EmailMe Form - Buckels Destination Celebration

Name *

First Middle Last

Email *

Phone *

### - ### - ####

Date of Birth *

MM / DD / YYYY

Airfare

I would like to book my air through 4 Simplicity Sake LLC (deposit $200pp)

I will be booking my own air

Departure Airport

An air itinerary will be provided to you to approve before processing your payment.

Resort Information

Guests will be staying at the Grand Palladium Lady Hamilton Resort in Montego Bay, Jamaica. Base package is 6 days and 5 nights, May 24-29, 2018. Airport code is MBJ. A valid passport will be required for travel to Jamaica. Final payment will be due on or before 3/25/18.

Departure Date *

MM / DD / YYYY

Suggested departure 5/24/18

Return Date

MM / DD / YYYY

Suggested return 5/29/18

Number of guests staying in room

One

Two

Three

Four

Room Type *

Junior Suite: 1 king bed plus queen sofa or 2 double beds, balcony or terrace.
1 Bedroom Suite: 1 king bed plus queen pull out, balcony or terrace.
Villa Suite: 1 king bed, private entrance, terrace with sunbeds and outside shower.
Bedding requests are not guaranteed.

Room Pricing

Prices listed are per person, and include all-inclusive resort and airport transfers. Airfare is not included in price. If you choose to extend your stay beyond 5 nights, or stay less nights, your per person price will be provided to you before your deposit is processed.

Would you like to add cancel for any reason travel protection? Additional $99.99 per person for hotel only booking.
$139.99 for air-inclusive booking.

Yes

No

All passengers in room must select protection in order for any to add.

Please list names and birth dates of passengers in your room

Please include first and last name, one per line.

By signing here I acknowledge that I must have a valid passport to travel to Jamaica. Please see https://travel.state.gov/content/passports/en/country/jamaica.html for additional details. *

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By signing here I acknowledge that final payments for the Buckels Destination Celebration are due on, or before, 3/25/18 and that late payments will be charged a $25 per person fee for late payments up to 7 days late and $5 per day after 7 days. *

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Change/Cancellation Disclosure and Consent

4 Simplicity Sake LLC charges a $50 cancellation fee and a $25 change fee to all packages, in addition to any supplier fees, unless otherwised noted in writing. Cancellation fees must be paid via online link before cancellations, and any due refunds, can be processed.

We make every effort to honor the package price quoted originally, however; under certain circumstances your price may be subject to increase prior to full payment due to an increase in the cost for one or more of the travel components of your package.

Prices will not increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees. *Cruiselines have a right to charge a fuel surcharge, per their policies.

By signing below, you expressly acknowledge your acceptance of these conditions applicable to your purchase.

http://airconsumer.dot.gov/rules/EAPP_2_FAQ_01-11-2012final.pdf

By signing here I indicate that I have been advised of potential change/cancellation charges that may be implemented in the event that I choose to cancel or change my booking after making the initial deposit. *

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Cardholder Name *

First Last

Payment Method *

Billing Address *

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

Credit Card Number *

Expiration Date *

MM / YY

3 Digit CVV/CVC Code *

4 digits for AMEX users

Approved payment amount *

$ Dollars . Cents

Minimum deposit $50 per person

Monthly payment amount

$ Dollars . Cents

If you desire a monthly auto-debit for your balance please indicate that amount here.

Card Holder Authorization: I, the above-named authorized credit card user, give 4 Simplicity Sake LLC and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by affixing my signature to this form, I will be held responsible for all agreed upon (as stated above) charges as well as any and all collection and legal fees. By signing this "Credit Card Authorization" form, I/my organization acknowledge receipt and understanding of its contents, including its "Explicit Authorization" clause. 4 Simplicity Sake assumes no responsibility for changes made to a reservation if the payment fails to process. I am also acknowledging that I am the cardholder held under penalty of law. *

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Additional Comments and/or passenger information.