EmailMe Form - Payment Authorization Form

EmailMeForm

This form must be completed and signed by the card holder.
Name as appears on credit card *
First MI Last
Billing Address *

Street Address City State / Province / Region Postal / Zip Code
Amount for this transaction *
$ Dollars . Cents
The minimum deposit amount should be no less than $300 per person / Double Occupancy.

Please note that deposits and payments are nonrefundable. Travel Protection is highly recommended.
Do you agree to make this nonrefundable deposit in the amount shown above. *
Email *
Phone Number *
### - ### - ####
Card Type *
Only Accept MC and VISA
Credit Card

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Review Credit Card Information *
Electronic Signature *
Clear
I agree that my electronic signature is the legal equivalent of my manual signature. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.
Cardholder ID *
For security please upload a photo or scan of the cardholder's ID or Passport. Bookings submitted without a passport or government-issued ID will not be accepted.
Departure City *
Travel Dates *
9/22/23 - 9/29/23
Other
Departing the U.S. 9/21/23 for a 9/22/23 arrival date.
Destination *
I agree to the terms and conditions *
The terms and conditions can be found at the bottom of this form.
Would you like travel insurance information for this trip* *
Insurance is a separate cost and is nonrefundable. A link to purchase insurance will be sent in your payment email confirmation.
Are you a single traveler or have a roommate? *
Please email a copy of all passports to nesha@nvadventure.com at least 60 days before departure. *
Many countries require passports to be valid for 6 months beyond the date of travel.
Please check that all passports are valid. It is the sole responsibility of the traveler to ensure that passports, travel documents and entry visas meet the conditions of the countries the traveler is visiting.
Legal Names of ALL travels as it appears on your Passport.
Is your passport about to expire? Please ensure your Passport is valid 6 months after your return date and contain at least 2 to 4 blank pages.
Passport MUST be in excellent condition with no sign of wear, tearing, missing any pages or water damage. If passport is not in excellent condition, a replacement is advised.
Name *
First Middle Last Suffix
Name MUST exactly match your Government issued ID (Passport), including middle name or initial if listed on ID.
Date of Birth *
MM / DD / YYYY
Gender *
Name *
First Middle Last Suffix
Please add your roommate (significant other) in this field. If single occupancy (you don't have a roommate) please put your name twice. I have to ensure this field is complete in order to process your deposit. Single occupancy - Single supplement add: $1119.00.
Date of Birth *
MM / DD / YYYY
Gender *
Full names must be listed as they appear on your government issued identification and passport for all travelers.
All names and dates of birth listed above are as they appear on the respective government issued identification for each named person. *
I Agree
By submitting, I certify that I am the cardholder and I authorize NV Adventure Travel Services or its chosen Tour Operator/Supplier/Cruise Line to charge payment to the credit card provided for any travel services that I specify. Completion of this form signifies authorization.
This charge will be manually applied by the agency to your reservation. Please note that you may not see a charge from the travel agency on your credit card statement; the charge will come from our supplier directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I further agree to abide by the terms and conditions of NV Adventure Travel Services as described at https://nvadventure.com/terms-and-conditions/
https://toursfortheworld.tftwadmin.online/terms-and-conditions-2/
Trip cancellation terms:
Cancellation penalties will apply. Travel Insurance is highly recommended. If insurance was purchased, it is not refundable. Cancellation penalties could be up to 100% of the cost of my vacation. If I do not purchase insurance, I am responsible for any cancellation penalties. Pandemics are not covered by travel insurance. My trip is a significant investment. NV Adventure Travel Services strongly recommends the purchase of travel insurance. If I choose to decline this valuable protection, I assume any financial loss associated with my travel arrangements.

Legal Names of ALL travels as it appears on your Passport.