First Name
Middle Name
Last Name
Resort Name:
Reservation Number:
Agent Name: JackSharonLesleyJaredGregoryMichelle
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Card Type: VisaMaster CardAMEXDiscoverDebit
Expiration Day:
123456789101112
Year: 20212022202320242025202620272028202920302031
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Billing City:
Billing State: AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Territory
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Insurance is highly recommended, and cancel for any reason insurance cannot be added on after deposit is paid. If insurance is waived, portions of package price may be non-refundable, even in the case of weather issues, flight cancellations, or resort closures; please ask for more details if interested.
If you are choosing insurance, please make sure to include the insurance cost with initial deposit amount. Failure to add insurance cost to deposit payment will result in the insurance NOT being included in your package.
Yes, I would like travel insurance.No, I understand that I cannot purchase cancel for any reason insurance once my deposit is applied.
IMPORTANT: If this is a check or debit card, please check with your bank that you are not exceeding a daily spending limit on the card. Most banks have a daily limit regardless of amount of funds in the account, and exceeding this limit will cause a decline and delay in your payment.
By submitting, you certify that you are the cardholder and are authorizing Vacationeeze or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable.
Please note that you may not see a charge from Vacationeeze Travel on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.
I authorize Vacationeeze to use the above information to charge my credit card the stated amount. Completion of this form signifies acceptance in lieu of my signature.
When you hit submit on this form you are certifying that you are the card holder and that you authorize Vacationeeze or one or more of its associated vendors such as tour operators, suppliers, cruise lines or airlines to charge you credit card in the amount indicated. You are further advised that the posted charge may be in the name of Vacationeeze. or one of its affiliates. You may request from Vacationeeze. the name of the affiliate that will appear on your statement. You are also certifying that you have verified that all the information contained in the invoice is accurate and that you have read the terms and conditions and in doing so understand that there may be penalties that will apply for any changes and/or cancellation. If you have selected a Travel Protection Plan, which is strongly suggested by Vacationeeze, you have read the terms and conditions of the plan.
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