EmailMe Form - QUICK PAYMENT & TERMS AGREEMENT

Name *
First Last
Phone *
### - ### - ####
Email *
Trip Details: Destination / Cruise Ship / Cruise Port / Travel Dates: *
(Which destination and approximate date)
If sharing a room, enter your roommate's name here.
PAYMENT INFORMATION:
Payment Type:
Deposit
Partial
Final
Service Fee
Amount Authorized: *
$ Dollars . Cents
Credit Card

Card Number

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Cardholder Name:
Billing ZIP:
TERMS:
Terms: I agree to the terms below *

Authorization: By submitting this payment, I authorize Legna Travel to charge my card for the amount listed. I understand all payments are subject to supplier cancellation policies, which may be non-refundable. I acknowledge travel insurance has been offered and accept responsibility if declined. Legna Travel acts solely as an independent travel advisor and is not responsible for supplier changes, delays, or cancellations.
Full Name: *
Signature *
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Date Time *
MM / DD / YYYY