TravelJoy

Latrice Rosenboro

Sweet Life Excursions Travel Agency

Register Here

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		<field type="header" subtype="h2" label="Full name"/>&#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" 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 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="text" label="Which solo or group trip are you interested in? Please post the trip code?&amp;nbsp;" name="which-group-trip-are-you-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Are you ready to make payment?" name="are-you-ready-to-make-payment" className="form-control">&#13;
			<option label="Yes, I am ready to make payment" value="yes-i-am-ready-to-make-payment">Yes, I am ready to make payment</option>&#13;
			<option label="No, I would like more information" value="no-i-would-like-more-information">No, I would like more information</option>&#13;
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