CHANGING PACE TRAVEL CC AUTH / DISCLOSURE FORM
As Certified Travel Consultants, Changing Pace Travel, LLC is required to obtain authorization in order to process payments and secure your travel reservations. Completion of this form certifies that I do hereby authorize travel related charges processed by Changing Pace Travel, LLC. towards the travel services I approve. I understand that this form does NOT confirm my reservation. Confirmed reservations will be sent in a separate email.

Please complete all fields to ensure your trips protection.
  • Please list your name exactly as it appears on your state issued identification card/ drivers license/passport
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  • Travel Insurance:


    We strongly recommend purchasing travel insurance in the event of unforeseen circumstances and cancellation policies. I understand that if I elect to decline Travel Insurance I am responsible for any cancellation penalties and all out-of-pocket expenses that may occur. I will also make my own provisions in the event of an emergency while I'm away if I elected to forgo travel insurance.
  • Disclaimer: Changing Pace Travel, LLC, (CPT), Changing Pace Travel, Lynachica L. Barnes, Nasha L. Barnes, Stephen W. Pace Jr. hereafter referred to as "CPT", and its affiliated entities and its employees, shareholders, officers, directors, successors, agents, and assigns, neither own nor operate any person or entity which is to, or does, provide goods or services for these trips or tours. Because CPT does not maintain any control over the personnel, equipment, or operations of these suppliers, CPT assumes no responsibility for, and cannot be held liable for any personal injury, death, property damage, or other loss, accident, delay, inconvenience, or irregularity which may be occasioned by reason of (1) any wrongful, negligent, willful, or unauthorized acts or omissions on the part of any of the tour suppliers, or other employees or agents, (2) any defect in or failure of any vehicle, equipment, instrument owned, operated or otherwise by any of these suppliers, or (3) any wrongful, willful, or negligent act or omissions on any part of any other party not under the supervision or control of the Operator.

    CPT will not be responsible for any accidents involving bodily injury or death, property damage, charges of libel, slander, arrest, detention or imprisonment incurred while traveling during an event sponsored and/or booked by CPT. You agree to not hold CPT responsible for any errors or omissions relating to any event. We strongly recommend the purchase of Travel Insurance during your travels. Please contact us via e-mail at: nasha@changingpacetravel.com or steve@changingpacetravel.com (678-744-9714) for more information on our Travel Insurance plans.

    CPT offers travel insurance for all trips. We highly recommend that you purchase this coverage, even if not with us.

    Please check if you accept or decline Insurance. We cannot book you without your response.
  • CREDIT CARD AUTHORIZATION

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  • BILLING ADDRESS APPLICABLE TO CARD
  • I am aware that payment will be processed by submission of this form and unless insurance or the Penalty Protection Plan was purchased this purchase is subject to penalties that may be as much as the total cost paid for the trip.
  • I have been advised of potential change/cancellation charges that may be implemented by the supplier in the event that I choose to cancel or change my booking after making the initial deposit.*
  • SIGNING AUTHORIZES PAYMENT ON THE CARD ABOVE.