subject_line
Payment and Booking Authorization Form
Purchase Travel Insurance?
*
Absolutely!
Not at this time. I understand the risks.
Passport/ID Information- enter NAMES EXACTLY as they appear on government ID used for air travel:
Traveler 1
First Name
*
Middle Name
*
Last Name
*
Birthday mm/dd/yyyy
*
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Traveler 2
First Name
Middle Name
Last Name
Birthday mm/dd/yyyy
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Traveler 3
First Name
Middle Name
Last Name
Birthday mm/dd/yyyy
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Traveler 4
First Name
Middle Name
Last Name
Birthday mm/dd/yyyy
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Traveler 5
First Name
Middle Name
Last Name
Birthday mm/dd/yyyy
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Traveler 6
First Name
Middle Name
Last Name
Birthday mm/dd/yyyy
Passport/ID number
Issuing Country
Passport/ID Issue Date mm/dd/yyyy
Passport/ID Expiration Date mm/dd/yyyy
Billing Information:
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Credit card information:
Name on Card
*
Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
3 or 4 digit security code
*
By signing this form I agree with the below terms and conditions and authorize Trabeona Travels to utilize my credit card information and make direct payment with suppliers such as airlines, hotels, rail and other vacation providers.
Agency Disclaimer:
Trabeona Travels LLC, an independently owned and operated agency, acts solely as a general booking agent on behalf of the customer, for the purpose of processing bookings and reservations with various cruise lines and travel suppliers. Trabeona Travels LLC has no control over the travel suppliers, the fares charged for services, their policies and procedures, change in itineraries, the scheduling of their services, or their methods of providing services. Therefore, Trabeona Travels LLC shall not be liable or responsible, and is released of responsibility and liability, for any delay, inconvenience, loss or damage for personal or property injury, to any Passenger resulting from breach of contract or any acts or omissions on the part of any travel supplier, cancellation of any service by a travel supplier, any refund due from a travel supplier, any terrorist activities, civil or labor unrest, mechanical or construction defects or failures, diseases, local laws, climatic conditions, or any other cause.
COVID-19 Release Form:
Aiste Stanley and Trabeona Travels LLC recommends travelers check governmental and local regulations and restrictions for their destination(s) prior to buying, and several times before traveling, as these regulations are fluid. Aiste Stanley and Trabeona Travels LLC is not liable for any loss, financial or otherwise, or inconvenience and getting sick due to Covid-19. Each passenger will travel at their own risk will and is aware of the risks of purchasing and engaging in travel at this time.
Travel Supplier Policies:
Travel suppliers’ brochures and websites contain important information. It is each passenger’s responsibility to read travel suppliers’ policies concerning cancellation penalties and have all required documentation, including but not limited to: (1) government issued birth certificate and photo ID, or (2) valid passport and/or visa. Passports are recommended for all travel. All passengers assume full responsibility for inquiring and confirming passport, visa, vaccination, other entry requirements, safety and security conditions of destinations to be visited. The “Taxes” category on the Travel Invoice includes air taxes, port taxes, departure fees, government fees and fuel surcharges if applicable. These costs are imposed by the suppliers and airlines and are subject to change until time of departure. Trabeona Travels LLC has no control over these taxes and fees and should they increase your invoice will reflect this increase.
*
clear
Powered by
Report abuse