Name: Lead Traveler on Reservation *
As Primary Traveler On Reservation and on behalf of all guests on reservation: I understand this is a disclosure of business practices and permissive credit/debit card payment agreement for the purchase of travel services. I agree that payments may be made direct to selected travel suppliers on my behalf by RL Travels; paid in prorated amounts not to exceed the sum total of approved charges. I understand Debit Cards often impose “Daily Charge Limits” and multiple payments may be needed to complete the full balance due; for which you will be notified if the situation occurs.
FEES: I am aware there are potential Cancellation, Refund and Surcharge Policies and Fees by suppliers; I understand it is my responsibility to read and abide by the policies, terms and conditions as posted on supplier documents and agree not to dispute or chargeback any of the above signed for and acknowledged charges without proper course of action. I understand that RL Travels will impose the following charges as applicable: 1.) All confirmed reservations, are subject to Cancellation Fees of $50 per adult, 2.) while requests for Extension of Payment Due Dates are usually denied by supplier, any such extension action is subject to a $50 Service Fee, 3.) Booking Transfer Request will assess a Service Fee of $100 per adult: ALL fees will be applied to the provided credit card account as provided below.
RLTravels will not release personal information to ANY parties not listed below, unless provided in writing as an Emergency Contact and will apply due diligence in maintaining records in a secured, safe location. * *
I agree and accept the Terms and Conditions
Apply a payment for my trip to:
Please enter City/State/Destination
Number of Credit/Debit Card Using to Make Payment
Name as it appears on the card
Cardholder's Billing Address
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Country / Region
Cardholder's Phone Number:
Credit Card Type
What is this?
3 or 4 digit number printed on the back/front of your credit card
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Minimum Deposit or Amount Authorized Today
You may also authorize RL Travels to make a recurring withdrawal of payment weekly, bi-weekly, monthly, or on your chosen date.
I authorize RL Travels to processing the recurring payment listed below on the following date. I will submit, in writing, the desire to skip a date or to cease the recurring authorization. The recurring authorization will continue on the amount set below until the total amount is paid in full.
Day/Date for recurring authorization
Payment amount for recurring payment
See Proposal- This is the Total Package Quote, which includes anticipated payments to be prorated to various suppliers; such as airlines, hotel, cruiseline, resorts, insurance, excursions and guest services-as dictated in the Quoted Travel Package. Each identified charge will be confirmed by email on date prior to payment submission and confirmed by paid receipt. This amount subject to change with any additions/removal of travel activities and will be confirmed by email.
Would you like to receive email message alerts about your vacation? Including payment dates, balance and important reminders?
Yes, please send me email messages
No, I do not wish to receive an email message
APPROVAL OF CHARGES AND DISCLOSURES*
As named Cardholder; I Authorize: RL Travels/Agent- Free Russell-Louviere to immediately charge my credit card the above amount, as needed to complete the reserved Travel Package account for the Primary Traveler listed above.
I will authorize By EMAIL, all future payments due towards Total Package Cost, to be charged to the above credit card with the same terms as disclosed. I may opt to use a different Credit Card simply by submitting a new Authorization Form.
As Primary Traveler; I understand I am responsible to READ the Mandatory Disclosure Email that will be generated upon submission. I ACCEPT: I have 24 hours from receipt of Disclosures to submit any dispute or cancellation due to content of email.
I understand that any changes to my reservation after deposit has been applied will incur a $25 penalty per request. i.e. Name, Add, Remove, Upgrade Room, Replace, etc.
I understand that as of June 1, 2009, a valid Passport will be required for everyone in my party, regardless of age, for all travel outside of the United States. If I do not obtain a passport, I am responsbile for any cancellation fees.
Proper documentation is the sole responsibility of the traveler. Travelers who fail to present the necessary documentation, will be denied boarding, and be solely responsible for all fines, cancellation penalties, fees & additional expense.
Email For Receipt Confirmation & Mandatory Disclosure