TravelJoy

Kathy Bjorklund

Vacation Haven Travel

WAITLIST: 2024 Alaska Cruise Group

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		<field type="header" subtype="h2" label="Infinity Travel, LLC - Waitlist for 2024 Alaska Cruise with Connections by Kathy"/>&#13;
		<field type="header" subtype="h2" label="Passenger 1: Full Legal Name (as it appears on your passport)"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="text" required="true" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passenger 1: Birth Date"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" 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="Passenger 2: Full Legal Name as it appears on their passport"/>&#13;
		<field type="text" label="Passenger 2: First Name" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger 2: Middle Name" name="passenger-2-middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger 2: Last Name" name="passenger-2-last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passenger 2: Preferred name" name="passenger-2-preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Passenger 2: Birth Date" name="passenger-2-birth-date" className="form-control"/>&#13;
		<field type="radio-group" label="Passenger 2: Gender" name="passenger-2-gender">&#13;
			<option label="F" value="pax2Female">F</option>&#13;
			<option label="M" value="pax2Male">M</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Preferred Contact Information"/>&#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="text" label="What is the one thing you&#39;re most looking forward to on this trip?" name="what-is-the-one-thing-youre-most-looking-forward-to-on-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
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  </body>
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