TravelJoy

Brenda Cornish

HP Travels, LLC

Fall Wine Tasting Trip

Nov 23, 2024 to Nov 24, 2024

Multiple Cities

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		<field type="text" required="true" label="First name" name="first-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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" 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" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="radio-group" label="Room Type" name="room-type">&#13;
			<option label="Single  $236" value="single-236" selected="selected">Single  $236</option>&#13;
			<option label="Double  $177" value="double-177">Double  $177</option>&#13;
			<option label="Triple  $146" value="triple-146">Triple  $146</option>&#13;
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		<field type="radio-group" label="Payment Type" name="payment-type">&#13;
			<option label="Check/Money order" value="checkmoney-order">Check/Money order</option>&#13;
			<option label="Zelle" value="Zelle">Zelle</option>&#13;
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		<field type="textarea" label="Roommate Name" name="roommate-information" value="Roommate Name_____________________________" className="form-control"/>&#13;
		<field type="paragraph" subtype="blockquote" label="IMPORTANT NOTICE – HP Travels arranges for its customer’s travel services provided by separate and independent companies, e.g. airlines, cruise lines, tour companies, bus companies, hotels, etc. HP Travels does not operate or have any control over these independent travel companies. HP Travels is not responsible and cannot be held liable, directly or indirectly for any additional charges, expense, loss or injury of any kind, which may result in delay, schedule change, cancellation, or negligence, by an independent travel business. HP Travels encourages its customers to purchase travel interruption insurance to cover these risks. Your receipt of this document constitutes your acknowledgement and acceptance of this Notice."/>&#13;
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