Contact Information
Your Confirmation Number
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Please use your confirmation number found on your invoice.
Your Name(s)
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Your Email
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Your Phone Number:
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Is this a Honeymoon Registry Gift?
Yes
No
If so, please provide the couple's name(s):
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
Honeymoon Registry Gift
Travel Protection
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ACCEPT Protection.
DECLINE Protection.
IF ACCEPTING INSURANCE: By checking the box I understand that insurance is non-refundable. I have reviewed the insurance policy provided by KP Travel Group and I’m fully aware of all coverages and limitations. IF DECLINING INSURANCE: By declining travel protection, I acknowledge and accept liability for any cancellation penalties, damages and/or out-of-pocket expenses incurred. I also acknowledge and accept responsibility for arranging and paying for any treatment in case of a medical emergency while traveling as my health insurance may not cover me while traveling. I have also been advised that by declining insurance I will be solely responsible for any and all fees if a cancellation, interruption, or delay occurs no matter what the reason is. I understand that this applies even if the reason for cancellation or change is something completely beyond my control; such as weather, illness, flight delay/cancellation, epidemic, etc.
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.
By checking the box and adding your signature, you indicate that submitted names, dates of travel, destination, resort, etc. are correct. You authorize the travel agency or its chosen Tour Operator/Supplier/Cruise Line to charge the deposit amount to the credit card and you agree to the terms and conditions. You also certify you have read the Terms & Conditions. This charge will be manually applied by the agency to your reservation during normal business hours. If there are any issues, your travel advisor 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 directly.
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By checking the box I understand that the deposit and final payment are non-refundable and non-transferable if I decline insurance. Cancellation and change fees may apply.
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Ok
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