<form-template>
	<fields>
		<field type="date" required="true" label="Today's Date" name="date-1622641681957" 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="Last name" name="last-name" 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="Reservation Number" description="May be found above or on your invoice" name="reservation-number" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Departure Date of Trip" name="departure-date-of-trip-canceling" className="form-control"/>
		<field type="text" label="Reason for Cancelling" name="reason-for-cancelling" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Cancellation Request"/>
		<field type="paragraph" subtype="p" label="I authorize Love Life Travel Club to cancel my reservation for the vacation agreements made by my travel agent. I understand there may be penalties assessed by the supplier as outlined in the terms and conditions of the reservation. If I have insurance on this reservation I understand I will not be refunded the cost of the insurance which I have paid. It is my sole responsibility to file any insurance claims direct with the insurance provider.&amp;nbsp;"/>
		<field type="checkbox-group" required="true" label="Reservation Cancellation Authorization:" inline="true" name="reservation-cancellation-authoriztion">
			<option label="Yes I agree with the above statement and want to cancel my reservation" value="yes-i-agree-with-the-above-statement-and-want-to-cancel-my-reservation">Yes I agree with the above statement and want to cancel my reservation</option>
		</field>
	</fields>
</form-template>

Terms & Conditions

The following terms & conditions (the "Agreement") describe what you can expect from us. The terms "we", "us", and "our" refer to Love Life Travel Club and the term "you" refers to the individual who signs this agreement. Please see our full Terms & Conditions HERE

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