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		<field type="header" subtype="h2" label="Cancellation Form"/>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of Trip" name="date-of-trip" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Cancellation Reason" name="cancellation-reason" className="form-control"/>&#13;
		<field type="text" label="Text Field" name="text-1654889483970" value="Cancellation Terms" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="By signing this agreement you are authorizing Royal Escapades Luxury Vacations, LLC to cancel your travel plans for everyone in your party with the suppliers. Your travel plans will be completely cancelled and will not be able to be reinstated without rebooking. Rebooking will be at the current rates at the time of rebooking. You are acknowledging that you have been advised of your refund options and penalties. You understand that Royal Escapades Luxury Vacations, LLC acts solely as a booking agent for the supplier. Refunds if applicable may take up to 120 days to be processed by suppliers. Just to confirm, by authorizing cancellation of this trip, you are indicating that you understand that third-party cancellation penalties, if any, will apply in addition to Royal Escapades Luxury Vacations, LLC Terms &amp;amp; Conditions of Booking. By completing this form, I am authorizing the cancellation of the reservations referred to above and may incur penalties as a result of this cancellations.I confirm that I have the right to cancel the booking for all travelers within this reservation. I understand that if I have travel insurance, it is my responsibility to obtain and submit all relevant information for my claim to the travel insurance provider. I do understand that there will be a $75 fee for canceling this booking payable to Royal Escapades Luxury Vacations, LLC. This fee will be charged to your most recent card on file despite if this form is signed or not." name="by-signing-this-agreement-you-are-authorizing-royal-escapades-luxury-vacations-llc-to-cancel-your-travel-plans-for-everyone-in-your-party-with-the-suppliers-your-travel-plans-will-be-completely-cancelled-and-will-not-be-able-to-be-reinstated-without-rebooking-rebooking-will-be-at-the-current-rates-at-the-time-of-rebooking-you-are-acknowledging-that-you-have-been-advised-of-your-refund-options-and-penalties-you-understand-that-royal-escapades-luxury-vacations-llc-acts-solely-as-a-booking-agent-for-the-supplier-refunds-if-applicable-may-take-up-to-120-days-to-be-processed-by-suppliers-just-to-confirm-by-authorizing-cancellation-of-this-trip-you-are-indicating-that-you-understand-that-thirdparty-cancellation-penalties-if-any-will-apply-in-addition-to-royal-escapades-luxury-vacations-llc-terms-conditions-of-booking-by-completing-this-form-i-am-authorizing-the-cancellation-of-the-reservations-referred-to-above-and-may-incur-penalties-as-a-result-of-this-cancellationsi-confirm-that-i-have-the-right-to-cancel-the-booking-for-all-travelers-within-this-reservation-i-understand-that-if-i-have-travel-insurance-it-is-my-responsibility-to-obtain-and-submit-all-relevant-information-for-my-claim-to-the-travel-insurance-provider">&#13;
			<option label="Yes, Please Cancel My trip" value="yes-please-cancel-my-trip" selected="selected">Yes, Please Cancel My trip</option>&#13;
		</field>&#13;
	</fields>&#13;
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