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Tiffany Thompson
SoulKiss Destinations
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Client Inquiry Form &amp; Travel Agreement"/> <field type="header" subtype="h2" label="Full name"/> <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="Preferred/Nik Name" name="preferred-name" 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="date" required="true" label="Birthday" name="birthday" 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="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="header" subtype="h1" label="Additional Traveler Information"/> <field type="textarea" required="true" label="Address, DOB, Email and Phone Number" name="address-dob-email-and-phone-number" rows="5" className="form-control"/> <field type="text" required="true" label="Who referred you? Are you apart of a vacation/trip already in the works? If so which one." name="who-referred-you-are-you-apart-of-a-vacationtrip-already-in-the-works-if-so-which-one" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in Flights" name="are-you-interested-in-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many travelers for this booking" name="how-many-travelers-for-this-booking"> <option label="Single (1) Person" value="single-1-person">Single (1) Person</option> <option label="Double (2) People" value="double-2-people">Double (2) People</option> <option label="Triple (3) People" value="triple-3-people">Triple (3) People</option> <option label="Quad (4) People" value="quad-4-people">Quad (4) People</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="What best describes your vacation plans" name="hotel-preference" other="true"> <option label="Hotel" value="hotel">Hotel</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="All Inclusive Family Resort" value="all-inclusive-family-resort">All Inclusive Family Resort</option> <option label="All Inclusive Adults Only Resort" value="all-inclusive-adults-only-resort">All Inclusive Adults Only Resort</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Party" value="party">Party</option> <option label="Family friendly" value="family-friendly">Family friendly</option> </field> <field type="checkbox-group" required="true" label="Are you interested in Excursions?" name="activity-preferences"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Do you have a Passport?" name="do-you-have-a-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to add vacation protection/travel insurance?" name="would-you-like-to-add-vacation-protectiontravel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Passport Requirements for Travel"/> <field type="checkbox-group" label="Passport Requirements- I understand that SoulKiss Destinations is not responsible for the denied entry into any country for any guest. I understand that all guests are responsible to ensure that they have all the proper documents for entry. All names on documents must match the legal name on the guest’s photo I.D., and travel document information must match tickets. I understand that minors unaccompanied by birth parents will need a permission letter for travel outside the U.S. and any travelers with criminal convictions may be denied entry to certain countries. Each guest is responsible for determining if issues are present with the immigration/customs process into a foreign country. Being denied entry will result in a complete financial loss associated with my trip. I understand that a passport is required for international travel, including children &amp; babies and that for some countries (including but not limited to Dubai, Jamaica, Mexico, Dominican Republic, Aruba, Turks and Caicos, St. Martin, Costa Rica, St. Lucia, Europe) passports must be valid 6 months AFTER RETURN DATE OF TRAVEL. I understand it is my responsibility to review and understand passport requirements and travel advisories for both the United States and the destinations I will be visiting.*" name="passport-requirements-i-understand-that-soulkiss-destinations-is-not-responsible-for-the-denied-entry-into-any-country-for-any-guest-i-understand-that-all-guests-are-responsible-to-ensure-that-they-have-all-the-proper-documents-for-entry-all-names-on-documents-must-match-the-legal-name-on-the-guests-photo-id-and-travel-document-information-must-match-tickets-i-understand-that-minors-unaccompanied-by-birth-parents-will-need-a-permission-letter-for-travel-outside-the-us-and-any-travelers-with-criminal-convictions-may-be-denied-entry-to-certain-countries-each-guest-is-responsible-for-determining-if-issues-are-present-with-the-immigrationcustoms-process-into-a-foreign-country-being-denied-entry-will-result-in-a-complete-financial-loss-associated-with-my-trip-i-understand-that-a-passport-is-required-for-international-travel-including-children-babies-and-that-for-some-countries-including-but-not-limited-to-dubai-jamaica-mexico-dominican-republic-aruba-turks-and-caicos-st-martin-costa-rica-st-lucia-europe-passports-must-be-valid-6-months-after-return-date-of-travel-i-understand-it-is-my-responsibility-to-review-and-understand-passport-requirements-and-travel-advisories-for-both-the-united-states-and-the-destinations-i-will-be-visiting"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="header" subtype="h1" label="Terms &amp; Conditions"/> <field type="paragraph" subtype="p" label="********PLEASE KEEP IN MIND THAT PRICES FLUCTUATE*********** Prices change daily so lock in your trip with a deposit ASAP to ensure availability. I cannot guarantee a price without a deposit on the books.&nbsp;"/> <field type="checkbox-group" label="I understand that if I do not pay off my trip by the deadline it will automatically be canceled. &nbsp;SoulKiss Destinations will submit a request for a refund, but it is not guaranteed unless travel protection is purchased.&nbsp;" name="i-understand-that-if-i-do-not-pay-off-my-trip-by-the-deadline-it-will-automatically-be-canceled-soulkiss-destinations-will-submit-a-request-for-a-refund-but-it-is-not-guaranteed-unless-travel-protection-is-purchased-"> <option label="I understand" value="i-understand">I understand</option> </field> <field type="checkbox-group" label="I understand that SoulKiss Destinations is not an agent of the hotel I have selected and has no control over refund policies and other rules mandated by the Hotel.*" name="i-understand-that-soulkiss-destinations-is-not-an-agent-of-the-hotel-i-have-selected-and-has-no-control-over-refund-policies-and-other-rules-mandated-by-the-hotel"> <option label="I understand" value="i-understand">I understand</option> </field> <field type="checkbox-group" label="I understand that I will have to pay a travel planning fee per guest. This fee will be paid by invoice. I understand that all travel agent fees are NON-REFUNDABLE.&nbsp;" name="i-understand-that-i-will-have-to-pay-a-travel-planning-fee-per-guest-this-fee-will-be-paid-by-invoice-i-understand-that-all-travel-agent-fees-are-nonrefundable-"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="checkbox-group" label="I agree that if I need to get in touch with Tiffany I can call or text 910-806-7795 or email: soulkissdestinations@gmail.com. Please allow 24 hours to receive a response." name="i-agree-that-if-i-need-to-get-in-touch-with-tiffany-i-can-call-or-text-9108067795-or-email-soulkissdestinationsgmailcom-please-allow-24-hours-to-receive-a-response"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="checkbox-group" label="I understand that pricing fluctuates. If I am booking a travel package that has been posted over 1+ day ago, prices may have increased/decreased." name="i-understand-that-pricing-fluctuates-if-i-am-booking-a-travel-package-that-has-been-poster-over-1-day-ago-prices-may-have-increaseddecreased"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="checkbox-group" label="Flights - I understand that SoulKiss Destinations, Travel Agency has no control over delayed or cancelled flights, lost or damaged luggage. Or natural disasters including but not limited to earthquakes, cyclones, hurricanes, floods, tsunamis, landslides, volcanic eruption's, and avalanches. I understand SoulKiss Destinations &nbsp;is not responsible for missed flights.*" name="flights-i-understand-that-soulkiss-destinations-travel-agency-has-no-control-over-delayed-or-cancelled-flights-lost-or-damaged-luggage-or-natural-disasters-including-but-not-limited-to-earthquakes-cyclones-hurricanes-floods-tsunamis-landslides-volcanic-eruptions-and-avalanches-i-understand-the-world-awaits-is-not-responsible-for-missed-flights"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="checkbox-group" label="I understand traveling between June - September is consdered hurricane season in most Carribbean countries + Mexico. SoulKiss Destinations is not responsible for weather conditions and natrual disaters overseas." name="i-understand-traveling-between-june-september-is-consdered-hurricane-season-in-most-carribbean-countries-mexico-soulkiss-destinations-is-not-responsible-for-weather-conditions-and-natrual-disaters-overseas"> <option label="I Understand" value="i-understand">I Understand</option> </field> <field type="checkbox-group" label="I verify that I am the authorized user of the card I am going to submit payment with and waive my right to a chargeback. In the event that I attempt without SoulKiss Destinations authorization to chargeback, reverse, or recollect a trip payment already made, SoulKiss Destinations reserves the right to collect all additional costs, fees, and expenses associated with such chargeback, reversal, or recollection including, without limitation, attorney fees.** (required)&nbsp;" name="i-verify-that-i-am-the-authorized-user-of-the-card-i-am-going-to-submit-payment-with-and-waive-my-right-to-a-chargeback-in-the-event-that-i-attempt-without-soulkiss-destinations-authorization-to-chargeback-reverse-or-recollect-a-trip-payment-already-made-the-world-awaits-reserves-the-right-to-collect-all-additional-costs-fees-and-expenses-associated-with-such-chargeback-reversal-or-recollection-including-without-limitation-attorney-fees-required-"> <option label="I Understand" value="i-understand">I Understand</option> </field> </fields> </form-template> </body> </html>
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