Twin Gemini's Travel Agency
Twin Gemini's Travel NYC Booking & Payment Form
NYC Trip & Broadway Plays
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  • (As it appears on Passport/Government ID)
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  • (As it appears on Passport/Government ID)
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  • (As it appears on Passport/Government ID)
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  • (As it appears on Passport/Government ID)
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  • Seating request, room/cabin type, and/or special occasions can be listed here
  • $ .
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  • Payment Authorization

    Sign and complete this form to authorize Twin Gemini's Travel Agency to process payment(s) to your debit/credit card listed below. Multiple charges may be processed for complex reservations using more than one supplier.

    By signing this form you give us permission to process payment from your account for the amount indicated on or after the indicated date.

    Please note: Quoted prices are not guaranteed. Prices are subject to change until payment or deposit is processed.
  • Enter name as it appears on the card. Additional verification may be required if cardholder is not a traveler on this trip.
  • Enter the names of travelers for which payment applies. Payment will be split evenly unless stated otherwise.
  • No breaks or dashes needed
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  • For MasterCard, Visa or Discover, its the last three digits in the signature area on the back of the card. For American Express, its the four digits on the front of the card. For Gift Card, enter PIN or 000 if no PIN is listed.
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  • Indicate if you authorize the card above to be charged minimum monthly payment. If selected Twin Gemini's Travel Agency will send a reminder at least 3 days before pending charge.
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  • Please use your mouse or touch screen to write your signature.
  • No breaks or dashes needed
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Twin Gemini's - "Where all your travel needs are in good hands!"