Main Street Magic LLC Payment Form

First Name *

Last Name *

Reservation Number (if known)

Main Street Magic Agent

Credit Card Type *

Name on Card *

Credit Card Number *

Expiration Date (mm/yy) *

Street Address *

City *

State

Zip Code *

Phone Number *

Amount to be charged: *

Email Address *

Comments:

I authorize Main Street Magic LLC to process the payment outlined above. Main Street Magic LLC has explained the Cancellation Policies and Terms & Conditions as pertaining to my reservation. By signing below, I acknowledge I agree to them. Once your deposit is applied, you will be subject to any cancellation penalty that may apply from the supplier. See the supplier’s brochure or ask your agent for specific cancellation penalties. Unless otherwise stated, the price quoted is in US dollars. Cruise lines reserve the right to modify their itinerary at any time. Other restrictions may apply, please ask your agent for full cancellation policies. Air travel is non-refundable. *

clear

I have been offered vacation insurance. *

I agree