CANCELLED Explore VIP Trip Riviera Maya May 2024
Step 1: Guest Information
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Where did you first hear about us?
Please Select
Agents Friends & Family
Bridal Shows
Facebook
Family
Friends
Google
Hard Rock Hotel Program
Internet
Karisma GIVC Referral Program
Other
Palace Resorts Referral Program
Part of a Group Non Wedding
Past Client
Past Client Referral
Past Wedding Guest
Playa Resorts Referral Program
Repeat Client
The Knot
Tina Travel Network
Trip Advisor
Vacations In Paradise Referral Program
Wedding Wire
Word of Mouth
WP- Pink Parasol
WP- Your Wedding Your Way
Yellow Book
Yellow Pages
Yelp
Total Number of Guests:
1
2
3
4
5
6
7
8
9
10
Guests 1 Information -
If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.
First Name
*
:
Middle Name :
Last Name
*
:
Suffix :
..
Sr.
Jr.
I
II
III
IV
Guest DOB
*
:
Please provide a valid date in the "MM/DD/YYYY" format
Gender
*
:
Please Select
Male
Female
Other
Passport Num :
Passport Issuing Country :
Passport Exp :
Please provide a valid date in the "MM/DD/YYYY" format
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
Armed Forces of the Americas
Armed Forces of Europe
Armed Forces of the Pacific
Zip/Postal Code :
Whose address is this? :
Guest 1
Email Address
*
:
Phone Number
*
:
Step 3: Trip Information
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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
Room/Cabin Type
*
:
Please Select
1 BEDROOM OCEAN VIEW - 1 available
2 BEDROOM OCEAN VIEW - 1 available
JR SUITE - 3 available
Bedding Type :
Please Select
1 Bed
2 Beds
Room Requests
Travel Protection
*
:
Yes
No
Travel insurance must be paid for at the time of deposit. (See chart for pricing)
Step 4: Payment Information
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Payment Type
*
:
Payment Type
American Express
Discover
MasterCard
Sending Via Venmo
Sending Via Zelle
Visa
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
MasterCard
Sending Via Venmo
Sending Via Zelle
Visa
Submit an additional payment type:
Yes
No
Payment Type:
Payment Type
American Express
Discover
MasterCard
Sending Via Venmo
Sending Via Zelle
Visa
Step 5: Additional Information
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Other Questions/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.
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.
I Agree
*
Please Upload any relevant Files- Passports
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