EmailMe Form - Destination Wedding Initial Deposit Form

EmailMeForm

Wedding Group Name *
Select Your Travel Consultant *
Anna (lead passenger last name A-L)
Mandy (lead passenger last name M-Z)
Lead Passenger Name *
First Middle Last
Legal name as on government issued identification.
Email *
This will be used for mailing any electronic documents/itineraries.
Cardholder Cell Number *
### - ### - ####
Arrival Date
MM / DD / YYYY
Departure Date
MM / DD / YYYY
Total Number of Adults *
Total Number of Children *
Please List All Travelers Legal Names and Birthdate to be included on this reservation (same room).
Adult 1
First Last
Date of Birth
MM / DD / YYYY
Adult 2
First Last
Date of Birth
MM / DD / YYYY
Adult 3
First Last
Date of Birth
MM / DD / YYYY
Adult 4
First Last
Date of Birth
MM / DD / YYYY
Adult 5
First Last
Date of Birth
MM / DD / YYYY
Adult 6
First Last
Date of Birth
MM / DD / YYYY
Adult 7
First Last
Date of Birth
MM / DD / YYYY
Adult 8
First Last
Date of Birth
MM / DD / YYYY
Adult 9
First Last
Date of Birth
MM / DD / YYYY
Child 1
First Last
Date of Birth
MM / DD / YYYY
Child 2
First Last
Date of Birth
MM / DD / YYYY
Child 3
First Last
Date of Birth
MM / DD / YYYY
Child 4
First Last
Date of Birth
MM / DD / YYYY
Child 5
First Last
Date of Birth
MM / DD / YYYY
Child 6
First Last
Date of Birth
MM / DD / YYYY
Child 7
First Last
Date of Birth
MM / DD / YYYY
Child 8
First Last
Date of Birth
MM / DD / YYYY
Child 9
First Last
Date of Birth
MM / DD / YYYY
Requested Room Category
Requested Bedding Type (king or 2 beds)
Travel Insurance
ACCEPT: I am selecting to PURCHASE Travel Protection Insurance
DECLINE: I acknowledge that I am DECLINING to purchase the optional travel insurance
Travel insurance is not automatically included in your package. Reduced rate group insurance or cancel for any reason insurance (if available) MUST be purchased with deposit. Insurance is highly recommended as travel suppliers, airlines and resorts often charge fees for trip change/cancellation after payment has been made. The processing agent is not responsible for penalties or fees should you change or cancel your trip. The cost of insurance is nonrefundable and insurance policies are non-transferable. Travel insurance does not cover increased cost related to changes in occupancy.
Payment Details
Card Type *
This will be used to secure payments.
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.
Cardholder Name *
Credit Card Billing Address *

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

Please enter the address that is on file with the card.
Room Deposit Amount
$ Dollars . Cents
Cost Of Travel Insurance
$ Dollars . Cents
If purchasing the optional insurance the full cost is due at the time of intial deposit
Total Deposit Amount *
$ Dollars . Cents
Room deposit plus insurance (if applicable)
Authorization of Charges *

I authorize DreamTeamCLT and the selected agent to process the authorized charge
Terms and Conditions

I hereby certify that I have read and agree to the Terms and Conditions
Signature *
Clear
Do you have a passport that will be valid during and six months post the requested travel dates? US State Department highly recommends passports to be valid six months post travel. *
Yes
No
Need to discuss with my travel agent
Any special instructions or additional details you wish you share with your travel consutant?

Please List All Travelers Legal Names and Birthdate to be included on this reservation (same room).

Payment Details