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. POLKA DOTS N' WISHES TRAVEL AND ITS INDEPENDENT CONTRACTORS (HEREIN “TRAVEL AGENCY”) ARE ACTING AS A MERE AGENT FOR SUPPLIERS (IDENTIFIED ON THE ACCOMPANYING DOCUMENTS) IN SELLING TRAVEL-RELATED ACCEPTING SERVICES, OR IN ACCEPTING RESERVATIONS OR BOOKINGS FOR SERVICES THAT ARE NOT DIRECTLY SUPPLIED BY THIS TRAVEL AGENCY (SUCH AS AIR AND GROUND TRANSPORTATION, HOTEL ACCOMMODATIONS, MEALS, TOURS, CRUISES, ETC.) TRAVEL AGENCY, THEREFORE, SHALL NOT BE RESPONSIBLE FOR BREACH OF CONTRACT, FAILURE TO COMPLY WITH ANY LAWS SUCH AS THE AMERICANS WITH DISABILITIES ACT (ADA), OR ANY INTENTIONAL OR NEGLIGENT ACTIONS OR OMISSIONS ON THE PART OF SUCH SUPPLIERS, WHICH RESULT IN ANY LOSS, DAMAGE, DELAY, INCONVENIENCE OR INJURY TO TRAVELERS OR TRAVELERS COMPANIONS OR GROUP MEMBERS. UNLESS THE TERM “GUARANTEED” IS SPECIFICALLY STATED IN WRITING ON YOUR TICKETS, INVOICE, OR RESERVATION ITINERARY, TRAVEL AGENCY DOES NOT GUARANTEE ANY OF SUCH SUPPLIER’S RATES, BOOKINGS, RESERVATIONS, CONNECTIONS, SCHEDULING, OR HANDLING OF BAGGAGE OR OTHER PERSONAL EFFECTS. TRAVEL AGENCY SHALL NOT BE RESPONSIBLE FOR ANY INJURIES, DAMAGES, OR LOSSES CAUSED TO ANY TRAVELER IN CONNECTION WITH TERRORIST ACTIVITIES, SOCIAL OR LABOR UNREST, MECHANICAL OR CONSTRUCTION FAILURES OR DIFFICULTIES, DISEASES, LOCAL LAWS, CLIMATIC CONDITIONS, ABNORMAL CONDITIONS OR DEVELOPMENTS, OR ANY OTHER ACTIONS, OMISSIONS, OR CONDITIONS OUTSIDE THE TRAVEL AGENTS CONTROL. TRAVELER ASSUMES COMPLETE AND FULL RESPONSIBILITY FOR, AND HEREBY RELEASES THE AGENCY FROM, ANY DUTY OF CHECKING AND VERIFYING ANY AND ALL PASSPORT, VISA, VACCINATION, OR OTHER ENTRY REQUIREMENTS OF EACH DESTINATION, AND ALL SAFETY AND SECURITY CONDITIONS OF SUCH DESTINATIONS, DURING THE LENGTH OF THE PROPOSED TRAVEL. HOWEVER, WE SPECIFICALLY RECOMMEND THAT U. S. CITIZENS TRAVELING TO CANADA, MEXICO, OR THE CARIBBEAN, DO SO WITH A VALID U. S. PASSPORT. FOR INFORMATION CONCERNING POSSIBLE DANGERS AT INTERNATIONAL DESTINATIONS, CONTACT THE TRAVEL ADVISORY SECTION OF THE U. S. STATE DEPARTMENT, (202) 647-5225, OR ACCESS THE STATE DEPARTMENT’S ON-LINE TRAVEL ADVISORY SERVICE WWW.STATE.GOV. FOR MEDICAL INFORMATION, CALL THE U. S. CENTERS FOR DISEASE CONTROL (CDC), (404) 332-4559 OR LOG ON TO http://wwwnc.cdc.gov/travel. BY EMBARKING UPON HIS/HER TRAVEL, THE TRAVELER VOLUNTARILY ASSUMES ALL RISKS INVOLVED IN SUCH TRAVEL, WHETHER EXPECTED OR UNEXPECTED. HE TRAVELER VOLUNTARILY ASSUMES ALL RISKS INVOLVED IN SUCH TRAVEL, WHETHER EXPECTED OR UNEXPECTED. AN INHERENT RISK OF EXPOSURE TO COVID-19 EXISTS IN ANY PUBLIC PLACE WHERE PEOPLE ARE PRESENT. BY TRAVELING, YOU VOLUNTARILY ASSUME ALL RISKS RELATED TO EXPOSURE OF COVID-19. TRAVELER IS HEREBY WARNED OF THE ABOVE RISKS AS WELL AS TRAVEL INDUSTRY BANKRUPTCIES AND MEDICAL AND CLIMATIC DISRUPTIONS, AND THE POSSIBILITY TRAVELER MAY BE UNABLE TO TRAVEL AS SCHEDULED BECAUSE OF PERSONAL EMERGENCY. TRAVELER IS ADVISED TO OBTAIN APPROPRIATE INSURANCE COVERAGE AGAINST THESE RISKS; INFORMATION IS AVAILABLE THROUGH THIS TRAVEL AGENCY REGARDING TRAVEL INSURANCE. TRAVELER’S RETENTION OF TICKETS, RESERVATIONS, OR BOOKINGS AFTER ISSUANCE SHALL CONSTITUTE A CONSENT TO THE ABOVE AND AN AGREEMENT ON HIS/HER PART TO CONVEY THE CONTENTS HERETO TO HIS/HER TRAVEL COMPANIONS OR GROUP MEMBERS. AT ANY TIME DURING THE BOOKING, PLANNING OR EMBARKATION PROCESS THE CRUISE LINE MAY DENY BOARDING FOR ANY REASON. THE CRUISE LINE CAN AND WILL DO A BACKGROUND CHECK ON EACH INDIVIDUAL PERSON SAILING. SHOULD ONE’S BACKGROUND CHECK PROHIBIT THEM FROM SAILING, IT IS BETWEEN THE TRAVELER AND THE CRUISE LINE. POLKA DOTS N WISHES TRAVEL/WYLER TRAVEL GROUP HAS NO CONTROL OVER ANY DECISIONS OR ACTIONS TAKEN BY THE CRUISE LINE. SHOULD YOU OR ANY PERSON IN YOUR TRAVEL PARTY HAVE ANY ISSUES UPON RE-ENTRY TO THE COUNTRY, THAT IS BETWEEN THE TRAVELER AND HOMELAND SECURITY/LAW ENFORCEMENT. POLKA DOTS N WISHES TRAVEL/WYLER TRAVEL GROUP IS NOT INVOLVED IN ANY SITUATION CONCERNING MATTERS OF HOMELAND SECURITY OR THE LAW. 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.