EmailMe Form - Destination Naturals 2022 Deposit Form

Name *

First Last

Only first and last names are needed. It must match your Passport.

Cell Phone # *

Email *

DOUBLE OCCUPANCY RATES

Please note the Elegance Club rooms only have 1 king bed, 1 pull out sofa.

Junior Suite Outdoor Jacuzzi $830 per person

Elegance Club Swimout Suite With Outdoor Jacuzzi $864.50 per person

Elegance Club Junior Suite OceanFront Outdoor Jacuzzi $1057 per person

Elegance Club Plunge Pool Suite $1,098.25 per person

Room Types based on Double Occupancy ( 2 adults sharing 1 room)

Roommate(s) Name

Leave blank if not applicable.

SINGLE OCCUPANCY RATES

Please note the Elegance Club rooms only have 1 king bed, 1 pull out sofa.

Junior Suite Outdoor Jacuzzi $1100

Elegance Club Swimout Suite With Outdoor Jacuzzi $1153

Elegance Club Junior Suite OceanFront Outdoor Jacuzzi $1586

Elegance Club Plunge Pool Suite 1503.90

Room rates based on Single Occupancy ( 1 adult in room)

Payment

NON-REFUNDABLE Payment Type *

1st Non-Refundable Deposit $200 per person

All payments are non-refundable and non-transferrable.

TRAVEL INSURANCE

Would you like to purchase travel insurance? (TRAVEL INSURANCE PROTECTS YOUR PURCHASE) *

$184 --Cancel for any reason and get a full refund less the cost of the travel protection, in the original form of paymenT

$99-- Cancel for ANY reason and get a full refund in the form of a travel credit less the cost of the travel protection

NO, I will purchase my own plan.

Visit www.insuremytrip.com to purchase YOUR OWN plan.

If you purchase a plan with Travel By Design, you and your roommate must purchase the same plan.

Travel Insurance Payment is due in full with booking form.

Address *

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

Terms & Conditions

Do you understand that the purpose of this credit card authorization form is to protect you, my valued client, as well as Travel By Design from credit card fraud. All information on this form will be kept strictly confidential. Please complete this form and return to Travel By Design. This form MUST be completed and returned before any credit card payments for travel on your behalf will be made.

I understand all payments to TRAVEL BY DESIGN are non-refundable and non-transferrable. I further acknowledge that I have been advised to purchase travel insurance to protect my investment. *

YES

NO

COVID TRAVEL ADVISORY- As travel opens up around the world, all destinations, airports, air
carriers, hotels, restaurants, transfer companies, car rental companies, shops and excursions have established COVID-19 safety measures and precautions which may change from day to day.

These safety measures may include but are not limited to curfews, attraction closings and reduced hours, size of group gatherings, social distancing requirements, health screenings and
self-quarantine requirements.

In addition, you must follow CDC guidelines and the recommendations of health officials.

Please note that any public location where people have been or are present provides an
inherent risk of exposure to COVID-19 and TRAVEL BY DESIGN cannot guarantee that you will not be exposed during your vacation.
By traveling, you agree that you assume these inherent risks associated with your vacation.

Any and all additional costs will be your sole responsibility. *

I have read this disclaimer and fully understand the COVID Travel Advisory.

Any Comments or Questions?

Emergency Contact Information *

Provide name and #

Signature *

Clear

I understand an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Today's Date *

MM / DD / YYYY

Once you hit submit, a check out page will appear.