Summer Escape Cruise - Symphony July 2024

Step 1: Guest Information

Where did you first hear about us?

Total Number of Guests:

Total number of rooms

Guests 1 Information - If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.

Guest Title :

First Name *:

Middle Name :

Last Name *:

Suffix :

Guest DOB*:

Please provide a valid date in the "MM/DD/YYYY" format

Gender :

Passport Num :

Passport Issuing Country :

Passport Exp :

Please provide a valid date in the "MM/DD/YYYY" format

Step 2: Contact Information Click here to give us more info...

Your Country :

Street Address *:

City *:

State/Province * :

Zip/Postal Code * :

Whose address is this? :

Email Address * :

Email Address 2 :

Phone Number *:

Phone Number 2 :

Step 3: Trip Information Click here to give us more info...

Name of Tour/Wedding Group

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 * :

Bedding Type :

Do you need airfare?

Yes No Flights Already Purchased

Active Military/Veteran :

Yes No

Travel Protection * :

Yes No

We cannot add Cancel For Any Reason insurance after deposit, however we can add other traditional insurance at a later date.

Your Anniversary :

Please provide a valid date in the "MM/DD/YYYY" format

Step 4: Payment Information (optional) Click here to give us more info...

Payment Type :

Submit an additional payment type: Yes No

Step 5: Additional Information Click here to give us more info...

Special Requests :

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 will apply and unless otherwise noted if your trip is within 75 days it is 100% non-refundable. Air is non-refundable as soon as ticketed and subject to individual airline penalties, 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. Your signed charge authorization is a binding agreement for charging your card, and as such you waive any right to a chargeback in the case of trip delays, changes, or cancellations for any cause (excepting fraud), including a force majeure event, and you agree to refund policies and procedures as outlined in the terms and conditions of the suppliers operating components of your trip. In the event that you attempt without our authorization to chargeback, reverse, or recollect a trip payment already made, we reserve the right to collect all additional costs, fees, and expenses associated with such chargeback, reversal, or recollection including, without limitation, attorney fees. Submitting information via this reservation form does not automatically confirm your reservation, or charge your credit card. Your Certified Travel Specialist will process payment & email you a confirmation invoice within 24hrs. It is your responsibility to review the invoice upon receipt to ensure 100% accuracy. Please check thoroughly for any discrepancies or errors. Horizon Escapes LLC. Is NOT responsible for errors, or any fees associated with necessary changes after 24hrs of receipt. 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 *