<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="PLEASE ENTER 1 FORM FOR EACH TRAVELER if you have 3 or less traveling together. If 4 to 6 people in the family, please select the option on our website for booking info up to 6 people.&nbsp; For the main traveler put all of the information needed for the trip. For others just the basics are needed - Full Name as it appears on passport (spelled Correctly), Address if different than main traveler, email address if different than main travelers, phone number if different than main travelers, Date of Birth, passport info and travel protection option. 1 for each person is needed as the person then is created in my system as a contact/client.&nbsp; Thank you so much for doing this!!&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="paragraph" subtype="p" label="Please enter your full name as it appears on your passport below. This is required for any booking/reservation."/> <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" required="true" 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" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" 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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Passport Info"/> <field type="paragraph" subtype="p" label="To bypass entering all of your passport information you may upload a picture of your passport below instead. Please go that option to upload your picture.&nbsp;"/> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="header" subtype="h1" label="UPLOAD A PICTURE OF YOUR PASSPORT - instead of entering all your passport information above.&nbsp;"/> <field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/> <field type="paragraph" subtype="p" label="Your gender is a required field for booking/reservation"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="header" subtype="h2" label="Important Dates"/> <field type="paragraph" subtype="p" label="Your Date Of Birth is a required field for booking/reservation"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding Anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="Others you are traveling/rooming with - same reservation/booking"/> <field type="text" label="Who are the other person(s) you will be traveling with on the same reservation?&nbsp;" description="Enter the other person(s) you are traveling with and will be rooming with - so we can keep your booking together" name="who-is-the-primary-traveler-or-other-persons-you-will-travel-with-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel&nbsp; Options&nbsp;"/> <field type="radio-group" label="Hotel 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="header" subtype="h1" label="Flight Information if you would like to purchase flights with your room together"/> <field type="checkbox-group" label="Would like a quote with flights included?&nbsp; If so, please fill out flight information below&nbsp;" name="would-like-a-quote-with-flights-included-if-so-please-fill-out-flight-information-below-"> <option label="NO " value="no-">NO </option> <option label="YES" value="yes">YES</option> </field> <field type="text" label="What Airport will you be flying from?&nbsp;" description="Please enter the airport code if you know it or the airport name/location examples: ORD = Chicago O'hare SFO = San Francisco CA MDW = Chicago Midway MSP = Minneapolis/St Paul" name="what-airport-will-you-be-flying-from-" subtype="text" className="form-control"/> <field type="radio-group" label="What kind of flights would you like&nbsp;" description="If you selected flights on your reservation - please tell us more information for your flights" name="what-kind-of-flights-would-you-like-"> <option label="NONSTOP " value="nonstop-">NONSTOP </option> <option label="1 Stop " value="1-stop-">1 Stop </option> <option label="whatever is cheapest " value="whatever-is-cheapest-">whatever is cheapest </option> </field> <field type="radio-group" label="Seat preference" description="If you selected flights on your reservation - please tell us more information for your flights" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="text" label="If you have flights already selected - Please list the airline below&nbsp;" description="if you want specific flights - please enter the airline and flight #'s you would like" name="if-you-have-flights-already-selected-please-list-the-airline-below-" subtype="text" className="form-control"/> <field type="date" label="Select your Flight departure date" name="select-your-flight-departure-date" className="form-control"/> <field type="text" label="If you have flights already selected - Please list the departure flight number below - If not, please let us know around what time you would like your flight" description="if you want specific flights - please enter the airline and flight #'s you would like" name="if-you-have-flights-already-selected-please-list-the-departure-flight-number-below-if-not-please-let-us-know-around-what-time-you-would-like-your-flight" subtype="text" className="form-control"/> <field type="date" label="Select your Flight Return date" name="select-your-flight-return-date" className="form-control"/> <field type="text" label="If you have flights already selected - Please list the return flight number below - If not, please let us know around what time you would like your flight" description="if you want specific flights - please enter the airline and flight #'s you would like" name="if-you-have-flights-already-selected-please-list-the-return-flight-number-below-if-not-please-let-us-know-around-what-time-you-would-like-your-flight" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="TRAVEL PROTECTION - IF YOU DID NOT PURCHASE WITH YOUR BOOKING PLEASE FILL OUT HERE&nbsp;"/> <field type="paragraph" subtype="p" label="Accepting or Declining Travel Protection and your signature showing your choices is a required field for booking/reservation."/> <field type="radio-group" required="true" label="Would you like to purchase travel protection?&nbsp; If you did not select it on your booking please answer below&nbsp;" description="Travel protection is optional but highly recommended. If one person on booking takes travel protection then all persons on the booking must take it." name="do-you-want-to-purchase-travel-protection-"> <option label="Travel protection - Full travel credit refund" value="travel-protection-full-travel-credit-refund">Travel protection - Full travel credit refund</option> <option label="Travel protection - original form of payment refund " value="travel-protection-original-form-of-payment-refund-">Travel protection - original form of payment refund </option> <option label="No Travel protection " value="no-travel-protection-">No Travel protection </option> </field> <field type="paragraph" subtype="p" label="**TRAVEL PROTECTION IS NON-REFUNDABLE - IF YOU CANCEL YOUR TRIP, YOU WILL NOT GET THE COST OF YOU TRAVEL PROTECTION IN YOUR REFUND AS YOU WILL BE USING IT TO CANCEL . IF YOU DO NOT FILE A CLAIM OR CANCEL IT IS STILL NON-REFUNDABLE AS YOU ARE BEING COVERED DURING YOUR TRIP.&nbsp;"/> <field type="paragraph" subtype="p" label="Please sign or initial below to show that these are your choices for your trip and&nbsp;travel protection. This also indicates that Judy Adams and/or Adams Global Travel offered travel protection to you and they are not liable for your decision if you chose to not take the insurance offered to you at the time of booking.&nbsp; &nbsp;&nbsp;"/> <field type="text" required="true" label="sign or initial&nbsp;" name="sign-or-initial-" subtype="text" className="form-control"/> <field type="date" required="true" label="Todays date&nbsp;" name="todays-date-" className="form-control"/> </fields> </form-template> </body> </html>
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