<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="FTPDT - All Inclusive Client form"/> <field type="header" subtype="h2" label="Name Information"/> <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="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" 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" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of adults (over age 18)" name="number-of-adult-over-age-18" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of children, including date of birth" name="number-of-children-including-date-of-birth" subtype="text" className="form-control"/> <field type="text" required="true" label="Dates of travel" name="dates-of-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="Destination" name="destination" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" required="true" label="Hotel preference" name="hotel-preference"> <option label="Family Resort" value="family-resort">Family Resort</option> <option label="Adult Only Resort" value="adult-only-resort">Adult Only Resort</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Resort Waterpark/Splash Pad" value="resort-waterparksplash-pad">Resort Waterpark/Splash Pad</option> <option label="Party" value="party">Party</option> </field> <field type="text" label="Other vibe preference" name="other-vibe-preference" subtype="text" className="form-control"/> <field type="checkbox-group" label="Resort Requirements" name="activity-preferences"> <option label="Great beach" value="great-beach">Great beach</option> <option label="Casino" value="casino">Casino</option> <option label="Snorkeling" value="snorkeling">Snorkeling</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Multiple pools" value="multiple-pools">Multiple pools</option> </field> <field type="text" label="Other resort requirements?" name="other" subtype="text" className="form-control"/> <field type="text" required="true" label="Departure City" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Budget" name="budget" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="paragraph" subtype="p" label="Emergencies can happen when you least expect them. Faith, Trust &amp; Pixie Dust Travel, LLC highly recommends that all clients purchase a travel insurance policy to protect your trip investment. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, Emergency Medical Transportation, among other unforeseen circumstances. 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 your travel agent is not liable or responsible for any expenses incurred because of cancellation, trip interruption, emergency medical transportation, baggage and personal effects loss, flight, travel accident, etc. Please understand that we are not registered insurance agents and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Faith, Trust &amp; Pixie Dust Travel, LLC does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own.&nbsp;"/> <field type="radio-group" required="true" label="Click" name="click"> <option label="I would like to add travel insurance" value="i-would-like-to-add-travel-insurance">I would like to add travel insurance</option> <option label="I decline travel insurance" value="i-decline-travel-insurance">I decline travel insurance</option> </field> <field type="header" subtype="h1" label="Passport"/> <field type="paragraph" subtype="p" label="A passport is required for all international travel. If you're traveling anywhere overseas, you need a passport to board an international flight and to enter the country. Passport cards will not be accepted as form of I.D. for international air travel."/> <field type="paragraph" subtype="p" label="Passports must be: Valid for at least 6 months after the date you enter a foreign country.&nbsp; Kept in good condition, free of any damage beyond normal wear and tear, and material alterations. You may be denied boarding if you travel with a passport that appears damaged or altered."/> <field type="paragraph" subtype="p" label="U.S. citizens can use any government-issued form of identification to travel between the U.S., Puerto Rico and the U.S. Virgin Islands."/> <field type="paragraph" subtype="p" label="If you have any issues (i.e. legal convictions, arrests, warrants, child support issues, or other extenuating circumstances) that would prevent you from traveling outside of the US, it is YOUR responsibility to verify your ability to obtain a US passport and to travel outside of the US. Faith, Trust &amp; Pixie Dust Travel, LLC will not be responsible for any denied boarding or entry/reentry into any country due to legal matters. Travel insurance often does NOT cover denied boarding or entry due to legal issues. Please consult your policies for details."/> <field type="checkbox-group" required="true" label="Agreement" name="agreement"> <option label="I agree that I am responsible for understanding all Passport guidelines set forth on the US Department of State official website" value="i-agree-that-i-am-responsible-for-understanding-all-passport-guidelines-set-forth-on-the-us-department-of-state-official-website">I agree that I am responsible for understanding all Passport guidelines set forth on the US Department of State official website</option> </field> </fields> </form-template> </body> </html>
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