Contact Information
Your Confirmation Number
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Please use your confirmation number found on your invoice.
Your Name(s)
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Your Email
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Credit Card Type
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Credit Card Type
American Express
MasterCard
Discover
Visa
Travel Credit
Payment Amount
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Payment Type
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Payment Type
Deposit
Other OR Final Payment
Are you submitting payment for travel insurance?
Yes
No
Travel Protection
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ACCEPT Protection.
DECLINE Protection.
I understand that I will have a limited time period to purchase CANCEL FOR ANY REASON travel insurance and that my advisor will inform me of the booking requirements.
Additional Comments :
By submitting, you certify that you are the cardholder and are authorizing the travel agency or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the
Consumer Agreement
and the appropriate Travel Protection Plan details.
Deposits are nonrefundable. Travel Insurance/Protection is recommended.
This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge may come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize the travel agency to use the above information to charge my credit card the stated amount. Completion of this form and the initialing or signature in this box signifies acceptance in lieu of a handwritten signature.
By checking the box below and adding your signature, you indicate that the above amount is correct, you authorize the travel agency to charge your credit card for the specified amount, and you agree to the Consumer Agreement.
I Agree
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×
Ok
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