TravelJoy

Cindy Lorenz

Infinite Journeys Travel

2020 Couples Great Escape

Oct 8, 2020 to Oct 15, 2020

Cancun/Riviera Maya, Mexico

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Traveler 1"/>
		<field type="text" required="true" label="First name as it appears on your Passport" description="Name as it appears on your Passport. If you do not yet have your passport Provide your legal first name." 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. If you do not yet have a passport please provide your middle name" 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. If you do not yet have your passport  please provide your current legal last name" 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.  If you do not yet have your passport  please provide any Suffix to your name such as &quot;Jr.&quot; or &quot;Dr&quot; or the &quot;2nd&quot; or &quot;3rd&quot; etc&quot;" 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="Birth Date: (mm/dd/yyyy)" name="birthday" className="form-control"/>
		<field type="date" label="Date of Arrival into Cancun?" name="date-of-arrival-in-punta-cana" className="form-control"/>
		<field type="checkbox-group" label="How many nights do you want to stay?" name="how-many-nights-do-you-want-to-stay">
			<option label="3 nights" value="3-nights" selected="true">3 nights</option>
			<option label="4 nights" value="4-nights">4 nights</option>
			<option label="5 nights" value="5-nights">5 nights</option>
			<option label="6 nights" value="6-nights">6 nights</option>
			<option label="7  nights" value="7-nights">7  nights</option>
		</field>
		<field type="date" label="Your return date from Cancun?" name="your-return-date-from-punta-cana" className="form-control"/>
		<field type="radio-group" label="Gender" name="radio-group-1524108975149">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		</field>
		<field type="select" label="ROOM CATEGORY You would like to reserve:" name="room-category-you-would-like-to-reserve" className="form-control">
			<option label="Alcoba Swim - up" value="alcoba-swim-up" selected="true">Alcoba Swim - up</option>
			<option label="Alcoba Ocean View" value="alcoba-ocean-view">Alcoba Ocean View</option>
			<option label="Alcoba Ocean Front" value="alcoba-ocean-front">Alcoba Ocean Front</option>
		</field>
		<field type="header" subtype="h1" label="Traveler 2 ~Person Sharing Your Room"/>
		<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="radio-group" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		<option label="X" value="other">X</option>
		</field>
		<field type="header" subtype="h1" label="PAYMENT"/>
		<field type="paragraph" subtype="p" label="DEPOSIT:&amp;nbsp; $50 per person to secure room; FINAL PAYMENT DUE:&amp;nbsp; July 1, 2020"/>
		<field type="paragraph" subtype="p" label="NOTE: Once you complete &amp;amp; submit your reservation form, you will be sent an invoice with the link to the credit card authorization form to submit your deposit."/>
		<field type="header" subtype="h1" label="TRIP INSURANCE"/>
		<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!&amp;nbsp;&amp;nbsp; COST:&amp;nbsp; 0-$1250pp = $69 per person covers land portion only.&amp;nbsp; $1251 - $200pp = $79pp covering land portion only.&amp;nbsp; Please advise in the comments below if you wish to purchase Trip Insurance.&amp;nbsp; The cost of insurance is due along with your room deposit.&amp;nbsp; $50 room +&amp;nbsp; insurance = deposit."/>
		<field type="textarea" label="COMMENTS:&amp;nbsp; Any additional information we need to know?" name="comments-any-additional-information-we-need-to-know" subtype="textarea" className="form-control"/>
	</fields>
</form-template>