Contact Information
Who is your Travel Agent?
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Please Select
Melissa Grace
Jason Acker
Whitney Scruggs
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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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.
Unexpected events can happen. Passport to Paradises highly recommends the purchase of a travel insurance policy. Please know that Passport to Paradises is not a registered insurance agent. Passport to Paradises secures a quote for you, upon request. If you do not purchase a travel insurance policy through our quote, then we strongly recommend that you purchase a policy on your own. Please note that many health insurance companies provide limited coverage overseas and Medicare provides no coverage outside the U.S. By checking the box below, you acknowledge that Passport to Paradises has recommended or offered travel insurance. Should you choose not to purchase, you accept all responsibility for declining to secure your travel investment.
Additional Comments
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Phone Number and CVC
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Billing Address
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If you have more then one reservation, please include the reservation number or Trip Name
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I hereby authorize PASSPORT TO PARADISES to use this information to make any and all payments directly to the relevant travel suppliers for all my approved travel plans. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. I also reviewed all trip details and confirm that all itinerary information is correct; any alterations to the trip may result in extra fees. I understand that there is a $150 change fee and/or cancellation fee if I change the date of my vacation, change the room, flights or cancel the trip. I acknowledge that I am purchasing this trip from a travel agency and not a hotel, airline, or other travel supplier directly, therefore, the transaction can’t be canceled due to service dissatisfaction. By signing my name below, I acknowledge that I have read and agree to the cancellation terms of all elements of my purchase. I am also responsible for having an up-to-date passport, travel documents, visas, and any other required proof of citizenship, and I am responsible for any consequences that may arise from not having them. I also understand that I need to check-in at least 2-3 hours before my flights, late check in will result in denial of boarding at my own expense. I understand that I am responsible for keeping track of all payment due dates. Late final payments will result in forfeit of deposit. I furthermore agree that my submission of this form electronically via email or facsimile shall constitute the execution of this agreement in exactly the same manner as if I had signed, by hand, a paper version of this document. I also agree to the consent to use my personal information and understand that by using PASSPORT TO PARADISES services for the booking of any travel services that certain personal identifying information may be conveyed to third parties relevant and necessary to the transportation and accommodation of your travel. PASSPORT TO PARADISES shall not be responsible for the further use of said information by third parties by the customer. I agree to these terms.
I Agree.
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I Agree.
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