Share your information with Live In The Dash Travel Agency

Live In The Dash Travel Agency

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" 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="Supplier / Cruise Line / Resort" placeholder="RIU  Caribbean  Virgin Voyages  etc" name="text-1769024563492" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Confirmation Number" name="text-1769024752416" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Dates"/>&#13;
		<field type="date" required="true" label="Travel Start Date (Departure Date)" description="For booking take-overs  this date must Exactly match the date on your existing reservation. Any mismatch may prevent us from taking over your booking." name="date-1769027484984" className="form-control"/>&#13;
		<field type="date" required="true" label="Travel End Date (Return Date)" description="For booking take-overs  this date must Exactly match the date on your existing reservation. Any mismatch may prevent us from taking over your booking." name="date-1769027536280" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is your travel date within 30 days from today?" description="If your departure date is within 30 days  select Yes." name="is-your-travel-date-within-30-days-from-today">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="⚠️ IMPORTANT – LAST-MINUTE BOOKING NOTICE Bookings within 30 days of travel may NOT be eligible for agent take-over. Approval is subject to supplier rules, payment status, and availability. Live In The Dash cannot guarantee take-over approval for last-minute bookings.&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; By selecting &quot;Yes, &quot; you confirm the information provided is accurate." className="field-hidden"/>&#13;
		<field type="paragraph" subtype="p" label="⚠️ IMPORTANT – BOOKING TAKE-OVER NOTICE Travel dates entered above must EXACTLY match the dates on your existing reservation. If dates do not match, Live In The Dash may be unable to take over your booking.Travel dates must match the dates on your existing resveration."/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769045827043" rule="eyJ3aGVuRmllbGQiOiJpcy15b3VyLXRyYXZlbC1kYXRlLXdpdGhpbi0zMC1kYXlzLWZyb20tdG9kYXkiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbXSwidGhlbkZpZWxkc0luZm8iOltdfQ=="/>&#13;
		<field type="checkbox-group" required="true" label="Booking Take - Over Authorization" description="This authorization is required for Live In The Dash to contact the supplier regarding your existing reservation." name="checkbox-group-1769046299345">&#13;
			<option label="I authorize Live In The Dash to request a booking take-over on my behalf. I understand that take-over approval is subject to supplier rules, payment status, and availability and is not  guaranteed." value="i-authorize-live-in-the-dash-to-request-a-booking-takeover-on-my-behalf-i-understand-that-takeover-approval-is-subject-to-supplier-rules-payment-status-and-availability-and-is-not-guaranteed">I authorize Live In The Dash to request a booking take-over on my behalf. I understand that take-over approval is subject to supplier rules, payment status, and availability and is not  guaranteed.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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