Contact Information
Your Confirmation Number:
Please use your confirmation number found on your invoice.
Your Name(s)
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Your Email
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Your Contact Phone Number
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Credit Card Type
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Credit Card Type
American Express
MasterCard
Discover
Visa
Payment Type
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Payment Type
Deposit
Other OR Final Payment
Travel Protection
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ACCEPT Protection.
DECLINE Protection.
By choosing DECLINE, I understand that I am responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also make my own provisions in the event of an emergency while I am traveling.
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 Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable. 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 will 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 of this box signifies acceptance in lieu of my 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 terms and conditions.
I agree to Terms & Conditions listed at https://melissaesposito.com/terms-and-conditions
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I understand that unless otherwise noted, all required deposits are NON-REFUNDABLE and purchase of Travel Protection is the ONLY chance I will have to recoup any lost monies in the event that I need to cancel.
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Travel Insurance Acknowledgement Emergencies can happen when you least expect them. Vacations By Melissa highly recommends that all clients purchase a travel insurance policy to protect their investment in their travel. Airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And, keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, and Emergency Medical Transportation, among other unforeseen circumstances. Please also note that in order for you to obtain coverage for certain pre-existing conditions, or for supplier default, your policy must be purchased at the time of booking or shortly thereafter (depending on the terms of the policy). Please understand that we are not registered insurance agents, and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Vacations By Melissa does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own. I acknowledge that Vacations By Melissa has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage.
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