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ALLURE GETAWAYS

JT Dorsey ur Travel Advisor

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	<fields>&#13;
		<field type="header" subtype="h1" label="Excursion&amp;nbsp;"/>&#13;
		<field type="radio-group" label="Cancun" name="cancun">&#13;
			<option label="Cancun ATV Jungle Adventure, Ziplines, Cenote and Tequila Tasting" value="$72 pp">Cancun ATV Jungle Adventure, Ziplines, Cenote and Tequila Tasting</option>&#13;
			<option label="Hip Hop Sessions Boat Party Cancun" value="$105 pp">Hip Hop Sessions Boat Party Cancun</option>&#13;
			<option label="Cenote Swim: Snorkeling, Sea Turtles and Beachside Lunch" value="$109">Cenote Swim: Snorkeling, Sea Turtles and Beachside Lunch</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Jamaica" name="radio-group-1759715408114">&#13;
			<option label="Dunn's River Falls Party Cruise, Blue Hole with Snorkeling, free beverages" value="$166">Dunn's River Falls Party Cruise, Blue Hole with Snorkeling, free beverages</option>&#13;
			<option label="River Rapids Waterfalls Tubing and Beach Adventure with Transport" value="$89">River Rapids Waterfalls Tubing and Beach Adventure with Transport</option>&#13;
			<option label="Clear Kayak Drone Photo Shoot and Video in Montego Bay" value="$90">Clear Kayak Drone Photo Shoot and Video in Montego Bay</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="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;
	</fields>&#13;
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  </body>
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