EmailMe Form - Stacey Ackley's Wedding Reservation Form

EmailMeForm

Select Type of Payment *
Please provide each traveler’s name EXACTLY as it appears in their passport and date of birth. Include middle names or middle initials if they are on your passport.
How many guests? *
1. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
2. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
3. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
4. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
5. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
6. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
7. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
8. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
9. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
10. Name
Gender on Government Issued ID
Date of Birth
MM / DD / YYYY
Dates of Travel
Please enter travel dates as a 2 digit month, 2 digit day and 4 digit year. Example: 01/01/1977
Departing *
MM / DD / YYYY
Returning *
MM / DD / YYYY
Travel Package Details
Name of Destination Wedding Couple/Wedding You Are Traveling With? *
Room Category Selected: *
Bedding Request: *
Many resorts will not guarantee bedding prior to check in. Bedding is on request only UNLESS a category is selected that guarantees your bedding choice.
Insurance
Travel insurance is not automatically included in your package. Reduced rate group insurance or cancel for any reason insurance (if available) MUST be purchased with deposit. Insurance is highly recommended as travel suppliers, airlines and resorts often charge fees for trip change/cancellation after payment has been made. Dreams and Destinations, Inc. is not responsible for penalties or fees should you change or cancel your trip. The cost of insurance is nonrefundable and insurance policies are non-transferable. Travel insurance does not cover increased cost related to changes in occupancy.
Are you purchasing travel insurance? *
Yes
No
Insurance MUST be included in your total RSVP deposit below to purchase
If "No" Please Initial
I am aware of the recommendation to purchase travel insurance and that the reduced rate group insurance will be unavailable to purchase after the initial deposit. I am waiving the purchase of insurance at this time.
Billing Information
Name *
First Last
Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email Address *
Phone Number *
### - ### - ####
Credit Card and Payment
Room Deposit Amount: *
$ Dollars
Total room deposit for all guests in your room. IF you are sharing with a roommate and paying separately please include only your deposit amount.
Please provide the insurance payment amount (if you declined insurance please put 0.00) *
$ Dollars
Total insurance amount for selected policy being purchased for guests listed above. Policy information and insurance rates can be found at the bottom of the couple's wedding webpage. Insurance must be included with deposit.
Total Deposit Amount Today *
$ Dollars
Total amount from room deposit and insurance payment boxes
Credit Card Company *
Credit Card *

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Additional Comments?
Signature (Use finger or mouse to sign) *
Clear
By submitting, you certify that you are the cardholder and are authorizing Dreams and Destinations, Inc. or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable. This charge will be manually applied by your Dreams and Destinations travel professional to your reservation. If there are any issues, your agent will notify you. Please note, depending on the supplier used, that you may not see a charge from Dreams and Destinations on your credit card statement; the charge may come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize Dreams and Destinations, Inc to use the above information to charge my credit card the stated amount.
Terms and Conditions *
I Agree to the Terms

Please provide each traveler’s name EXACTLY as it appears in their passport and date of birth. Include middle names or middle initials if they are on your passport.

Dates of Travel

Travel Package Details

Insurance

Billing Information

Credit Card and Payment