Field" name="date-1611965698153" className="form-control"/>&#13;
		<field type="text" label="Group/Event Name" name="groupevent-name" subtype="text" className="form-control"/>&#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="date" required="true" label="Birthdate" name="birthdate" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender" other="true">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#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" required="true" 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="Email" name="email" 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="paragraph" subtype="p" label="Passport-&amp;nbsp;If applicable, a valid passport is required when traveling outside of the United States.&amp;nbsp; Your passport should be valid up to 6 months after travel. For more information on travel requirements, visit www.travel.state.gov."/>&#13;
		<field type="radio-group" required="true" label="If applicable, a valid passport is required for travel outside of the United States" description="If applicable  you are required to have a valid passport to travel to outside of the United States.  For more information on travel requirements  visit www.travel.state.gov" name="if-applicable-a-valid-passport-is-required-for-travel-outside-of-the-united-states">&#13;
			<option label="Yes, I understand I need a valid passport " value="yes-i-understand-i-need-a-valid-passport-">Yes, I understand I need a valid passport </option>&#13;
			<option label="No, I do not understand  " value="no-i-do-not-understand-">No, I do not understand  </option>&#13;
			<option label="Not applicable, I am traveling in the U.S." value="not-applicable-i-am-traveling-in-the-us">Not applicable, I am traveling in the U.S.</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Travel Dates |Length of Stay"/>&#13;
		<field type="date" required="true" label="Arrival" description="3 day minimum required" name="arrival" className="form-control"/>&#13;
		<field type="date" required="true" label="Depart" description="3 day minimum required" name="depart" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred Room Type" description="See quote for room type" name="preferred-room-type-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Airfare" name="airfare">&#13;
			<option label="Yes, I want to include airfare in my vacation package" value="yes-i-want-to-include-airfare-in-my-vacation-package">Yes, I want to include airfare in my vacation package</option>&#13;
			<option label="No, I do not want to include airfare" value="no-i-do-not-want-to-include-airfare">No, I do not want to include airfare</option>&#13;
		</field>&#13;
		<field type="text" label="Passenger 2- DOB/Gender/Full Name as on Govt ID or Passport" name="passenger-2-dobgenderfull-name-as-on-govt-id-or-passport" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger 3- DOB/Gender/Full Name as on Govt ID or Passport" name="passenger-3-dobgenderfull-name-as-on-govt-id-or-passport" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger 4- DOB/Gender/Full Name as on Govt ID or Passport" name="passenger-4-dobgenderfull-name-as-on-govt-id-or-passport" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Travel insurance- I assume and understand that there is a risk involved with my travel and my travel activities and/or excursions. I acknowledge that I was informed about my options and that travel insurance is STRONGLY recommended."/>&#13;
		<field type="radio-group" required="true" label="Travel Insurance&amp;nbsp;" description="I assume and understand that there is a risk involved with my travel and my travel activities and/or excursions. I acknowledge that I was informed about my options  and that travel insurance is STRONGLY recommended." name="travel-insurance-">&#13;
			<option label="Yes, I would like to purchase supplier travel insurance" value="yes-i-would-like-to-purchase-supplier-travel-insurance">Yes, I would like to purchase supplier travel insurance</option>&#13;
			<option label="No, I decline supplier travel insurance and understand the risks" value="no-i-decline-supplier-travel-insurance-and-understand-the-risks">No, I decline supplier travel insurance and understand the risks</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="I understand the cancellation terms and agree to pay all penalties and/or final payments when applicable." name="i-understand-the-cancellation-terms-and-agree-to-pay-all-penalties-andor-final-payments-where-applicable" className="form-control">&#13;
			<option label="Yes, I understand" value="yes-i-understand">Yes, I understand</option>&#13;
			<option label="I need assistance and will email the agent" value="i-need-assistance-and-will-email-the-agent">I need assistance and will email the agent</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do you agree to these terms &amp;amp; conditions?" name="please-read-this-agreement-carefully">&#13;
			<option label="Yes, I agree to these terms &amp; conditions" value="i-agree-to-these-terms-conditions">Yes, I agree to these terms &amp; conditions</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you understand prices are subject to change until payment is made?" name="do-you-understand-prices-are-subject-to-change-until-payment-is-made" className="form-control">&#13;
			<option label="Yes, I understand" value="yes-i-understand">Yes, I understand</option>&#13;
			<option label="I need assistance and will email the agent" value="i-need-assistance-and-will-email-the-agent">I need assistance and will email the agent</option>&#13;
		</field>&#13;
	</fields>&#13;
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