Share your information with Randall Beckett

Randall Beckett

Bethany Tours

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		<field type="header" subtype="h1" label="Road trip from Cape Town to the Eastern Cape - Inquiry Form"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name (As shown on 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" 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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your gender?" name="what-is-your-gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Inquiry Date&amp;nbsp;" name="date-1753442335188" className="form-control"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel details"/>&#13;
		<field type="text" required="true" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults? (18 and older)" name="how-many-adults-18-and-older" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children and their age?" name="how-many-children-and-their-age" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Do you need airport transfer?" name="airport-transfer-to-and-from-accommodation-required-" className="form-control">&#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="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference" other="true">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Get ready for an unforgettable journey from Cape Town through the heart of the Garden Route to Gqeberha( Port Elizabeth). Starting in Cape Town via Gansbaai, where the Indian and Atlantic oceans meet - The most Southern part of Africa.&amp;nbsp; You will then head inland to explore Oudtshoorn’s fascinating landscape in the Karoo. From there, visit the tranquil town of Wilderness, surrounded by lush forests and beaches, before continuing to the adventure-filled Tsitsikamma. End your trip with a safari at Amakhala Game Reserve, where you can encounter Africa’s wildlife. This adventure offers the perfect mix of relaxation and excitement, letting you experience the best of South Africa’s Garden Route.&amp;nbsp; Please indicate your personal preferences which will allow us to provide you with an unforgettable itinerary." name="select-your-places-of-interest-or-any-activities-for-your-full-day-8hrs-cape-town-city-tour" other="true">&#13;
			<option label="Gansbaai - where the Indian and Atlantic Oceans meet" value="gansbaai-where-the-indian-and-atlantic-oceans-meet">Gansbaai - where the Indian and Atlantic Oceans meet</option>&#13;
			<option label="Oudtshoorn - Safari Ostrich Farm" value="oudtshoorn-safari-ostrich-farm">Oudtshoorn - Safari Ostrich Farm</option>&#13;
			<option label="Oudtshoorn - Cango Caves" value="oudtshoorn-cango-caves">Oudtshoorn - Cango Caves</option>&#13;
			<option label="Wilderness National Park - Beaches and hiking trails" value="wilderness-national-park-beaches-and-hiking-trails">Wilderness National Park - Beaches and hiking trails</option>&#13;
			<option label="Wilderness - Map of Africa" value="wilderness-map-of-africa">Wilderness - Map of Africa</option>&#13;
			<option label="Plettenberg Bay - Birds of Eden" value="plettenberg-bay-birds-of-eden">Plettenberg Bay - Birds of Eden</option>&#13;
			<option label="Plettenberg Bay - Monkey Land" value="plettenberg-bay-monkey-land">Plettenberg Bay - Monkey Land</option>&#13;
			<option label="Plettenberg Bay - Elephant Sanctuary" value="plettenberg-bay-elephant-sanctuary">Plettenberg Bay - Elephant Sanctuary</option>&#13;
			<option label="Tsitsikamma National Park - Storms River Bridge" value="tsitsikamma-national-park-storms-river-bridge">Tsitsikamma National Park - Storms River Bridge</option>&#13;
			<option label="Tsitsikamma - Bloukrans Bungy Jump" value="tsitsikamma-bloukrans-bungy-jump">Tsitsikamma - Bloukrans Bungy Jump</option>&#13;
			<option label="Amakhala Game Reserve" value="amakhala-game-reserve">Amakhala Game Reserve</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
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