EmailMe Form - Holiday in Grenada!

Today's Date:
MM / DD / YYYY
TRAVELER #1: Name as it appears on your government id:
First MI Last
Phone
### - ### - ####
Birthdate:
MM / DD / YYYY
Your Email:
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
TRAVELER #2 (if needed) as it appears on your government id:
First MI Last
Your Email:
Birthdate:
MM / DD / YYYY
PACKAGE TYPE:
Whole Package (airfare, hotel, and transportation)
Hotel and transportation
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GRENADA.....GRENADA.....GRENADA.....GRENADA.....GRENADA.
Rates are based on:
Double Occupancy (DBL) and
Single Occupancy (SINGLE).

The all-inclusive package includes airfare, hotel, and travel protection - full travel credit:
INTERESTED IN MONTHLY PAYMENT PLAN OPTIONS:
YES
NO
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Home Airport:

Choice #1:

Choice #2

Choice #3:
-------------------------------ROOM TYPE --------------------------
# of DAYS/NIGHTS:
5 Days/4 Nights
7 Days/6 Nights
ROOM TYPE:
Double (DBL)
Single (SGL)
ROOM TYPES RATES:
Royalton Grenada - All Inclusive
Luxury Room - Garden View
Luxury Junior Suite - Ocean View
Luxury Room - Ocean Front (1 Handicap)
Luxury Room Beach Walkout Diamon
Luxury Junior Suite Oceanfront Diamond Club
EXCURSIONS PREPAY:

Choice #1:
Choice #2
Choice #3:

Suggested Grenada Excursions:

	1 person	2 person
Full-Day Tour: Concord Waterfall, Chocolate Factory, Rum Distillery, Grand Etang ($87 PP)
Coastline Explorer - Grenada ATV Adventures ($105)
Pani Kasia Charters (up to six people) ($90 pp)

DEPOSIT - CREDIT CARD #1

Before charging your card an email will be sent to confirm trip details and cost.
Amount To Charge:
$ Dollars . Cents
Payment Information
American Express
Discover
Mastercard
Visa
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 - Must be the address where your statement is mailed.
Credit Card Authorization, Cancellation, Penalties, Fees, Chargebacks
Reduced Deposits are NON REFUNDABLE/NON EXCHANGABLE! *
I Understand (if applicable);
Your reduced deposit will not be refunded, nor can you apply it towards another trip if you cancel and NO credit will be issued towards future travel - per the supplier's policy and procedure.
Changes Made Due To Client *
Yes I Understand AND Agree;
I understand that any changes to my reservation after deposit has been applied will incur a $50 penalty per request. i.e. Name, Add, Remove, Upgrade Room, Replace, etc.
Cancellation Penalty *
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE IF I CANCEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Insufficient Funds Policy: *
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE FOR INSUFFICIENT FUNDS FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD PROCESSED BY LEGNA TRAVEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Legna Travel Agency (“LTA”) acts as a sales agent for any airline, hotel, car-rental company, tour operator, cruise line, or other service provider named in your itinerary (“Suppliers”). LTA is not responsible for acts or omissions of the Suppliers or their failure to provide services or adhere to their own schedules.

LTA assumes no responsibility for and shall not be liable for any refund, personal injury, property damage, death, or other loss, accident, delay, inconvenience, or irregularity which may be caused by: (1) any defaults, wrongful or negligent acts, or omissions of the Suppliers; (2) any defect in or failure of any vehicle, craft, equipment, or instrumentality owned, operated, or otherwise used or provided by the Suppliers; (3) any wrongful or negligent acts or omissions on the part of any other party not under LTA'S control; and (4) any Supplier price drop after your travel arrangements have been confirmed, paid in full, or ticketed. You hereby release LTA from all claims arising out of any problem covered in this paragraph.

Travel arrangements involving airline and cruise components are subject to supplemental price increases that may be imposed by the supplier and/or government after you have completed your purchase. You hereby consent to any such price increases and authorize your credit or debit card to be used for them. Suppliers have their own contracts covering cancellation penalties and other terms and conditions, and you may be bound by those contracts regardless of whether you receive notice of their terms. By signing below, you are consenting to those terms and conditions.

LTA has no special knowledge regarding the financial condition of the Suppliers, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel.

For information concerning possible dangers at destinations, LTA recommends contacting the Travel Warnings Section of the U.S. State Department at (202) 647-5225 or www.travel.state.gov. For medical information, LTA recommends contacting the Centers for Disease Control at (877) FYI-TRIP or www.cdc.gov/travel. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s).

I hereby release LTA from all claims arising out of any problem mentioned including death. You agree that the courts in Stafford County will be the exclusive jurisdiction for all claims brought by you by LTA, and you hereby submit to the personal jurisdiction of those courts. *
Yes I Understand AND Agree;
Chargebacks

I agree to the charges and terms of the trip. Also, I am aware that deposits are non refundable/non transferrable and credits will not be issued.

I agree not to dispute or attempt to chargeback any payments or charges applied towards my trip.

I understand that additional Terms and Conditions from the Suppliers apply as well. *
Yes I Agree;
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 Legna Travel Agency; 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. *
Yes I Agree;
This paperwork will remain on file for 5 years after your trip in case a chargeback is filed.
Signature *
Clear
TRAVELER #1 PASSPORT - File Upload
Please take a picture of your passport and add it here.
TRAVELER #2 PASSPORT - File Upload
Please take a picture of your passport and add it here.
Comments or Concerns

Legna Travel
P.O. Box 5691 * Fredericksburg, VA 22403
O: 540.699.0992 * E: info@legnatravel.com * W: legnatravel.com

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-------------------------------ROOM TYPE --------------------------

EXCURSIONS PREPAY:

DEPOSIT - CREDIT CARD #1

Credit Card Authorization, Cancellation, Penalties, Fees, Chargebacks

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GRENADA.....GRENADA.....GRENADA.....GRENADA.....GRENADA.