Contact Information
Who is your Travel Agent?
Please Select
Amber Hill
Amy White
Anna Claire Smith
Ashton Tate
Autumn Phillips
Carrie Childers
Danielle Hess
Debi Brannon
Emily Williams
Geromy Criswell
Kris Rush
Kristin Fekete
Krystal Hill
Mike White
Nikki Hammond
Tori Goubert
Tracie Burton
Your Confirmation Number:
Please use your confirmation number found on your invoice.
Your Name(s)
*
:
Your Email
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:
Is this a Honeymoon Registry Gift?
Yes
No
If so, please provide the couple's name(s):
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
Honeymoon Registry Gift
Travel Protection
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:
ACCEPT Protection.
DECLINE Protection.
I understand that I CANNOT purchase the cancel for any reason insurance once my deposit is paid. You may be able to purchase a 3rd party travel insurance after deposit. Your upcoming trip is a significant investment which may be covered for your protection. You have the option of insuring your trip for a variety of circumstances. As part of our service in fullfilling your travel needs, we require your acknowledgement that Travel Insurance was offered for your protection. If you choose to decline, you are assuming any financial loss associated with your travel arrangements.
Additional 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.
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.
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
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×
Ok
×
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