Rose's Payment Form

Are you booking as a part of a group? If so, please indicate which group you are a part of:

Guest(s) Name *

Name on Card *

Credit Card Type *

Credit Card Number *

Security Code * 🛈

Expiration Date (mm/yy) *

Please select your payment type *

Initial Deposit (Disclaimer- Please note that checking this box indicates that you are aware that your deposit for this trip is non-refundable should the travel plans be changed for any reason. Cancellation will incur a cancellation fee of $75 plus HST per person to Travel Time. )

Payment

Travel Insurance: Please refer to the Travel Insurance tab on the blog for more information to help you determine your requirements. *

All Inclusive PLUS Package (Most inclusive: Includes Cancel for any reason, Trip Cancellation, Interruption, and Medical, as well as Baggage loss or delay, travel accident, etc.)

All-Inclusive Package (Includes Trip Cancellation, Interruption, and Medical, as well as Baggage loss or delay, travel accident, etc.

Non Medical Package (Includes Cancellation & Interruption, but NO Medical coverage)

I have no idea! Contact me for further consultation

I wish to DECLINE all coverage offered and will not hold my travel consultant responsible for any potential losses I may incur

Amount *

By Esigning here I authorize Travel Time TPI to charge the above amount to the above credit card. *

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