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Travel Time Agency Payment Request Form
Group Name
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Guest(s) Name
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Name on Card
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Credit Card Type
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Visa
MasterCard
American Express
Credit Card Number
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Security Code
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Expiration Date (mm/yy)
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Please select your payment type
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Initial Deposit (Disclaimer- Please note that checking this box indicates that you are aware that your deposit for this all inclusive trip is non-refundable should the travel plans be changed for any reason.)
Payment
Travel Insurance: Please refer to the Travel Insurance tab on the blog for more information to help you determine your requirements.
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All-Inclusive Package (Most inclusive: 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
Please indicate which travel insurance you are relying on to cover your purchase.
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Amount
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By Esigning here I authorize Travel Time TPI to charge the above amount to the above credit card.
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