Your Confirmation Number:
Please use your confirmation number,
the invoice number.
Credit Card Type
Credit Card Type
Other OR Final Payment
Honeymoon Registry Gift
Are you submitting payment for travel insurance? :
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
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.
Electronic Signature: (Sign with mouse or touch)