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NOTE: This is a SINGLE Cabin/Room entry form no matter the Occupancy Rate. You will enter the information for YOURSELF here, PLUS the passengers that you are also paying for WITHIN the same cabin/room. If your passenger is paying separately (their own CC), then have your roommate create their OWN form to enter their information. Each one of you will add your roommate's name in the "Traveling/Rooming With" field after you choose a rate category. This ties you to the same cabin/room.

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Group Name : Green Family and Friends
Travel Dates : 2024-07-11 to 2024-07-15

Please use full legal name as it appears on your passport

You Cannot Travel on this Trip without a Passport, please send Passport information as soon as Received

How Many Passengers are Traveling on this Reservation (in this Room/Cabin)*

Are you paying for ALL passengers deposit with your CC?*

How Many passengers are you paying for (including yourself)?

Contact your Travel agent for pricing for 3 or 4 in Room/Cabin

NOTE: When reserving a Room/Cabin for more than 2 passengers, please contact your travel advisor for 3rd and 4th person rates.

Pre-Pay Gratuities?

Supplier Insurance*

Passenger Info

Passenger 2

Pre-Pay Gratuities?

Purchase Supplier Insurance?

Passenger 3

Pre-Pay Gratuities?

Purchase Supplier Insurance?

Passenger 4

Pre-Pay Gratuities?

Purchase Supplier Insurance?

Passenger 5

Pre-Pay Gratuities?

Purchase Supplier Insurance?

Payment Information Section

By submitting payment information now, this covers your first deposit amount. Please review the payment schedule to verify when you will be charged for the second payment due.

Below is the payment schedule. By submitting your reservation request, you have agreed to have your credit card automatically charged for the deposit and remaining payments as follows:

Payment DateAmount
2023-04-01 50.00
2023-06-17 150.00

Final Due Date : 2024-04-15

  • You have verified that all names are spelled correctly and that they are your legal names as listed on their Government issued ID (Passport/Drivers License).
  • It is strongly recommended to purchase travel insurance. If you choose not to purchase travel or cancellation insurance, you understand you are liable for any cancellation penalties and out-of-pocket expenses incurred. You will also make your own provisions in the event of an emergency while traveling. I understand the Trip Travel Insurance premium is non-refundable.
    By entering my initials in the box to the left, I hereby acknowledge that I understand the insurance options and I have made my choice above to either accept or decline the insurance option provided. I understand the trip cancellations and interruption details, terms and conditions that were provided or discussed with me. I acknowledge that all the information above is correct.
  • I hereby verify that I have reviewed my travel itinerary for accuracy. Dates, flights, etc. I have been advised of all applicable fees imposed by my agent and the suppliers as well as any scheduled fees that may be required if this booking is cancelled or changed.

  • My agent offers retail travel service to customer, which are provided by separate and independent vendors of travel services. They do not operate, control, or otherwise provide the services of the independent travel vendors. I agree and understand that my agent is not responsible for an operating failures, loss, damage, delay, or injury to me or members of my travelling party, nor for consequential damages, which may result from failure, delays, or injuries, which arise out of or during the scheduled travel. I agree and understand that my agent is not responsible for any damages, direct or consequential, which may arise as a result of acts of God, social or labor unrest, war, political or national strike, terrorist activities, mechanical failures, climatic conditions, or any other actions or commissions beyond the control of MARIA MCCOY & It's agents

By signing below, I am giving authorization to charge my card for all charges listed above. I have been informed of the cancellation policies for our travel services and have been made aware of the benefits of travel protection.

Please sign in below area

NOTE: Only click Submit ONCE and wait for confirmation-
clicking more than once will submit multiple payments.