Share your information with Ehize Lee

Ehize Lee

TimeLee Travel LLC

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full Name (as it will appear on passport)"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="Male" value="Male">Male</option>&#13;
			<option label="Female" value="Female">Female</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="First name" description="(As it will appear on your passport)" 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" description="(As it will appear on your passport)" 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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="paragraph" subtype="output" label="Guests are welcome to arrive before and stay after the main group dates of April 30-May 3, 2026. The trip hosts will share an itinerary of the group&#39;s planned activities. Since this is an all-inclusive resort with excellent food and entertainment, you can feel free to extend your vacation to keep the celebration going!"/>&#13;
		<field type="paragraph" subtype="p" label="Guests are welcome to arrive before and stay after the main group dates of April 30-May 3, 2026."/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="radio-group" label="Room Occupancy Type?" name="room-occupancy-type">&#13;
			<option label="Single" value="single">Single</option>&#13;
			<option label="Double" value="double">Double</option>&#13;
		</field>&#13;
		<field type="text" label="If Double Occupancy:&amp;nbsp; Add Secondary Traveler Info - Please provide Full Name, Email Address, Contact #, Date of Birth, and Special Rewards #" name="secondary-traveler-please-provide-full-name-email-address-contact-date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Room Type (please view sample itinerary for Zoetry Resort &amp;amp; Spa. Select your preferred room type and enter below.&amp;nbsp; https://www.canva.com/design/DAG3Ig9MScE/cu2msKbc5qYXXG-3ig2k_g/edit" name="preferred-room-type-please-refer-to-the-room-categories-on-leblanc-sample-itinerary-invite" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Ground Transportation? You are right on time! See instructions below. (NO DEPOSIT REQUIRED)&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Shared Transportation is included with your resort package or you can upgrade to private transportation. Upgrade your experience with private, nonstop, round-trip transportation between the airport and your hotel. Private transfers offer you luxurious, personalized convenience while saving precious vacation time. This option also includes meet-and-greet service upon arrival and transportation in an air-conditioned van that can accommodate up to two people, two large suitcases and two small bags."/>&#13;
		<field type="radio-group" label="Roundtrip Ground Transportation" name="roundtrip-ground-transportation">&#13;
			<option label="Shared Ground Transportation (roundtrip) " value="shared-ground-transportation-roundtrip-">Shared Ground Transportation (roundtrip) </option>&#13;
			<option label="Private Ground Transportation (roundtrip) - add $40" value="private-ground-transportation-roundtrip-add-40">Private Ground Transportation (roundtrip) - add $40</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Roundtrip Airfare Request &amp;amp; Preferences"/>&#13;
		<field type="radio-group" label="Would you like to add Roundtrip Air to your room reservation? Flights will be provided by Delta Airlines&amp;nbsp; or American Airlines depending on your Departure Location. If you would like Airfare added to your package you will receive communication via invoice (you can review) within 1-2 business days regarding your package price (prior to the deposit being applied to your reservation).&amp;nbsp;" name="would-you-like-to-add-roundtrip-air-to-your-room-reservation-flights-will-be-provided-by-delta-airlines-if-you-would-like-airfare-added-your-package-you-will-receive-communication-within-12-business-days-regarding-your-package-price-prior-to-the-deposit-being-applied-to-your-reservation-">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Departure Airport Code (If requesting roundtrip flights - i.e ATL, PHL, LAX, etc)" name="departure-airport-code-if-requesting-roundtrip-flights-ie-phl-lax-etc" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Delta Air Lines - Flight Class preference" name="delta-air-lines-flight-class-preference">&#13;
			<option label="Main Classic" value="main-classic">Main Classic</option>&#13;
			<option label="Comfort Plus " value="comfort-plus-">Comfort Plus </option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Protection Insurance? You are right on time!&amp;nbsp; See instructions below. (ADD&#39;L DEPOSIT REQUIRED)"/>&#13;
		<field type="paragraph" subtype="p" label="Travel Protection Insurance is highly recommended. Return to the- &quot;Select your package&quot; window, scroll to the very bottom, and select it :) Delta Airline Travelers: We are able to provide Pre and Post-Departure Protection through Allianz within your package (starting at $120 per person). Allianz Cancel for Any Reason Insurance is $120 per person. If you decline insurance, all payments are non-refundable following the final balance due date of March 22, 2026."/>&#13;
		<field type="radio-group" label="Travel Protection" name="travel-protection">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I prefer to:" description="Any payments made between today and the final balance due date are optional. As a convenience  all guests will receive a monthly payment schedule with automated (optional) monthly payment reminders." name="i-prefer-to">&#13;
			<option label="Pay Deposit Today (Monthly payments optional through March 22, 2026)" value="pay-deposit-today-monthly-payments-optional-through-march-22-2026">Pay Deposit Today (Monthly payments optional through March 22, 2026)</option>&#13;
			<option label="Pay in Full today" value="pay-in-full-today">Pay in Full today</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Any payments made between today and the final balance due date are optional. As a convenience, all guests will receive a monthly payment schedule with automated (optional) monthly payment reminders. This is not auto-pay. (Your card is never automatically charged.)"/>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="header" subtype="h1" label="Additional Information / Loyalty Programs (Delta Skymiles or AA Advantage) - Please provide your Delta Skymiles or AA Advantage # to earn Bonus Skymiles/MQDs.&amp;nbsp;"/>&#13;
		<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"/>&#13;
		<field type="text" label="Please provide your shirt size" name="please-provide-your-shirt-size" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please provide any Additional Information or Special Requests" description="Provide us with additional information necessary to understand your needs and customize your reservation :)" placeholder="Provide us with additional information necessary to understand your needs and customize your reservation :)" name="additional-information" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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