Payment Form Please use this form to make any payments on your reservation. Please carefully enter the booking number which is listed on your invoice that you received from us so your payment will be linked to your reservation.. Today's Date * Who is your Travel Agent: Cathy Jackson Lisa VanDerveer Jean Caraluzzi Your Confirmation Number (Please submit ONE form per confirmation number): * Please use your confirmation number listed on your reservation or the number given to you by your travel agent so your payment will be linked properly. If you do not yet have a confirmation number, please enter PENDING in the box above. Please only include ONE confirmation number or your payment will not be received. Once your agent has applied the payment to your reservation, you will receive an updated invoice. Name On Reservation * Your Email: * Best Contact Phone Number * Payment Type: * American Express Mastercard Discover Visa Debit Or Credit *** NOTE: Please contact your bank to extend your daily spending limit, if necessary, BEFORE submitting your payment, especially when using a DEBIT CARD *** * Debit Credit Credit Card Number (NO SPACES): * Expiration Date (Month): * Expiration Year * CCV: * Name on the card: * Payment Amount: * Billing Address * City State/Province Zip/Postal Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country INSURANCE WAIVER: By submitting this form, you acknowledge that you have been advised to purchase Travel Insurance to help protect your vacation investment in the event that non-refundable payments are lost due to unforeseen circumstances. If you choose to decline insurance, Sunsational Vacations, LLC will not be responsible for penalties or fees should you cancel. We recommend travel protection for all travellers. Are you purchasing travel protection? * Yes, please add travel protection to my reservation with my deposit No, I decline travel protection and understand the cancellation penalties I have already made my initial deposit and have purchased travel protection; I am making an additional trip payment I have already made my initial deposit and have declined travel protection; I am making an additional trip payment By submitting payment, you accept and acknowledge that you and all in your party have read and agree to the Terms & Conditions listed below and you are aware of the cancellation policies and conditions of this agreement. I hereby authorize Sunsational Vacations to submit my credit/debit card in the amount submitted for the vacation package agreed upon. I understand that payments may be made directly to selected travel suppliers on my behalf by Sunsational Vacations not to exceed the total amount of the trip charges. I am aware of any potential Cancellation, Refund and Surcharge Policies and Fees by suppliers and/or Travel Agency and agree not to dispute or chargeback any of the above signed for and acknowledged charges. By signing below and clicking "submit", you are certifying that you are the cardholder and you are authorizing your credit/debit card to be charged in the amount agreed upon. Note: Your card will NOT automatically be charged by completing and submitting this form; however, completing and submitting this form does give the agent the right to charge the card for the amount and purpose authorized above. The charge on your statement will be from the supplier(s) used to book your vacation, not from Sunsational Vacations. Responsibility: The Travel Professionals of Sunsational Vacations act only as agents for airlines, hotels, tour operators, and other suppliers of services and shall not be held responsible for any injury, loss or damage caused by accident or event beyond their control, or by any action or negligence of any persons who are not in their employ. The Travel Professionals of Sunsational Vacations can accept no responsibility for losses or additional expenses due to delay or changes in air, sea or other services due to sickness, weather, strike, war, or other causes. The right is reserved to make adjustments in the itinerary if deemed necessary. Prices are accurate at time of quote and are subject to change until trip is paid in full. Passports: All international trips require a Passport valid for at least 6 months beyond the date of departure. Any and all additional Visas or travel documents required are the responsibility of the traveler. Air Travel: Flight details, including flight numbers, departure/arrival times, and seat assignments are subject to change by the airlines and are not under the control of Sunsational Vacations or its agents. We will notify you if there is a change to your flight number of flight times, however the airlines do not notify us if there is a change to your seat assignments. Cancellations: Cancellation, revision and refund polices for changes or unused travel components vary and are subject to the policies of each supplier. Cancellation penalties can range up to 100% depending on how close to departure the written cancellation notification is received. Air, and no-shows are always non-refundable. In addition, Sunsational Vacations charges a cancellation penalty of $50 PER PERSON administrative fee payable before cancellation will be processed on all vacation packages. Please read our TERMS & CONDITIONS AND CONSUMER DISCLOSURE I agree to the Terms and Conditions * I agree to the Terms and Conditions Additional Comments: * CCV: By submitting, you certify that you are the cardholder and are authorizing the travel agency 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. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency 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 the travel agency to use the above information to charge my credit card the stated amount. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature. Signature * Draw It Type It Clear Personalized Service, Professional Results Thank you for booking your trip with us. We really appreciate your business!