Payment Form

In this area, you can enter your secure payment information and it will be sent to your Travel Consultant to apply. By clicking submit, you authorize The Travel Gals to charge your credit card the amount designated in this form and accept all terms and conditions of your package. Terms & Conditions

Client Name*
Booking Number*
Travel Consultant*
Insurance (For Deposits Only)
- Insurance Accepted
- Insurance Declined
By declining the insurance I acknowledge that any change or cancellation will result in penalties up to the full package price.
Payment Amount*
Credit Card Number*
Expiration Date*
CVV Security Code*
Name on Card*
Billing Address*
Street Address City State ZIP Code
Billing Phone*
Email Address*
Comments
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Name
This field is for validation purposes and should be left unchanged.