Jot-Estore Family Trip Template

1
Today's Date (Admin Only)
Date
Year
Month
Day
2
Trip Code (Admin Only)
3
Trip Length (Admin Only)Please update the trip length to compute bike rental price correctly.
4
Adult Price (Admin Only)Enter in 14+ price USD.
5
Child Price (Admin Only)Enter in 5 - 13 years old price USD.
6
Single Supplement Cost (Admin Only)
7
Tax Zone (Admin Only)This is the tax zone - CHANGE TAX PERCENTAGE BELOW
Washington County UT 6.75%
No Tax
Grand County UT 6.85%
Washington County UT 6.75%
South Dakota 4.5%
Coconino County AZ 6.9%
Idaho 6%
Yavapai County AZ 6.35%
Pima County AZ 7.1%
Maricopa County AZ 6.3%
Texas 8.25%
8
What is your name?* This field is required.
First Name
Last Name
9
What is your email address?* This field is required.
example@example.com
10
What is your phone number?* This field is required.
Area Code
Phone Number
11
What is your address?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
12
Have you traveled with us before?* This field is required.
YESNO
13
What trip date would you like to reserve?* This field is required.Choose Your Date
Choose A Date
Choose A Date
7/12/21 - 7/16/21
7/19/21 - 7/23/21
7/26/21 - 7/30/21
8/2/21 - 8/6/21
8/9/21 - 8/13/21
8/16/21 - 8/20/21
14
Number of Days To Trip Start Calculation (Admin Only)This calculation subtracts today's date from the date the trip begins.
15
How many adults? (18+)* This field is required.$1295 Per Person
16
Adult 2 - Name* This field is required.18+ years or older
First Name
Last Name
17
Adult 2 - Email* This field is required.
example@example.com
18
Adult 3 - Name* This field is required.18+ years or older
First Name
Last Name
19
Adult 3 - Email* This field is required.
example@example.com
20
Adult 4 - Name* This field is required.18+ years or older
First Name
Last Name
21
Adult 4 - Email* This field is required.
example@example.com
22
Adult 5 - Name* This field is required.18+ years or older
First Name
Last Name
23
Adult 5 - Email* This field is required.
example@example.com
24
Adult 6 - Name* This field is required.18+ years or older
First Name
Last Name
25
Adult 6 - Email* This field is required.
example@example.com
26
Adult 7 - Name* This field is required.18+ years or older
First Name
Last Name
27
Adult 7 - Email* This field is required.
example@example.com
28
Adult 8 - Name* This field is required.18+ years or older
First Name
Last Name
29
Adult 8 - Email* This field is required.
example@example.com
30
Adult 9 - Name* This field is required.18+ years or older
First Name
Last Name
31
Adult 9 - Email* This field is required.
example@example.com
32
Adult 10 - Name* This field is required.18+ years or older
First Name
Last Name
33
Adult 10 - Email* This field is required.
example@example.com
34
How many youth? (14 - 17)* This field is required.$1295 Per Person
35
Youth 1 - Name* This field is required.
First Name
Last Name
36
Youth 1 - Age* This field is required.
37
Youth 2 - Name* This field is required.
First Name
Last Name
38
Youth 2 - Age* This field is required.
39
Youth 3 - Name* This field is required.
First Name
Last Name
40
Youth 3 - Age* This field is required.
41
Youth 4 - Name* This field is required.
First Name
Last Name
42
Youth 4 - Age* This field is required.
43
Youth 5 - Name* This field is required.
First Name
Last Name
44
Youth 5 - Age* This field is required.
45
What rental equipment do you need?
Rental Bikes
Rental Tents
Rental Sleeping Bags
Rental Sleeping Pads
46
How many rental bikes do you need?$275 Per Person (Age 14 and older)
47
How many tent rentals do you need?$40.00 Per Tent
48
How many sleeping bag rentals do you need?$35.00 Per Sleeping Bag
49
How many sleeping pad rentals do you need?$15.00 Per Sleeping Pad
50
Are you shipping a bike to us? Or, will you be traveling with your bike?Would you like to bring your own bike? No problem. Just ship your bike to our shop and we will have it built and ready for your trip. We will then ship it back to you after the trip.
Yes, I(we) will be shipping my bike to you and would like Western Spirit to unpack, re-pack, and ship the bike back to me(us) for $180 per bike.
No, I(we) am either renting, or bringing my(our) bike(s).
51
How many bikes will you be shipping?$180.00 Per Bike
52
Participant Calculation (Admin Only)This calculation adds the total amount of trip costs per person together. For example 2 adults ($975 + $975) + 2 youth ($975 + $975) = Participant Calculation.
53
All Other Item Calculation (Admin Only)This calculation adds the total amount of additional trip costs such as rental bikes, camping equipment, and hotel rooms.
54
Subtotal Before Discount Amount
55
If you have a discount code, please enter it here
56
Your Discount Amount
57
Your Subtotal
58
Sales Tax6.75%
59
Since this trip is more than 60 days away, you have 2 options:* This field is required.
Pay The Entire Balance Due
Pay $400 Deposit per person (remaining balance will automatically be charged 60 days before your trip date)
60
Grand Total Today (Admin Only)USD
$
61
The Balance Due Today For Your Order Is:Your Total Due
prevnext( X )
Click NEXT to enter your credit card information
USD
+ OR enter a custom value
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2021
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
62
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