Step 1: Passenger Information
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Where did you first hear about us?
Please Select
Agents Friends & Family
Bridal Shows
Facebook
Family
Friends
Google
Internet
Other
Past Client
Past Client Referral
Repeat Client
Trip Advisor
Wedding Guest
Word of Mouth
Total Number of Passengers:
1
2
3
4
5
6
7
8
9
10
Passenger 1 Information -
If we are making an air reservation, Passenger name MUST match passport exactly in order to board airplane.
Passenger Title :
Title
Mr.
Dr.
Ms.
Mrs.
Sen.
Hon.
First Name
*
:
Middle Name :
Last Name
*
:
Suffix :
..
Sr.
Jr.
I
II
III
IV
Passenger DOB
*
:
Please provide a valid date in the "MM/DD/YYYY" format
Gender :
Please Select
Male
Female
Step 2: Contact Information
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Street Address
*
:
City
*
:
State/Province
*
:
Please Select a State or Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
*
:
Whose address is this? :
Passenger 1
Email Address
*
:
Phone Number
*
:
Step 3: Trip Information
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Name of Resort/Cruise :
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
Departure Airport
*
:
Vacation Type :
Please select a vacation type
Adult Vacation
Anniversary
Bachelor Party
Bachelorette Party
Corporate Group
Corporate Incentive
Destination Wedding
Destination Wedding Guest
Family Reunion
Family Vacation
Honeymoon
Romantic Getaway
Vow Renewal
Travel Protection
*
:
Yes
No
We cannot add Cancel For Any Reason insurance after deposit, however we can add other traditional insurance at a later date.
Your Anniversary :
Please provide a valid date in the "MM/DD/YYYY" format
How would you prefer to receive your travel documents? :
Electronic Documents
Printed
Travel With other People ? :
Step 4: Payment Information
(optional)
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Payment Type :
Payment Type
American Express
Discover
Discover Card
MasterCard
Visa
Pay By Phone
Pay in Full or Deposit:
Pay in Full
Deposit Only
Other
Amount:
Submit an additional payment type:
Yes
No
Payment Type
Payment Type
American Express
Discover
Discover Card
MasterCard
Visa
Submit an additional payment type:
Yes
No
Payment Type:
Payment Type
American Express
Discover
Discover Card
MasterCard
Visa
Step 5: Additional Information
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Special Requests :
Other Questions/Comments :
THIS IS A THIS IS A LEGALLY BINDING RELEASE, WAIVER OF LIABILITY, AND ASSUMPTION OF RISK AGREEMENT By submitting, you certify that you are the cardholder and are authorizing Susan's Travel Service's or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. Please read it carefully before signing/accepting/acknowledging.? If you are obtaining a quote for and/or securing or procuring travel for more than just yourself, all references below to “I” (and derivations thereof, including without limitation “my” and “me”) shall be read to mean you on behalf of yourself and each individual within your group for whom you are obtaining a quote and/or securing or procuring travel.? TERMS AND CONDITIONS? I understand that Susan’s Travel Service’s hereinafter ("STS") is not the source or supplier of the travel services I have requested, and acts solely as an agent for the actual suppliers of such services. I have been advised that the suppliers whose names appear in the information supplied to me are those who are actually responsible for providing the travel services I have purchased. I consent to and request the use of those suppliers and agree not to hold STS responsible should any of these suppliers: 1) fail to provide the travel services I have purchased; 2) fail to comply with any applicable law; or 3) engage in any negligent act or omission that causes me any sort of injury, damage, delay or inconvenience.? ? I accept that STS is not responsible for, nor will I attempt to hold it liable for, any injury, damage, or loss I may suffer on account of any conditions, actions, or omissions that are beyond its reasonable control. Excepting only liability that directly arises from the gross negligence or willful misconduct of STS, I will not hold it responsible for any injury, damage, or loss I may suffer while on any third party provided or operated excursion or activity.? I will review my travel documents for accuracy upon receipt and understand that I may contact STS if I have any questions. I understand that it is my responsibility to review the accuracy of all details in the travel quotations provided to me and to confirm the same to STS.? I understand that all reservation fares typically involve restrictions (including, but not limited to, restrictions related to cancellation) and that changing any aspect of my travel arrangements may result in the payment of additional money.? I understand that the Transportation Security Administration (TSA) requires me to carry a government-issued identification card in order to board a flight. I have been advised that the name, date of birth, and gender that appears on the identification card must exactly match the same such data that is listed on my airline ticket and in my booking records. I acknowledge that my failure to strictly comply with these requirements may result in denied boarding or an undue delay at an airport security checkpoint causing me to miss my flight.? ?I understand that if traveling internationally, I must have a valid passport, and depend upon my destination and nationality, I may need to obtain one or more visas.? STS has no special knowledge regarding the financial condition of travel service providers selected for your tour, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel. For information concerning possible dangers at destinations, STS recommends contacting the Travel Warnings Section of the U.S. State Department at 1-888-407-4747 or www.travel.state.gov. For medical information, STS recommends contacting the Centers for Disease Control at 1-800-232-4636 or www.cdc.gov/travel.? I assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of my destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s).? I understand that I may purchase travel insurance to cover certain risks inherent in travel such as supplier bankruptcy and the inability to travel due to a medical or personal emergency.? I agree that, where STS has identified the same in a written communication to me (including via email), a deposit may be required and/or certain itinerary planning charges may be imposed. By way of example only, STS typically charges a $100 deposit for itinerary searching services, which will be credited back to you as a resort or cruise credit if the trip is ultimately booked. Thank you Susan's Travel Services
I Agree
Electronic Signature: (Sign with mouse or touch)
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