cca form

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To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is Not required for electronic purchases that you complete yourself on our website, www.blessedtotravel.com, or its affiliates. Charges are payable ONLY to Blessed To Travel, Blue City LLC, the hotel, resort, tour operator, cruise line or other travel supplier. Travel Agents may not accept and process charges through any other account, accept checks, cash, or other forms of payment.

Travel Insurance

For your protection, travel insurance is highly recommended but optional.

Please select which travel insurance option applies:

Yes, I have opted to add the travel supplier's insurance to my total & I am aware it is non-refundable.
No thanks, I would like to seek travel insurance on my own or be provided with a third party recommendation.
No thanks, I would like to decline travel insurance at this time. My signature below confirms that I do understand that I may not be entitled to a full refund should I cancel, or my travel plans change. In case of cancellation, applicable penalties may apply according to travel supplier’s terms, and I agree to pay penalties or fees applied.

Signature

My signature confirms that I have selected the travel insurance option of my choice above. I have read and understand all terms and conditions from the travel supplier regarding insurance coverage and cancellation of trip, if I opted in. I also understand the terms and conditions of the travel agent and that the agent is not an insurance agent or a provider of the insurance and is not liable for any portion of the trip that is not covered by travel insurance.

Payment Information

Please select the payment option that applies:

One time payment to pay the full amount
One time payment for the initial deposit and any recurring payments towards my trip balance as authorized.
One time payment for the remaining balance or final payment.

Card Number

Name on Card

First

Last

Expiration Date (i.e. MM/YYYY)

CVV

Address

Address Line 1

Address Line 2

City

State

Zip Code

I hereby authorize Blessed To Travel/Blue City LLC or the travel supplier that my booking is through to charge my credit card for travel reservations and confirm that the information for the credit card and billing address is complete and accurate.

Date

Signature