Please complete the Credit Card Payment Form below and fax back to (425) 984-8054. We send documents to the shipping address provided. It is your responsibility to check all of your documents upon receipt and to verify that they are accurate and complete. Failure to do so may result in additional costs to you.

PLEASE NOTE THAT OUR SYSTEM WILL NOT ACCEPT DEBIT CARDS.

THE CARDHOLDER MUST SIGN THIS FORM IN ORDER FOR THE CHARGE TO BE PROCESSED

THE CARDHOLDER MUST BE ONE OF THE PASSENGERS.

I HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS AND BY SIGNING BELOW I AGREE TO ADHERE TO THEM.

Credit Card Payment Form

Booking Number: ________________ Departing: _________________

Card Holder Name______________________________________

Card Holder Billing Address- Street_______________________

City___________________________________ State_____  Zip_____________

Credit Card #_____________________________ Security Code ______ Exp______ 

      *Please note we do not accept debit cards.

I authorize $__________  (enter amount) to be charged on my credit card.

Card Holders Signature _______________________________________ Date___________

I have been advised of and chosen to ___ACCEPT ___DECLINE travel insurance.

      *Insurance coverage applies only for the services on the booking for which the insurance has been purchased.