EmailMe Form - Agency Transaction Request Form

Travel Agency | Transaction Request Form

Today's Date *

MM / DD / YYYY

Which vacation specialist are you working with currently? *

LaTasha Williams

Transaction Type *

Travel Quote/Plan-To-Go-Fee

Group/Wedding Service Fee

Additional Revision/Quote Request

Final Payment Deadline Extension Request

Name/Reservation Change Request

Trip Cancellation Request

FlexPay Travel Financing Request

Destiney's Adventures LLC Travel Agency Fees

*Additional Revision/Quote Request: $25 processing fee.

*Customized Vacation Service Fee: $25-$250 per request. It covers a fully inclusive quote based on your specific request and up to two revisions.

*Final Payment Deadline Extension Request: $25 (extensions are not guaranteed).

*Group/Wedding Service Fee: Varies Based On Option Selected In Contract.

*Name/Reservation Change Request: $30 (after the first change or change to the reservation).

*Trip Cancellation Fee: $50 per person.

*FlexPay Travel Financing Request: $25 processing fee.

Reservation Number *

Please enter Reservation Number, Group Code or Promotion Code if applicable.

Name *

First MI Last Suffix

Please provide your FULL NAME as it appears on your passport OR birth certificate. (Your form of identification must match your boarding pass).

Date of Birth *

MM / DD / YYYY

Gender *

Phone Number *

### - ### - ####

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Would you like travel protection options sent at this time? *

Travel protection is not mandatory but is highly recommended to help protect your investment, which can be added at the time you secure your deposit or at any point PRIOR to the date of departure. Travel protection is NOT included in the rate and is an additional NON REFUNDABLE cost that will be an additional cost. Insurance should ideally include ALL upfront expenses for your trip i.e. airfare, hotel stay etc. However, if you have any pre-existing medical conditions you should consider obtaining travel insurance within 14 days of securing your trip. Travel protection applies to the supplier ONLY and does not cover agency cancellation fees or penalties.

We will ask you to confirm, accept or decline travel insurance on every single payment you submit for your trip.

Legal Travel Requirement Acknowledgement *

I acknowledge that all of the information above is correct. By signing this form I am giving authorization for Destiney's Adventures LLC, and its authorized agents and/or the travel supplier to charge my card for all charges listed.

I acknowledge that I was informed that I have to be legally able to travel for this trip, and I understand that it's my responsibility to have the required documentation, at the time of travel. There may be some entry and exit restrictions based on each country for visitors. These restrictions are set forth by the foreign governments and include DUI's, health concerns & vaccinations, child safety and support, offensive actions or any felony arrest history. It is every traveler's full responsibility to check and verify entry, exit, passport, vaccination and visa requirements. To avoid entry or exit issues please visit https://travel.state.gov/

Vaccination Travel Disclosure *

I acknowledge that all of the information above is correct. By signing this form I am giving authorization for Destiney's Adventures LLC, and its authorized agents and/or the travel supplier to charge my card for all charges listed.

I acknowledge that various restrictions are being placed on unvaccinated visitors by foreign governments, restaurants, sites of interest, etc. Destiney's Adventures LLC Travel Agency suggest that all travelers be fully vaccinated before traveling. If vaccinated, travelers should bring their COVID-19 vaccination cards with them as they may be asked to produce it upon entry to various countries and/or establishments.

Electronic Signature Agreement Terms *

By providing your name below and selecting the "Submit" button, you are signing this Agreement electronically.

You agree that your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting the "Submit" button you consent to be legally bound by this Agreement's terms and conditions.

Do you own this card? *

Are you an authorized user of this card? *

Name on credit card *

First MI Last Suffix

Credit Card *

Payment Amount *

Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Multiple Choice *

I acknowledge that all of the information above is correct.

By signing this form I am giving authorization for Destiney's Adventures LLC Travel Agency, authorized agents of Destiney's Adventures LLC Travel Agency and/or the travel supplier (ALG: Funjet, Southwest, Blueskys Tours, United Vacation, Delta Vacations, Vacation Express, Apple Vacation, Carnival, Norwegian Cruise Line, Royal Caribbean, Europe Express, GoWay, GoGo Vacations or any other supplier Destiney's Adventures LLC Travel Agency choses to use) to charge my card for all charges listed above. I also acknowledge and accept the terms and conditions stated by Destiney's Adventures LLC Travel Agency and I agree to waive any charge back rights.. I understand that returns, refunds, and cancellations are at the discretion of Destiney's Adventures LLC Travel Agency & the supplier, and fees may apply.

Terms and Conditions *

I understand and agree to the following terms and conditions https://trips.destineysadventures.com/termsandconditions

Electronic Signature Agreements *

Acknowledgements

1. By providing your name below and selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting the "Submit" button you consent to be legally bound by this Agreement's terms and conditions.

2. IMPORTANT INFORMATION REGARDING COVID-19 AND IMPACT ON TRAVEL Please be advised the travel Itinerary included with this payment is for travel with COVID-19 being a known global risk. You should be aware that COVID-19 and the health and security measures around COVID-19 may impact elements of your trip and influence the operation of some travel services. The country you and your group reside in, the country or countries you are travelling to or via, and the airline(s) you are travelling on may all have strict requirements on travel to limit the spread of COVID19. These requirements may include but are not limited to:  Wearing of masks at airports, while in flight and when out in public.  Active testing for COVID-19 that may include blood testing before permission is granted to board any flight or enter a country.  Being able to show proof of health via formalized means (Certificate or similar)  Subject to screening on arrival at your destination country or any transit countries.  Subject to quarantine periods in any country subject to screening results.  Changing restrictions on sightseeing, due to closures or other public health concerns.  Subject to limitation/restrictions on travel to the destination by your country of residence/citizenship.  Possible compulsory quarantine on return to your country of residence/citizenship. COVID-19 is causing constant and ongoing changes in the application of the above types of measures and the way an airline, airport or country chooses to deal with the threat of COVID is constantly changing. It is the individuals responsibility to keep themselves informed of all requirements in relation to their trip and any COVID-19 based restrictions, and we suggest these are constantly monitored right up until departure, as they can change at any time. The same applies to all members of a group who may be travelling. Destiney's Adventures LLC Travel Agency including any of it's suppliers are not liable for any loss due to failure to read and understand this information, as the considerations included in this document may be critical to your upcoming trip. For more information, Destiney's Adventures LLC Travel Agency recommends consulting the US Government websites for any specific travel advisory information pertaining to you or your group’s destination(s). TRAVEL INSURANCE WIIL BE OFFERED AND IS HIGHLY SUGGESTED.

3. I acknowledge that various restrictions are being placed on unvaccinated visitors by foreign governments, restaurants, sites of interest, etc. Destiney's Adventures LLC Travel Agency suggest that all travelers be fully vaccinated before traveling. If vaccinated, travelers should bring their COVID-19 vaccination cards with them as they may be asked to produce it upon entry to various countries and/or establishments.

Signature *

Clear

Please provide your name as your signature below. *

First MI Last Suffix