Contact Information
Your Confirmation Number
*
:
Please use your confirmation number found on your invoice.
Your Name(s)
*
:
Your Email
*
:
Is this a Honeymoon Registry Gift?
Yes
No
If so, please provide the couple's name(s):
Credit Card Type
*
:
Credit Card Type
American Express
MasterCard
Discover
Visa
Payment Type
*
:
Payment Type
Deposit
Other OR Final Payment
Honeymoon Registry Gift
Travel Protection
*
:
ACCEPT Protection.
DECLINE Protection.
Additional Comments :
By submitting, you certify that you are the cardholder and are authorizing the GOwithHIPPO 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. 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 understand that chargebacks are not permitted even if I decide to change my mind about the trip that has been booked.
By checking the box below and adding your signature, you indicate that the above amount is correct, that you authorize the travel agency to charge your credit card for the specified amount, that you agree to the terms and conditions outlined above.
I Agree to the payment terms and conditions
*
I understand the costs and liabilities that may be incurred by not having Travel Protection Coverage for my trip.
*
×
Ok
×
Uh oh!
An unexpected error has occured. Please enter all data for your credit card!
Retry