Phone 203-363-0015
Please fax this form to 203-653-5586
Letter of authorization to charge credit card
This form must faxed to us completed. Also, fax copy of back and the front of credit card and driver's license. We can then finalize your reservation.
I authorize E&M Travel or appointed USTOA Bonded
Tour Operator to charge my deposit and/or final payment of my travel package in
the amount of $__________ to my Credit Card.
Description of charge:_____________________________________________________
____Initial here if you wish E&M Travel to automatically charge the same credit
card for final payment 45 days prior to departure. If you wish to pay final with
another credit card, write the number of the final payment credit card below.
Cardholder's Signature:__________________________Date:______/______/_____
Departure Date:_____________Departure Airport______________ #of Nights:_______
Resort/Hotel:_______________________________ Room Category:____________________
Credit Card Type: MasterCard: _____ Visa: _____
Card Number:__________________________________ Security Code
______________ Expiration Date:_________
Alternate Credit Card:___________________________Expiration date:_______
Cancellation Waiver Insurance (Non-refundable). Please Initial Insurance
Accepted______Declined_____
Cardholder's Name as it appears on the credit
card:______________________________
Street Address:_________________________City:________________ State:_____Zip:________
Home Phone: _________________ Business Phone : ________________ Fax:
_____________________ Email: ____________________
Names as appear in the passports: First , Middle
Initial and Last (birth date of children, if any)
1. _______________________ 3.____________________
2. _______________________ 4._____________________
I have read and agree to all of the terms and conditions.
Name (please print) _______________________________________________________
Signature:________________________________________Date:__________________
General Terms and Conditions
TERMS and CONDITIONS: The terms and conditions set forth herein are the sole contract between E&M Travel located at 3 Pleasant Valley Lane, Westport CT 06880 and the traveler(s). Payments for airline and/or tour packages are accepted by E&M Travel with the understanding that participant(s) have been made aware of, and agree to all conditions of this agreement prior to participant sending E&M Travel monies or credit card authorization. E&M Travel acts only as an agent in capacity for air carriers, hotels, tour operators, and other suppliers of services and shall not be held responsible for any injury or for any loss or damage caused by accident or event beyond their control, or by any action or negligence of attendants or third parties who are not in their employ. E&M Travel can accept no responsibility for losses or additional expenses due to delay or changes in air, sea or other services, sickness, weather, strike, war, quarantine or other causes. The right is reserved to make adjustments to the itinerary. Prices are based on current tariffs and exchange rates are subject to adjustments in the event of any change therein. The right is reserved to accept or decline any member of the tour. No refund will be made for unused portion of the tour unless arrangements were made before departure from gateway city. The issuance of acceptance of voucher or ticket shall be deemed to be consent to the above conditions. The passenger ticket in use by said airlines when issued shall constitute the sole contract between the airlines and the purchaser of these tickets and/or traveler.
Baggage: Each passenger has baggage allowance of 70 pounds, not exceeding 2 check-in pieces. Each passenger may take 1 carry-on which must fit under seat or overhead compartment.
Cancellations: varies with each reservation. Will be supplied in each confirmation.
Documentation: Travel to most Caribbean
Islands and foreign countries requires U.S. citizens to carry proper proof of
citizenship, which is your original or notarized birth certificate, with a
raised seal, plus a state issued photo ID, such as your driver's license or
voters registration card with photo. A passport is optional, but always
preferred.
If time allows, we recommend that you get a Passport. The participant takes full
responsibility and must determine the proper documents needed before going to
any foreign country. There is a risk that the participant can be denied boarding
or denied entry back into the USA if proper documents are not presented.
Trip Cancellation Insurance: We highly recommend purchasing trip cancellation insurance. Insurance protects your valuable investment. If you decline Insurance, you must sign the insurance waiver on this form. Below, you will see the reasons you may cancel trip:
- Sudden and unexpected illness, of you, or an immediate family member.
- Death of any immediate family member, prior to departure, including en route to airport.
- Broken Limbs, (arms, leg, etc.)
- Jury Duty, Subpoena
- Accident, including en route to the airport
To receive the benefits of any of the above options, passengers must adhere to the following requirements. We must be notified of cancellation before tour departs and written proof must accompany reason 1 to 5 (Doctor's note, Police Report, Copy of Court Documents) trip interruption, trip delay, baggage delay, medical emergency while on vacation , accidental death and dismemberment, 24-hour emergency hotline service are also available by purchasing a more comprehensive insurance that we offer. Once you purchase the plan, E&M Travel will provide a copy of insurance and description of services that gives details of the program, insurance benefits /service limits, including restrictions, limitations and exclusions.