TravelJoy

Natasha Etheridge

Serenity Sand & Seas Travel LLC

Escape To Paradise All Girls Get Away

Sep 24, 2020 to Sep 28, 2020

Turks & Caicos

<form-template>
	<fields>
		<field type="header" subtype="h2" label="Complete Passenger Info"/>
		<field type="header" subtype="h2" label="Full name (As Appears on Passport or Government I.D.)"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<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" label="Suffix" name="suffix" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		</field>
		<field type="text" required="true" label="Date Of Birth" placeholder="MM/DD/YYYY" name="date-of-birth" 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" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Address"/>
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>
		<field type="text" label="Nearest Airport to Your Location" placeholder="Answer Only If Requesting Air" name="nearest-airport-to-your-location" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Travel Documents" description="Passports must NOT expire within 6 months from date you return home. Front &amp; Back of pictures of Passports for all travelers  and ID cards of all travelers will be required upon booking your vacation. Passports ONLY required for international travel and select cruises" name="travel-documents">
			<option label="Passport - must NOT expire within 6 months from date you return home." value="passport-must-not-expire-within-6-months-from-date-you-return-home">Passport - must NOT expire within 6 months from date you return home.</option>
			<option label="Original Birth Certificate &amp; Government Issued State ID" value="original-birth-certificate-government-issued-state-id">Original Birth Certificate &amp; Government Issued State ID</option>
		</field>
		<field type="textarea" label="List Roommate Name(s) and Email Address, if apply" placeholder="Please include name(s) of any adult travelers and their emails. They will be required to complete this form themself. NOTE: Please indicate children(s) age 17 or younger and include their full birthdate(s)" name="list-roommate-names-if-apply" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h1" label="Travel Protection&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="Your trip is a significant investment, and we recommend the purchase of travel insurance. If you choose to decline this valuable protection, you are assuming any financial loss associated with your travel arrangements. By declining to purchase travel insurance you fully understand that Serenity Sand &amp;amp; Seas Travel LLC is not liable or responsible for any expenses incurred as a result of cancellation or interruption, emergency medical or transportation, baggage and personal effects, flight and travel accident, and/or rental car physical damage.&amp;nbsp;&amp;nbsp;"/>
		<field type="radio-group" required="true" label="Travel Protection (Insurance) Selection" name="travel-protection-insurance-selection">
			<option label="Yes, I would like to add Travel Protection" value="yes-i-would-like-to-add-travel-protection">Yes, I would like to add Travel Protection</option>
			<option label="No, I decline Travel Protection" value="no-i-decline-travel-protection">No, I decline Travel Protection</option>
		</field>
		<field type="header" subtype="h1" label="Terms and Conditions"/>
		<field type="select" required="true" label="Terms and Condition and COVID Waiver documents provided below" name="terms-and-condition-and-covid-waiver-documents-provided-below" className="form-control">
			<option label="I acknowledge I have read and agree to the terms and conditions listed below" value="i-acknowledge-i-have-read-and-agree-to-the-terms-and-conditions-listed-below">I acknowledge I have read and agree to the terms and conditions listed below</option>
			<option label="I acknowledge I have read and agree to the COVID Waiver listed below" value="i-acknowledge-i-have-read-and-agree-to-the-covid-waiver-listed-below">I acknowledge I have read and agree to the COVID Waiver listed below</option>
		</field>
	</fields>
</form-template>

By signing below, I confirm the above information is accurate to the best of my knowledge.

I authorize NATASHA ETHERIDGE, of SERENITY SAND & SEAS TRAVEL LLC, to charge the credit card provided herein in the amount shown for deposit, monthly payment(s), final payment, and other charges I may authorize verbally for this travel package. Insurance payments received are NON-REFUNDABLE. All airfare is NOT guaranteed until paid for and ticketed.

I agree to the Terms and Conditions of the Supplier/Vendor of my reservation, the Terms and Conditions of SERENITY SAND & SEAS TRAVEL LLC and that of the Coronavirus COVID-19 Release, Assumption of Risk, Waiver of Liability & Indemnity Agreement .

CST #2001330-10 FL #35395

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