Credit Card Authorization Form
All names listed below must be your legal passport names.
Which Payment Is This?Group DepositInitial PaymentInterim PaymentFinal Payment
Card Type ?Master CardDiscoverVisaAmerican Express
"Life is eventful. Travel Insurance is strongly recommended."
By selecting these boxes and declining these options, I waive any liability against my Travel Agent or my Travel Consultant for any costs I incur as a result of my choice not to purchase Travel Insurance Coverage or my selection of the principal sums and/or sums insured of the insurance(s) that I have purchased.
(Additional Guests, Children’s Names, Dates of Birth or Extra Info)
Please allow 24-48 business hours for your deposit to be processed. Thank you