Thanksgiving Family Jamaica Vacation

Step 1: Guest Information

Total Number of Guests:

Guests 1 Information - If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.

Guest Title * :

First Name *:

Middle Name :

Last Name *:

Suffix :

Guest DOB*:

Please provide a valid date in the "MM/DD/YYYY" format

Gender * :

Passport Num :

Passport Issuing Country :

Passport Exp :

Please provide a valid date in the "MM/DD/YYYY" format

Step 2: Contact Information Click here to give us more info...

Your Country :

Street Address *:

City *:

State/Province * :

Zip/Postal Code * :

Whose address is this? :

Email Address * :

Phone Number *:

Phone Number 2 * :

Step 3: Trip Information Click here to give us more info...

Departure Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Return Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Room/Cabin Type * :

Bedding Type * :

Departure Airport :

Travel Protection * :

Yes No

Travel protection is not mandatory but is highly recommended to help protect your investment, which can be added when you secure your deposit or 72 hours before the date of departure. The Cancellation Policy and Terms and Conditions will apply if no Travel Insurance is purchased.

Travel Protection Plus Insurance *

Step 4: Payment Information Click here to give us more info...

Payment Type * :

Payment Amount *

Submit an additional payment type: Yes No

Step 5: Additional Information Click here to give us more info...

Special Requests :

Other Questions/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 Agree and understand that my investment is at risk if travel protection is not purchased. *

I acknowledge all the information above is correct. By signing this form I am giving authorization for Xscape With Me Travel and/or the supplier to charge my card for all charges listed above. I also acknowledge and accept the terms and conditions stated by Xscape With Me Travel *

By providing your name below and selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting the "Submit" button you consent to be legally bound by this Agreement's terms and conditions. *