TravelJoy

Cindy Lorenz

Infinite Journeys Travel

Treasures of italy Tour

May 17, 2019 to May 27, 2019

ITALY ~ Lake Como; Florence; Rome

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Traveler 1"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" required="true" label="First name as it appears on your Passport" description="Name as it appears on your Passport" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Middle name or Initial as it appears on your Passport" description="As it appears on your Passport" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name as it appears on your Passport" description="As it appears on your Passport" name="last-name" subtype="text" className="form-control"/>
		<field type="text" label="Suffix (if applicable) as it appears on your Passport" description="As it appears on your Passport" name="suffix" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" description="(XXX) XXX-XXXX" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Important Dates"/>
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>
		<field type="header" subtype="h1" label="Passport Details"/>
		<field type="text" label="Passport&amp;nbsp; Number:&amp;nbsp;" description="If you do not yet have your passport yet, you can provide this info later" name="passport-number-" subtype="text" className="form-control"/>
		<field type="text" label="Passport Expiration Date:&amp;nbsp; (passport must be valid for 6 months from your return date)" name="passport-expiration-date-passport-must-be-valid-for-6-months-from-your-return-date" subtype="text" className="form-control"/>
		<field type="text" label="Date of Issue:" name="date-of-issue" subtype="text" className="form-control"/>
		<field type="text" label="Passport Expiration Date?" name="passport-expiration-date" subtype="text" className="form-control"/>
		<field type="text" label="Nationality:" description="If you hold a U.S. Passport  put USA" name="nationality" subtype="text" className="form-control"/>
		<field type="radio-group" label="RESERVATION DETAILS" name="reservation-details">
			<option label="I wish to book Room Only right now ($100 per person deposit)" value="i-wish-to-book-room-only-right-now-100-per-person-deposit">I wish to book Room Only right now ($100 per person deposit)</option>
			<option label="I wish to book Room &amp; Air  ($100  deposit + airfare)" value="i-wish-to-book-room-air-100-deposit-airfare" selected="true">I wish to book Room &amp; Air  ($100  deposit + airfare)</option>
		</field>
		<field type="header" subtype="h1" label="Traveler 2"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" label="First name as it appears on your Passport:" name="first-name-as-it-appears-on-your-passport" subtype="text" className="form-control"/>
		<field type="text" label="Middle name or initial as it appears on your Passport:" name="middle-name-or-initial-as-it-appears-on-your-passport" subtype="text" className="form-control"/>
		<field type="text" label="Last name as it appears on your Passport:" name="last-name-as-it-appears-on-your-passport" subtype="text" className="form-control"/>
		<field type="text" label="Suffix (if applicable) as it appears on your Passport:" name="suffix-if-applicable-as-it-appears-on-your-passport" subtype="text" className="form-control"/>
		<field type="text" label="Phone:" name="phone" subtype="text" className="form-control"/>
		<field type="text" label="Email:&amp;nbsp;" name="email-pax2" subtype="text" className="form-control"/>
		<field type="text" label="Birth Date: (MM/DD/YYYY)" name="birth-date-mmddyyyy" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Passport Info"/>
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" label="Date of expiration (passport must be valid for 6 months from return date)" name="passport-date-of-expiration" className="form-control"/>
		<field type="text" label="Nationality:" name="nationality-pax2" subtype="text" className="form-control"/>
		<field type="radio-group" label="RESERVATION DETAILS" name="radio-group-1572975782217">
			<option label="I wish to book Room Only right now ($100 per person deposit)" value="i-wish-to-book-room-only-right-now-100-per-person-deposit">I wish to book Room Only right now ($100 per person deposit)</option>
			<option label="I wish to book Room &amp; Air  ($100 deposit + airfare)" value="i-wish-to-book-room-air-100-deposit-airfare">I wish to book Room &amp; Air  ($100 deposit + airfare)</option>
		</field>
		<field type="paragraph" subtype="p" label="TRIP INSURANCE is available for purchase and HIGHLY recommended! You can't prevent the unexpected from happening before or during your trip, but you can protect your trip investment if it does!&amp;nbsp; Vacations can take a year to save up for and only a moment to ruin! Please advise if you wish to have a quote for insurance."/>
		<field type="paragraph" subtype="p" label="NOTE: Once you complete &amp;amp; submit your reservation form, you will be sent QUOTE or an invoice with the link to the credit card authorization form to submit your deposit."/>
	</fields>
</form-template>