EmailMe Form - Credit Card Authorization

Name on Reservation *

First Last

Email *

Email you would like your confirmation sent to

Name of Resort or Cruise *

Please select action *

Pay Deposit

Pay Additional Funds Towards Balance

Pay BALANCE IN FULL

Pay Charter Flight balance only

Travel Insurance *

Yes- I approve travel insurance

No- I decline travel insurance and understand my risks

If you are part of a group, please select the name of the group you are traveling with? *

I have reviewed my reservation invoice and have found everything to be accurate. (Dates, room type, guest names, price, flights) *

Yes

No

If you answered NO, please explain any errors or changes

**For Spring Break 2024 Group Only** I am signed up for the NonStop Charter Flight March 10-15 and am including the final payment for that in the total to be charged to my card below. *

Yes - Please process remaining balance for the charter flight ($962 per person)

No- I am not on the charter flight

I would like to be on the charter flight if seats are still available

N/A

Please indicate the amount to be charged to your credit card and include charter flight if applicable. *

$ Dollars . Cents

Payment will not show up immediately, as I have to submit payment to vendor.

Name on Credit Card *

First Last

Credit Card *

Credit Card Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Credit Card Signature Required

I am giving Cruise Planners-Jeanette Esposito authorization to process my credit card for the amount requested or the amount due by the Cruise Line or Travel Supplier.

In lieu of my credit card imprint, I (card holder) hereby authorize Cruise Planners-Jeanette Esposito to use my credit card information to process payments for the travel as agreed upon with the travel supplier.

I agree to be bound by the Terms and Conditions related to this charge. I understand in the event of cancellation or change that financial penalties may be assessed according to Cruise Planners-Jeanette Esposito or travel supplier's terms. I will not hold Cruise Planners or agent liable for these charges. *

Clear

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