Contact Information
Who is your Travel Agent?
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Please Select
Roxi Miller
Angie Miller
Christine Parsons
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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:
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.
I understand that I CANNOT purchase travel protection after my deposit is paid. I have verified the correct Travel Protection Plan has been added to my booking or I have signed a waiver to decline coverage. NOTICE: Travel Protection question only applies at time of booking. If you are making additional payments you have already advised us on this. Please answer the question the same way.
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 Suppliers Terms & Conditions and the appropriate Travel Protection Plan details. In addition you have read and by sending a payment authorization, you accept the Miller Travel Company Terms & Conditions listed on our website: https://www.millertravelcompany.com/terms-and-conditions.html Cancellation penalties will apply, should you decide to cancel this reservation. Both the travel supplier and Miller Travel Company do impose cancellation fees. The cancellation fees that Miller Travel Company will charge are listed on our Terms & Conditions. These are in addition to supplier fees and not covered by insurance. Insurance is not refundable once your payment has processed. If you are declining coverage, please sign a waiver and have the travel protection removed prior to making this payment.
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
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Ok
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