EmailMe Form - Destination Naturals 2021 Payment Form

Name *

First Last

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

Cell Phone # *

Address *

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

PLEASE SELECT ROOM TYPE BASED ON ROOMING SOLO OR WITH A ROOMIE.

Room Type
Based on 1 Adult, King Bed.

Junior Suite King Bed $1540

Deluxe Junior Suite King Bed $1560

Swim Out Suite King Bed $1740

Room Type

Room Type
2 Adults, 1 KING BED

JUNIOR SUITE KING BED $1095

DELUXE JUNIOR SUITE KING BED $1115

SWIM OUT KING BED $1295

PRICE PER PERSON

Roommate(s) Name

Leave blank if not applicable.

NON-REFUNDABLE Payment Type *

1st Non-Refundable Deposit $250 per person

TRAVEL INSURANCE

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

$165 --Cancel for any reason and get a full refund less the cost of the travel protection, in the original form of paymenT

$115 --Cancel for ANY reason and get a 50 % back in form of original payment and 50% in the form of a travel credit less the cost of the travel protection

$95 -- 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.
Payment in full is due within 7 days of booking.

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.

ST. MARTIN TRAVEL ADVISORY:

Please take the time to learn about all the new requirements well in advance and prior to departure for visiting your destination to understand how this will affect your vacation experience. Government requirements can be viewed on http://www.sintmaartengov.org/coronavirus/ or
https://www.st-martin.org/

New requirements may require advance action and include any of the following plus more:

• Completing an electronic registration/authorization before departing your home airport or upon arrival

• Verification of a negative Covid-19 test or being given a Covid-19 test upon arrival in the destination potentially with the passenger liable for the cost

• Following all airline and airport protocols which will likely require a face covering

• Temperature screening

• Potential quarantine in destination if it is deemed necessary *

I understand that I am responsible for staying current with St. Martin's entry protocols.

Any Comments or Questions?

Email *

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.