EmailMe Form - Vacation Deposit Form (2024)

Primary Name On The Booking *
First Middle Last
As it appears on the passport/government issued identification
Date Of Birth *
MM / DD / YYYY
Gender *
Female
Male
Phone *
### - ### - ####
Email *
Travel Dates *
Departure Airport *
PLEASE PUT N/A IF A FLIGHT IS NOT INVOLVED.
SkyMiles Number *
REQUIRED IF FLYING WITH AMERICAN AIRLINES.
Seat Preference
NOT GUARANTEED
Hotel/Resort *
Room Type *
Group Organizer/Group Name
Will you be rooming with others? *
Yes
No
Please provide the booking mate information:

Full Name, Date of Birth, Gender, Departure Airport, Seat Preference, SkyMiles #, & E-mail address
Name on the Credit/Debit Card *
First Last
Billing Address *

Street Address City State / Province / Region Postal / Zip Code

Please complete your full address including your zipcode.
Authorized Amount *
$ Dollars . Cents
MINIMUM DEPOSIT required to initiate reservation.

You MUST pay the balance in full prior to Final Due Date or if booking within 45 Days of Traveling.
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.
Authorization of Charges *
I do authorize
As named Cardholder; I Authorize: The Experience By Sommer Monike/Agent- Sommer Monike to immediately charge my credit card the above amount, as needed to complete the reserved Travel Package account for the Traveler listed above.
Travel Protection *
ACCEPT: I have selected to PURCHASE Travel Protection as offered by The Experience By Sommer Monike. I have reviewed the Policy Coverage and accept that the policy meets my desired protection plus I understand that cost is non-refundable.
DECLINE: I acknowledge that I have received Travel Protection information and quote; I am WAIVING access to these coverage provisions by DECLINING to purchase the travel protection offered by The Experience By Sommer Monike for my travel plans.
**If ACCEPTING: I have added the travel protection cost to the deposit amount and/or intend to pay the additional amount within the grace period, if applicable. Travel Protection Costs are always non-refundable.

**If DECLINING: The Experience By Sommer Monike will not be held liable for any financial losses incurred from failure to purchase travel protection coverage. Travel Protection Costs are always non-refundable.
Change Policies *
I agree that should I make any changes after I book then there is a change fee of $35 will be charged by The Experience By Sommer Monike in addition to any fees charged by the resort/hotel or airline, if travel protection is NOT purchased.
Changes include dates, number of travelers, flights, destination, and etc.
Cancellation Policies *
I agree that should I cancel and did not purchase trip protection that I forfeit all money paid. I ALSO agree that there is a $35 per person administration fee that The Experience By Sommer Monike imposes that is also nonrefundable.
Your trip will not be cancelled until you have contacted The Experience By Sommer Monike in writing of your cancellation request.
Booking Mate Cancellation Policies *
I agree and understand the booking mate cancellation agreement and policy listed below:
I am aware that in the instance that myself or booking mate cancels that the parties left on the booking will be affected. Their individual price(s) will increase since the occupancy is changing.
Signature *
Clear