Share your information with Sarah Roy

Sarah Roy

Lasting Impressions Travel, LLC

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		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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 type="text" required="true" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Best way to contact you with should I have additional questions?" name="best-way-to-contact-you-with-should-i-have-additional-questions">&#13;
			<option label="Text Message" value="text-message">Text Message</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How did you hear about Lasting impressions Travel?" description="I have a referral program - when you book  the person who referred you gets a small gift of thanks!" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
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		<field type="checkbox-group" required="true" label="Which Park System are you wanting to experience?" name="which-park-system-are-you-wanting-to-experience">&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Universal Studios - Orlando" value="universal-studios-orlando">Universal Studios - Orlando</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many park days?" description="Let me know how many days you want to spend in the parks" name="text-1744827907553" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="List each traveler&#39;s name." name="text-1744828108390" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is each traveler&#39;s birthdate?" description="Price for park tickets is based on age at time of travel." name="text-1744827869663" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will your traveling party be needing more than one room? If so, please breakdown who will be staying together. (Example: Roy family (2 adults, 3 kids) in one room; Smith family (2 adults, 1 kid) in one room...etc)." name="text-1744828142002" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$3,500 to $4,500" value="3500-to-4500">$3,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
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		<field type="text" required="true" label="If you need more than one room, what is the budget PER ROOM?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Please select any options you are interested in for your travel experience." name="please-select-any-options-you-are-interested-in-for-your-travel-experience">&#13;
			<option label="Dining Plan" value="dining-plan">Dining Plan</option>&#13;
			<option label="Club Level" value="club-level">Club Level</option>&#13;
			<option label="Character Dining Experiences" value="character-dining-experiences">Character Dining Experiences</option>&#13;
			<option label="VIP Tour" value="vip-tour">VIP Tour</option>&#13;
			<option label="Special Event Tickets ( Halloween Party ; Christmas Party)" value="special-event-tickets-halloween-party-christmas-party">Special Event Tickets ( Halloween Party ; Christmas Party)</option>&#13;
			<option label="Park Hopper Tickets (visit multiple parks in one day)" value="park-hopper-tickets-visit-multiple-parks-in-one-day">Park Hopper Tickets (visit multiple parks in one day)</option>&#13;
			<option label="Lightning Lane Pass (Disney only)" value="lightning-lane-pass-disney-only">Lightning Lane Pass (Disney only)</option>&#13;
			<option label="Universal Express Pass (Universal Studios - Orlando only)" value="universal-express-pass-universal-studios-orlando-only">Universal Express Pass (Universal Studios - Orlando only)</option>&#13;
			<option label="Bibbiddi Bobbidi Boutique (Disney only)" value="bibbiddi-bobbidi-boutique-disney-only">Bibbiddi Bobbidi Boutique (Disney only)</option>&#13;
			<option label="None" value="none">None</option>&#13;
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		<field type="text" required="true" label="Are you celebrating anything special?" name="text-1744828179448" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I am interested in hearing more about the following travel experiences offered with Lasting Impressions Travel :" name="i-am-interested-in-hearing-more-about-the-following-travel-experiences-offered-with-lasting-impressions-travel-">&#13;
			<option label="Aulani (Disney Resort in Hawaii)" value="aulani-disney-resort-in-hawaii">Aulani (Disney Resort in Hawaii)</option>&#13;
			<option label="Club Disney Cruise Line" value="club-disney-cruise-line">Club Disney Cruise Line</option>&#13;
			<option label="Adventures by Disney (worldwide destinations)" value="adventures-by-disney-worldwide-destinations">Adventures by Disney (worldwide destinations)</option>&#13;
			<option label="European River Cruises" value="european-river-cruises">European River Cruises</option>&#13;
			<option label="Guided Travel with Sarah in Scotland" value="guided-travel-with-sarah-in-scotland">Guided Travel with Sarah in Scotland</option>&#13;
			<option label="Europe Packages" value="europe-packages">Europe Packages</option>&#13;
			<option label="All Inclusive Resort Stay" value="all-inclusive-resort-stay">All Inclusive Resort Stay</option>&#13;
			<option label="Disneyland Paris" value="disneyland-paris">Disneyland Paris</option>&#13;
			<option label="Virgin Voyage Cruises" value="virgin-voyage-cruises">Virgin Voyage Cruises</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Anything else you want me to know?" name="text-1744828793509" subtype="text" className="form-control"/>&#13;
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Please read the following Terms & Conditions for Lasting Impressions Travel, LLC. You must agree to all Terms & Conditions in order to proceed with booking.

By signing here I understand and agree to the following statements :

This authorization does NOT automatically charge my card, but authorizes Sarah Roy to use this form of payment to process the deposit. This can take up to 24 hours if received during current business hours, Monday through Friday (*subject to change at any time). Authorizations sent on weekends will be processed the following business day.

I have read and understand all policies, terms & conditions, provisions and options pertaining to the entire vacation/travel experience I am booking.

Lasting Impressions Travel, LLC is not responsible and will not be held liable for any weather or natural disaster that may affect the trip I am booking.

Lasting Impressions Travel, LLC is not liable for any compensation due to injury during travel.

Lasting Impressions Travel, LLC has given me access to and explained all Travel Protection or Travel Insurance options. I fully understand these options and have made my decision to accept or decline via writing with Sarah Roy of Lasting Impressions Travel, LLC. I understand that any claims needing to be made, with or without travel protection/insurance, will not be the responsibility of Sarah Roy of Lasting Impressions Travel, LLC.

In the event I need to change the dates of travel for my travel experience I will be subject to any cost difference based on the resort or destination terms and conditions. I also understand that after the first date change I will be responsible for paying a date change fee of $50 each additional time I need to change my dates after the first change. This fee is paid only to Sarah Roy of Lasting Impressions Travel, LLC and is not due to any other entities involved in my travel experience booking.

In the event I should need to cancel my vacation/travel plans, I will be responsible for the $250 cancellation fee per room/family paid to Sarah Roy of Lasting Impressions Travel. I also understand that this is a SEPARATE payment from any amount paid towards my resort stay/trip and cannot be taken from any refund I may receive from the previously paid amount.

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