EmailMe Form - Credit Card Authorization Form

Traveler Full Legal Name *

First Last

Travel Agent *

Joslynne Light

Brittany Parker

Wade Light

Kevin Smith

Date of Birth *

MM / DD / YYYY

Please enter Date of Birth for Primary Passenger

Destination

If this is an initial deposit please enter destination

Billing Address *

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

Please enter the address that is on file with the card.

Phone *

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

Email *

This will be used for mailing any electronic documents/itineraries.

Cancellation Policies *

Passports are the responsibility of the clients, and I acknowledge that Light Travels INC is not liable for any passport-related issues.

I agree that if I cancel without purchasing trip protection, I forfeit all money paid.

Travelers should ensure that their passport remains valid for at least six months after their return home and contains two or more blank pages, as some countries may deny entry otherwise. Note that passports for children under 16 are valid for five years, while adult passports are valid for 10 years, so it's essential to check expiration dates carefully. We recommend that all cruise ship passengers carry their passports with them in case of emergencies, regardless of specific requirements. Light Travels INC acknowledges that it is not responsible for passport-related issues.

Your trip represents a significant investment, and as your travel agent, I strongly advise purchasing travel insurance. If you choose to decline this coverage, you accept full financial responsibility for any potential losses associated with your travel arrangements. By declining travel insurance, you acknowledge that your travel agent bears no liability for expenses resulting from trip cancellation or interruption, emergency medical needs and transportation, loss of baggage or personal belongings, flight and travel accidents, or rental car damages.

By acknowledging the above, you confirm your understanding of our travel service cancellation policies and the advantages of having travel protection. Should you opt out of travel insurance, you recognize that the premium paid is non-refundable, even in the event of a claim.

Payment Details

Please provide payment details below

Authorized Amount *

$ Dollars . Cents

Credit Card *

Authorization of Charges *

I do authorize

As named Cardholder; I Authorize: Light Travels LLC to immediately charge my credit card the above amount, as needed to complete the reserved Travel Package account for the Primary Traveler listed above.