SantaLucia Travel - Credit Card Authorization Form

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This form only collects your signed authorization to charge your card.

The actual card info must be CALLED in to us at (716) 481-8823.

Date of Departure *

Month Day Year

Date or Return *

Month Day Year

Booking / Reservation # (input TBD if unknown) *

Destination

Authorized Supplier for Payment *

Abercrombie & Kent HawaiiActivities/Veltra AIG Travel Guard Ins Holland America Line Air Canada Vacations Insight Vacations Air Transat Vacations Monograms Ama Waterways MSC American Airlines Vac Norwegian Cruise Line Avalon Waterways Oceania Avanti Pleasant Holidays Azamara Club Cruises Princess Cruises Bahamas Day Pass Regent Seven Seas Blue Sky Tours Resort for a Day Brendan Vacations Royal Caribbean Carnival Cruise Line Sandals & Beaches Celebrity Cruises Scenic CIE Tours Seabourn Club Mobay Silver Seas Cruises Cosmos Southwest Vacations Crystal Cruises Special Needs Group Cunard Sunwing Vacations Delta Vacations Tauck River Cruises Disney Cruise Line Trafalgar Disney World Travel Bound Disneyland Travel Impressions Emerald Waterways Travel2 Europe Express United Vacations Funjet Vacations Universal Orlando G Adventures Uniworld River Cruises GLOBUS VacationExpress GoGo Vactions Viking River & Ocean

Credit Card Information:

This form only collects your signed authorization to charge your credit card.

The actual card info must be CALLED in to us at (716) 481-8823.

Authorized Payment Amount *

select amount

Amount Approved (If "Other Amount" is selected)

Credit Card Type *

select card type

Primary Phone Number *

Area Code Phone Number

Primary Phone Type *

Home Mobile Work

Secondary Phone Number

Area Code Phone Number

Secondary Phone Type

Home Mobile Work

Primary E-mail *

Secondary E-mail

Disclosure and Consent

Responsibility: SantaLucia Travel, LLC acts only as an agent 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.

SantaLucia Travel, LLC can accept no responsibility for losses or additional expenses due to improper documentation, inadmissability to any country (including Canada), 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.

Admissibility to Canada Advisory: Under Canadian law, those who have ever been convicted of even a minor criminal offense (such as DUI or dangerous driving) may be denied entry to Canada by Canadian customs and immigration officials. Such individuals may be deemed rehabilitated if they meet Canada's requirements contained in the Immigration and Refugee Protection Act. In some cases, individuals with criminal records may be admitted to Canada depending on the nature of the offense and the time elapsed since the transgression was committed or since sentencing.

Please visit www.cic.gc.ca/english/helpcenter (Citizen and Immigration for Canada) and typed "inadmissibility" in the search box for specific detail that might concern your admission to this country.

Other countries may have similar admissibility restrictions as Canada, paricularly for those who may have a past criminal record of any kind (regardless of how old). We recommend you visit the state department website for each country you may be visiting to review their admissibility requirements and seek legal counsel if necessary prior to booking any travel out of the country.

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 departure times are always subject to change by the airlines and are not under the control of SantaLucia Travel.

REAL ID ACT:
The Transportation Security Administration (TSA) is reminding travelers that beginning October 1, 2021, every traveler must present a REAL ID-compliant driver’s license, or another acceptable form of identification, to fly within the United States. TSA has launched a public awareness campaign about the upcoming identification changes to ensure that every traveler is prepared for the airport security checkpoint process when the REAL ID Act goes into full enforcement. For more information, visit https://www.dhs.gov/real-id-public-faqs

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 notification is received. Air, insurance premium and no-shows are always non-refundable.

Travel Insurance: SantaLucia Travel, LLC recommends the purchase of Travel Protection that can help minimize the monetary loss incurred due to unforseen events beyond your control such as: cancellation, missed connections, baggage loss, trip delay, and especially medical emergencies. Quotes and coverage options will be provided upon request.

I agree to the to the Disclosure & Consent Terms as described in this online form above. *

I agree

Change/Cancellation:

I have been advised of potential change/cancellation charges that may be implemented by the supplier in the event that I choose to cancel or change my booking after making the initial deposit. *

I agree

Additional Comments

Card Holder Authorization

I, the above-named authorized credit card user give SantaLucia Travel, LLC and its representative(s) express authorization to process a charge not to exceed the amount indicated above for travel components and services rendered by SantaLucia Travel and/or one of it's 3rd party vendors as indicated in the Authorized Supplier Field(s) above.

I understand that this form constitutes a legally binding contract and that by affixing my signature to this form, I will be held responsible for all agreed upon (as stated above) charges as well as any and all collection and legal fees. This credit card is authorized for only the charges noted above. By signing this "Credit Card Authorization" form, I/my organization acknowledge receipt and understanding of its contents, including its "Explicit Authorization" clause.

By submitting this form I acknowledge that I have been advised to purchase Travel Insurance to protect my travel investment in the event that non-refundable payments are lost due to unforeseen circumstances as well as agree to the Terms and Conditions listed below.

By signing in the box below, I agree to the accuracy of the information disclosed within this form and expressly acknowledge my acceptance of the condition as applicable to my purchase. I authorize SantaLucia Travel, LLC to process the charge on my credit card for the amount specified with the vendor(s) above. I agree to this being my signature by electronic transfer to SantaLucia Travel, LLC. *

Sign using a mouse (hold down the left mouse button), or if using a device with a touch screen, use your finger or a stylus. Clear

Enter the message as it's shown *

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.

SANTALUCIA TRAVEL, LLC
an independent affiliate of Nexion Travel Group

3456 Parkwood Cmn
Hamburg, NY 14075

getaway@santaluciatravel.com

(716) 481-8823

www.santaluciatravel.com