ESCAPE DESTINATIONS TRAVEL
IMPORTANT INFORMATION REGARDING TRAVEL INSURANCE
Name: ______________________________________
Now that you have arranged your trip, as a professional travel agent I feel that it is my responsibility to recommend travel insurance to protect your investment. Upon request, I will email you details about a specific policy and a quote. Call me with any questions you may have.
AT THE TIME OF FIRST PAYMENT:
-I have been advised of the cancellation penalties for my purchase.
-I understand that Travel Insurance can protect me from possible loss of money due to supplier bankruptcy/default, unexpected trip cancellation/interruption due to accident, sickness or death, baggage loss, medical expenses and emergency air transportation cost.
-I understand that I must purchase Travel Insurance immediately to obtain maximum coverage.
-I understand that once Travel Insurance is purchased, it is non-refundable.
AT THIS TIME, I/WE CHOOSE… (CHECK ONE)
□ To purchase the recommended insurance.
□ To decline the recommended insurance.
Name (please print) __________________________________________________________
Signature________________________________________ Date: _____________________
Please call our office with this information at (910) 379-4033 AND Scan and email to: escapedestinationstravel@gmail.com
PLEASE READ THIS CAREFULLY!
Escape Destinations Travel
Cardholder Authorization Form
Date: _____________ Name: _______________________________________
Please let this document serve as my authorization to charge the amount of $___________ for the following services (please select all that apply):
____ Cruise ____ Hotel ____ Car ____ Flight ____ Transportation ____ Shore Excursions ____
Vacation Insurance _____ (by leaving this blank, you are declining travel insurance)
Please Circle which type of Card: Visa MasterCard American Express Discover
Credit Card #: ______________________________________________________
Name on Card: __________________________________________(please print).
Exp. Date: ______________________CVV # (on back)_____________________________
Billing address: _____________________________________________________
City: __________________________________ State: ________ Zip: __________
Card holders signature: _____________________________________Date: ___________
**I am aware of any cancellation policies and agree not to dispute or attempt to charge-back any of the above signed for and acknowledged charges. Escape Destinations Travel reserves the right to impose a cancellation fee above and beyond supplier fees in the amount of $50 per traveler.
_____________ Cardholder initial
There are no additional charges to make payments on your vacation, this is a free service we offer to our clientele.
Escape Destinations Travel- Jen Campbell 110 North Church St. Roseboro, NC 28382.
Phone: 910.379.4033
Email: escapedestinationstravel@gmail.com
Website: www.escapedestinationstravel.com
IMPORTANT INFORMATION REGARDING TRAVEL INSURANCE
Name: ______________________________________
Now that you have arranged your trip, as a professional travel agent I feel that it is my responsibility to recommend travel insurance to protect your investment. Upon request, I will email you details about a specific policy and a quote. Call me with any questions you may have.
AT THE TIME OF FIRST PAYMENT:
-I have been advised of the cancellation penalties for my purchase.
-I understand that Travel Insurance can protect me from possible loss of money due to supplier bankruptcy/default, unexpected trip cancellation/interruption due to accident, sickness or death, baggage loss, medical expenses and emergency air transportation cost.
-I understand that I must purchase Travel Insurance immediately to obtain maximum coverage.
-I understand that once Travel Insurance is purchased, it is non-refundable.
AT THIS TIME, I/WE CHOOSE… (CHECK ONE)
□ To purchase the recommended insurance.
□ To decline the recommended insurance.
Name (please print) __________________________________________________________
Signature________________________________________ Date: _____________________
Please call our office with this information at (910) 379-4033 AND Scan and email to: escapedestinationstravel@gmail.com
PLEASE READ THIS CAREFULLY!
Escape Destinations Travel
Cardholder Authorization Form
Date: _____________ Name: _______________________________________
Please let this document serve as my authorization to charge the amount of $___________ for the following services (please select all that apply):
____ Cruise ____ Hotel ____ Car ____ Flight ____ Transportation ____ Shore Excursions ____
Vacation Insurance _____ (by leaving this blank, you are declining travel insurance)
Please Circle which type of Card: Visa MasterCard American Express Discover
Credit Card #: ______________________________________________________
Name on Card: __________________________________________(please print).
Exp. Date: ______________________CVV # (on back)_____________________________
Billing address: _____________________________________________________
City: __________________________________ State: ________ Zip: __________
Card holders signature: _____________________________________Date: ___________
**I am aware of any cancellation policies and agree not to dispute or attempt to charge-back any of the above signed for and acknowledged charges. Escape Destinations Travel reserves the right to impose a cancellation fee above and beyond supplier fees in the amount of $50 per traveler.
_____________ Cardholder initial
There are no additional charges to make payments on your vacation, this is a free service we offer to our clientele.
Escape Destinations Travel- Jen Campbell 110 North Church St. Roseboro, NC 28382.
Phone: 910.379.4033
Email: escapedestinationstravel@gmail.com
Website: www.escapedestinationstravel.com
