Group Registration & Payment Authorization Form
  • Legal name as on government issued identification.
  • / /
    Please enter Date of Birth for Primary Passenger
  • Please enter the address that is on file with the card.
  • - -
  • This will be used for mailing any electronic documents/itineraries.
  • Please enter in your desired room category
  • Full Legal Names Birthdate MM/DD/YY format of all passengers residing in the same room.
  • Payment Details

    Please provide payment details below
  • $ .
    MINIMUM DEPOSIT is amount required today to initiate reservation. (The date of travel, number of paying guests and supplier terms will be factered in computing required deposit amounts.) This amount is included in Total Package Quote provided in Email. You MUST pay the balance in full prior to Final Due Date or if booking within 75 Days of Traveling.
  • 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.
  • As named Cardholder; I Authorize: The Vacation Chic 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.
  • **If DECLINING: note that you may be able to purchase limited coverage up to 48 hours prior to travel. Ask your agent for restrictive details. **The Vacation Chic** will not be held liable for any financial losses incurred from failure to purchase insurance coverage. Insurance Premiums are always non-refundable.
  • Your trip will not be cancelled until funds are received for the trip cancellation fee imposed by The Vacation Chic
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