EmailMeForm
Make a Payment:
❗️❗️❗️ PLEASE READ ❗️❗️❗️
To facilitate payment for your upcoming trip, kindly provide your payment details below. This is only a credit card authorization form. Your actual payment will be applied by your dedicated travel advisor. Please note:
Payments will be processed within 24-48 hours.
Payments will not be processed on weekends or holidays—only during business hours.
Important Note: If you intend to use a debit card for your payment, we strongly advise you to contact your bank before submitting your payment. It's essential to inform them about this substantial transaction, as many financial institutions impose daily transaction limits. Your cooperation is greatly appreciated!
Who is your travel agent?
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Emily Bookey
Whitney Wright
Mikal Brown
Adam Kladivo
Ruth Noles
Traveler(s) Name(s) (who is traveling):
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First
Middle
Last
Cardholder's Name (as it appears on the card):
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First
Middle
Last
Email address:
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Confirm Email address:
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Contact Number:
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Trip Destination / Description:
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Booking confirmation number: (differs from invoice number)
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Today's Payment
Please refer to your invoice for the deposit/full balance amounts. If you're unsure of the amounts due, please contact your agent.
Today's payment amount:
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Your payment will be applied to the accredited travel supplier's on our behalf within 48-72 hours and will reflect on your bank statement shortly after.
Credit Card
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Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
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.
Billing Address:
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Confirm Zip Code
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Approval of Charges:
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As named cardholder, I authorize Emily's Travel, Inc., to apply my credit card within 48-72 hours in the above amount, as needed to complete the reserved travel package account for all guests listed on this reservation.
Signature:
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Clear