Contact Information
Who is your Travel Agent?
*
Please Select
Lynn Thomas
Holly/Team Alpha
Linda/Team Alpha
Mia
Your Confirmation Number
*
:
Please use your confirmation number found on your invoice.
Your Name(s)
*
:
Your Email
*
:
Billing Phone Number
*
Credit Card Type
*
:
Credit Card Type
American Express
MasterCard
Discover
Visa
Payment Type
*
:
Payment Type
Deposit
Other OR Final Payment
Travel Protection
*
:
ACCEPT Protection.
DECLINE Protection.
Some insurance plans require payment within 14 days of initial deposit to include coverage for pre-existing medical conditions for you and non-traveling family members. Other plans may only be available prior to Final Balance Payment. Be sure to review options and purchase before you need it.
Additional Comments :
CARD AUTHORIZATION FORM
By submitting, you certify that you are the cardholder and are authorizing the travel agency or its chosen Supplier/Tour Operator/Resort to charge the listed amount to this debit/credit card. You also certify you have: 1) verified all information contained in the Invoice/Confirmation you received is accurate; and 2) read/agree to the Terms & Conditions: https://alphaworldtravel.com/terms-and-conditions ; and 3) reviewed/will review Travel Insurance/Protection options; and 4) you understand insurance is not refundable and cancellation penalties may apply Initial Deposit payment(s) will be manually applied to your reservation and processed by the supplier and/or the airline directly. Your bank/credit card statement will reflect the supplier/airline name which receives your payment directly.
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 card for the specified amount, and you agree to the terms and conditions.
I authorize the travel agency to use the above information to charge my debit/credit card for these travel arrangements. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature.
*
Please process additional payments as required by the supplier(s) for the remaining balance as they become due (auto-charge).
×
Ok
×
Uh oh!
An unexpected error has occured. Please enter all data for your credit card!
Retry