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Celia Smith
1 Life Travel, LLC
Big Life Bali Flights
Apr 22, 2026 to Apr 30, 2026
Bali, Indonesia
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="1 Life Travel can help make the planning process to get to Bali stress free. Complete the RSVP form and Celia will be in contact with a quote ready to be booked.&nbsp; &nbsp; Once booked you will receive an invoice that allows you to customize your payment plan. Balance after deposit will be due no later than February 20 2026.&nbsp;"/> <field type="paragraph" subtype="p" label="Before quote is provided, Celia will call you to discuss the process and why she is suggesting a certain itinerary.&nbsp; All quotes will have a look period of 24 - 72 hours (depends on what airline is selected).&nbsp; Nothing will be held until minimum deposit is made.&nbsp;&nbsp;"/> <field type="header" subtype="h1" label="Contact Celia at 915-276-4293&nbsp; Call, Text or send WhatsAPP&nbsp; 1LifeTravel.com"/> <field type="header" subtype="h2" label="Contact Information EXACTLY as appears on Passport"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Passport Information"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="checkbox-group" required="true" label="What day do you wish to arrive Bali?&nbsp;" description="departure will typically be 2 days prior. Ex: if you want to arrive on April 24 then your departure flight will be on April 22." name="what-day-do-you-wish-to-arrive-bali-" other="true"> <option label="April 23 (2 nights prior to retreat)" value="april-23-2-nights-prior-to-retreat">April 23 (2 nights prior to retreat)</option> <option label="April 24 (1 night prior to retreat)" value="april-24-1-night-prior-to-retreat">April 24 (1 night prior to retreat)</option> <option label="April 25 (day of retreat)" value="april-25-day-of-retreat">April 25 (day of retreat)</option> </field> <field type="checkbox-group" required="true" label="What day do you want to leave Bali?&nbsp;" description="I will search for departure after 11 am and try to get you home on same day if possible" name="what-day-do-you-want-to-leave-bali-" other="true"> <option label="April 30 (day retreat ends)" value="april-30-day-retreat-ends">April 30 (day retreat ends)</option> <option label="May 1 (day after retreat ends)" value="may-1-day-after-retreat-ends">May 1 (day after retreat ends)</option> </field> <field type="text" required="true" label="What city do you live in?&nbsp;" description="I will run a quote from your city's closest airport and also the nearest international airport." name="what-city-do-you-live-in-" subtype="text" className="form-control"/> <field type="text" label="Are you trying to meet up with another Big Life member at any point during your travel to Bali?&nbsp; If so, who and what city is she coming from?&nbsp;" description="I will try my best to have you connect at your departure or 1st connection." name="are-you-trying-to-meet-up-with-another-big-life-member-at-any-point-during-your-travel-to-bali-if-so-who-and-what-city-is-she-coming-from-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Emergency Contact Information"/> <field type="text" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/> <field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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