Submission Confirmed
Submission Summary
| Form | Book Your Tour |
| IP Address | 127.0.0.1 |
| Link | https://blue-form-builder-demo.magezon.com/submission-confirmed/9611b286006172a77558615400d5a6031555560442 |
| Date | 12-14-2021 17:13:32 |
| Submitted From Page | http://blueformbuilder.m2.magezon.com/form/book-your-tour |
Submission Data
| Choose your destination | Cinque Terre |
| Choose departure date preferences (Cinque Terre) | Sept 1 - Sept 9 ($542) |
| Firstname | Lee |
| Lastname | Hoang |
| [email protected] | |
| Phone | 3523214082353 |
| Passport Number | 101203123 |
| Billing Address | Lang Ha, Ly Thuong Kiet, Ha Noi, Ha Noi, 100000, VN |
| City of departure | Bonn |
| Number of adults | 12 |
| Number of children | 12 |
| Number of rooms | 1 |
| Room 1 type | Double |
| Board preferences | Half Board (+$100) |
| Optional trips and activities (Amsterdam Tour) | |
| Optional trips and activities (Vietnam Tour) | |
| Optional services | Transport to departure city (Free), Travel insurance ($15), Bike rental ($10), Luggage transfer ($7) |
| Subscribe to Our Newsletter | Yes |
| Terms of Service | Checked |