GTG 2nd Annual Splash - Deposit Form
***This Form Works Best on Desktop or Laptop Computers***
IMPORTANT - Please Read Carefully:
~ Complete and Accurate information is REQUIRED to Process This Transaction
~ ALL Information MUST Be Correct
~ If We are UNABLE To Process A Payment Because of Incorrect Information it Could Result in the loss of Your Vacation Pricing and/or the Cancellation of an Existing Reservation if Final Payment is Due.
PLEASE DOUBLE CHECK YOUR INFORMATION - FOR BOTH OF US!
WE WANT TO ENJOY YOUR GETAWAY!!!
Agent Name: Misty King
Name of person Completing this form
Go! Travel… Getaways, LLC Card Authorization - Card Usage
I have accepted the quote given to me by Go! Travel… Getaways, LLC and authorize Go! Travel… Getaways, LLC usage of said credit card on my behalf for services quoted and accepted. I understand this is a disclosure of business practices and permissive payment agreement for the purchase of travel services. I agree that payment may be made direct to selected travel suppliers on my behalf by Go! Travel… Getaways, LLC or paid to Go! Travel... Getaways, LLC directly; 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. I am aware of any potential Cancellation, Refund and Surcharge Policies and Fees by suppliers and agree not to dispute or chargeback any of the below signed for and acknowledged charges without proper course of action.
I understand that Go! Travel… Getaways, LLC will impose the following charges when contractually applicable: all non-insured reservations are subject to Cancellation Fees of $35 per traveler and will be applied to the provided credit card account. Go! Travel… Getaways, LLC will not release personal information to ANY parties not listed on your finalized Travel Quote and will apply due diligence in maintaining records in a secure, safe location.
I have read, understand, and agree to the above stated terms.
TERMS and CONDITIONS
I have received, reviewed and agree to the Travel Vendor/Supplier/Operator "Terms and Conditions" for the purchase of this travel service/vacation package. *** "Terms and Conditions" were included with your travel service/vacation quote.
I understand that federal law forbids the carriage of certain hazardous materials, such as aerosols, fireworks, and flammable liquids, aboard the aircraft.
* If you do not understand these restrictions, contact your airline or go to:
I have received a quote from my Vacation Designer
If you have not received a quote from our Vacation Design Team please contact us at 636.431.1009
My reservation number is:
Leave blank if Unkown.
My Vacation Designer is:
I have selected the:
Interior Cabin for $795 per person excluding gratuities and Cuban Visa Charge
Interior Cabin for $875 per person excluding gratuities and Cuban Visa Charge
I have Selected the following for my FREE AT SEA promotion:
Interior: Choose 1
Ocean View / Balcony: Choose 2
Suites: Choose ALL FOUR!!!
SPECIALTY DINING - Bon appétit! Savor a Free $50 Specialty Dining Credit.
WIFI - Stay connected while at sea with an Internet Package Time Plan of 100 minutes.
PHOTO PACKAGE - Strike a pose and enjoy 10 Free Photo Prints.
EXCURSIONS - Adventure out with a Free $50 Shore Excursion Credit at each port of call during your cruise.
I would like to include the following in my reservation:
Gratuities (can be paid anytime until final payment date - February 1st)
Travel Protection (Must be added within 7 days of initial deposit to cover pre-existing conditions)
Airfare (must be paid in full at time airfare is purchased) Please contact your Vacation Designer if you do not have a airfare quote within the last 2 hours and are wanting to book air.
Pre-Night Hotel Stay in Miami
If you would like additional information on any of these options please contact your Vacation Designer directly or call the Agency at 636.431.1009
Name and Ages (at time of travel) of all travelers As it appears on identification used for travel
Name (First, Middle, Last)
Tell Us More:
Credit Card Information
Full Name - as it appears on credit card to be used in this transaction:
Cardholders Phone Number
Client/ Cardholder's email address
Client/Credit Card Billing Address (Verify for Accuracy before submitting)
Transaction will fail if the address is not the same as the billing address.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Trinidad and Tobago
Bosnia and Herzegovina
United Arab Emirates
Papua New Guinea
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Sao Tome and Principe
United Republic of Tanzania
Country / Region
Select a payment option:
Initial Deposit as stated on my most recent quote received within the last 12 hours
Pay In Full
Insurance Payment (must be paid with initial deposit)
Please note payments marked as "Pay in Full" and/or" Final Payment" will not be processed UNLESS the CORRECT amount of the full cost of the vacation/travel charges will be paid in full... and/or final payment will result in a zero balance on the account. Please call me at 314.482.1799 to confirm your payment(s) if you have not already received this information from your Vacation Designer.
What is this?
3 or 4 digit number printed on the back/front of your credit card
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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.
Amount to be charged today
Miniumum $50.00 per person deposit required (all ages)
Second Payment Due By November 1st
I understand a second payment of $125 per person is due by November 1st.
I would like to be set up on the automatic payment plan and agree to have my credit card charged on the first of each month in equal payments until my booking is paid in full.
Any comments regarding amount to be charged to authorized credit card today:
I consent to provide an electronic signature rather than a handwritten signature in connection with my Credit Card authorization. I submit my signature by typing my name below and checking the “I agree” box. I understand that my electronic signatures will be binding as though I had physically signed this document by hand. I agree that a printout of this authorization may be accepted with the same authority as the original.
Signature (Please use physical signature when possible)