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Credit Card Authorization Form

Passenger Information

All names listed below must be your legal passport names.

RESORT INFORMATION

Arrival Date *

Return Date *

 






Birthdate

Gender
 Female Male

 




Birthdate

Gender
 Female Male

 




Birthdate

Gender
 Female Male

 




Birthdate

Gender
 Female Male

 




Birthdate

Gender
 Female Male

PAYMENT



TRAVEL INSURANCE

"Life is eventful. Travel Insurance is strongly recommended."

 


Travel Insurance General Waiver *
 Yes, please send me a quote No, I will not require travel insurance

I have declined to purchase Travel Insurance coverage for the following *
 Trip Cancellation, Trip Interruption & Trip Delay Emergency Medical All-Inclusive Insurance (Medical, Baggage, Cancellation, Delay & Interruption) Yes, please send a quote

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.

COMMENTS

(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