Who is your Travel Agent?
Date N Plate
Your Confirmation Number:
Please use your confirmation number,
the invoice number.
Your Name(s) *:
Your Email *:
Credit Card Type *:
Credit Card Type
Payment Type *:
Other OR Final Payment
Honeymoon Registry Gift
Travel Protection *:
I understand that I CANNOT purchase the cancel for any reason insurance with my booking once my deposit is paid.
Additional Comments :
By submitting, you certify that you are the cardholder and are authorizing Travel Allure (or its chosen Tour Operator/Supplier/Vendor/Cruise Line/Airline) to charge the listed amount to your 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 Disclosure Notice and the appropriate Travel Insurance plan details. Cancellation penalties may apply. Insurance is non-refundable. This charge will be manually applied by Travel Allure 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 Travel Allure on your credit card statement; the charge may come from our Tour Operator/Supplier/Vendor/Cruise Line/Airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. Depending on the complexity of your reservation, you may see multiple transactions.
If you have any questions, please verify the name of the company on your statement before cancelling any charges. Chargebacks, changes and re-booking your reservation incurs fees.
I authorize Travel Allure 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.
Electronic Signature: (Sign with mouse or touch)*