EmailMe Form - Kerri's Client Booking Form

Your Contact Information

Please include the best way(s) to reach you:

Email Address *

Best email to send confirmations to.

Phone *

### - ### - ####

Passport Information

Please note: All the information below MUST appear exactly as it does on the valid passport you will be traveling with. If it does not match exactly you will be denied boarding by the airline.

Primary Guest's Name *

Prefix First Middle Last Suffix

Must be exactly as it appears on the valid passport the guest will be traveling with.

Primary Guest's Date of Birth *

MM / DD / YYYY

Gender *

Secondary Guest's Name

Prefix First Middle Last Suffix

Must be exactly as it appears on the valid passport the guest will be traveling with.

Secondary Guest's Date of Birth

MM / DD / YYYY

Gender

Please List The Names, Dates of Birth, and Gender for Any Additional Guests Staying With You

Must be exactly as it appears on the valid passport the guest will be traveling with.

Passport Rule

*Due to the new "6 Month Passport Validity Rule", passports must not expire within 6 months of the travel date to certain countries. If your passport is set to expire within 6 months from your date(s) of travel you will need to renew it within 3 months prior to your travel date and provide us with the new passport information no latter than 2 months prior to the travel date. Failure to travel with a passport following this rule will result in denial of entry to or exit from the country you are traveling to.

*If your country of issue does not match your country of residence and/or citizenship, you may be responsible for additional travel documents. It is your sole responsibility as the traveler to find out what documents you will need to obtain in order to travel. Know that any missing documents may result in fees, fines, and/or denial of boarding or even returning to your country of origin.

By submitting this form,you are agreeing that you have reviewed the information above, and therefore understand and accept it.

*

My passport complies with the 6 Month Validity Rule

My passport does not comply with the 6 Month Validity Rule. I will renew it before travel.

The country I am traveling to does not follow the 6 Month Validity Rule

I don't need a passport for my trip

Booking Details

Please include the details of your reservation in order to confirm the package you are looking to book

Name of Resort, Cruise Line, Hotel, Etc. *

Room/Cabin Name: *

Check-In Date *

MM / DD / YYYY

Check-Out Date *

MM / DD / YYYY

Number of Nights *

Flight Iinformation *

I already booked my airfare

I am booking my airfare through you today

I will book my own airfare at a later date

I would like for you to book my airfare at a later date

I don't need airfare for this trip

List your flight details if you've booked them already or would like us to book them today.

My Paradise Planner highly recommends the purchase of Travel Insurance in order to protect our client's travel investments. Clients have the right to deny insurance protection coverage, but they do so at their own risk.

Please Choose *

I accept the travel insurance coverage and understand that the insurance is non-refundable. Please add the insurance to my package and process the payment.

I do not wish to accept the travel insurance coverage and understand the risks in doing so. By completing this form, I also acknowledge that My Paradise Planner has offered the coverage and I have declined.

I plan to purchase my own coverage or use the coverage provided to me by another company.

Payment Information

Please ensure that all information below is correct so there are no issues at the time of charging.

Name of Cardholder *

First Middle Last

Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Charge For *

Credit Card

Amount To Charge *

$ Dollars . Cents

Do you approve us to charge the final balance on this card on the final payment due date? *

Yes, I approve this card to be charged for final payment on the due date.

No, I will provide a different card for the final payment

No, I am paying in full today.

I authorize My Paradise Planner LLC to process a charge not to exceed the amount indicated below for travel components rendered by one of My Paradise Planner's 3rd party vendors. By submitting this form I acknowledge that I have been advised to purchase Travel Insurance to protect my travel investment in the event that non-refundable payments are lost due to unforeseen circumstances as well as agree to the Terms and Conditions listed below.

TERMS & CONDITIONS:

My Paradise Planner acts only as an agent for hotels, tour operators, and other suppliers of services and shall not be held responsible for any injury, loss or damage caused by accident or event beyond their control, or by any action or negligence of any persons who are not in their employ. My Paradise Planner can accept no responsibility for losses or additional expenses due to delay or changes in air, sea or other services due to sickness, weather, strike, war, or other causes. The right is reserved to make adjustments in the itinerary if deemed necessary. Prices are accurate at time of quote and are subject to change until trip is paid in full

Passports: All international trips require a Passport valid for at least 6 months beyond the date of departure. Any and all additional Visa's or travel documents required are the responsibility of the traveler.

Air Travel : Flight details including departure times are always subject to change by the airlines and are not under the control of My Paradise Planner. It is the travelers responsibility to check in for the flight 24 hours in advance and reconfirm all gates and times.

Cancellations : Cancellation, revision and refund polices for changes or unused travel/components vary and are subject to the policies of each supplier. Cancellation penalties can range up to 100% depending on how close to departure the written notification is received. Air, insurance premium and no-shows are always non-refundable. My Paradise Planner reserves the right to charge a $50 per person administrative fee payable before cancellation will be processed.

Travel Insurance: My Paradise Planner strongly recommends the purchase of Travel Protection that can help minimize the monetary loss incurred due to unforeseen events beyond your control such as: cancellation, missed connections, baggage loss, trip delay, and especially medical emergencies.

Errors & Ommissions: By submitting this form, you agree that you have reviewed the information above for 100% accuracy. You understand that any errors made in this form are your responsibility and not the responsibility of My Paradise Planner or it's agents.

Accepting The Terms & Conditions: By signing below, you are agreeing to allow your travel agent at My Paradise Planner to make a reservation in your name matching the above information using the payment information you provided above. You understand and will adhere to any and all payment fee schedules, as well as reservation change and cancellation terms, condition, penalties, and fees that are set by the suppliers themselves.

*

I agree to the Terms & Conditions stated above.

E-Signature

Clear

*By signing this you acknowledge that all the information filled out above is correct and that you agree to the terms and conditions stated above.