EmailMe Form - Payment Form

Payment Form

Please enter your payment information below. Indulgence Travel will manually process your payment within 48–72 business hours. This form serves as a credit card authorization only; your payment will be applied by my agency and an invoice sent for payment confirmation.

By completing and electronically signing this form, you authorize Indulgence Travel to process a payment using the card you provide. Your sensitive data is encrypted and securely stored in our protected vault using AES‑256 SSL encryption.

By signing, you give Indulgence Travel permission to charge your account for the indicated amount on or after the specified date. Please note that all prices are subject to change until payment is processed.

Primary Passenger's Full Name *
Prefix First Middle Last
Legal name as on government issued identification.
Date of Birth *
MM / DD / YYYY
Contact Number # *
### - ### - ####
Email Address *
This will be used for mailing any electronic documents/itineraries.
Trip Description
Such as Christmas Market, Caribbean Cruise, etc
Reservation/Booking Number (if provided)
Your booking or reservation number can be found on the Indulgence Travel invoice provided at time of booking confirmation
Payment Submission
Please refer to your Indulgence Travel invoice for the deposit/remaining balance. If you are unsure of your balance please contact Indulgence Travel prior to submitting your payment.
Payment amount *
Your payment will be applied within 48 hours and will reflect on your credit card or bank statement shortly thereafter
Credit Card *

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Billing Address *

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

Please enter the address that is on file with the card.
Travel Protection *
Yes, please include travel protection in our trip.
No, I decline travel protection and understand I risk losing all funds should I need to cancel at a later date.

Choose accept if you want financial protection, flexibility, and peace of mind and you’re covered if something goes wrong.

Choose decline if you’re comfortable assuming all risks and financial responsibility for any unexpected changes, cancellations, or emergencies. You will be covering unexpected costs yourself.
Authorization of Charges *
I authorize Indulgence Travel to charge the card reference in the above in the amount amount shown above and by authorizing this charge, I am agreeing to Indulgence Travel's Terms & Conditions .
Indulgence Travel's Terms & Conditions of booking, which are located at

https://www.indulgence-travel.com/AboutMe-TC

which also includes the agency’s and principal supplier policies cancelation and refund policies, which may limit my right to a refund in the event that I choose to cancel or change my plans.
Electronic Signature *
Clear
Please use your mouse or mouse pad to draw your signature.

Payment Submission