Estes Consultant of Travel Client Information Form Logo
  • Agent:                Tammy Estes

    Agency:               Estes consultant of Travel

  • Client Information and CC Authorization Form

  • Contact Information:

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  •  Trip Details:

    If known at this time: (this may be filled in later)

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  • Passenger Names: (Please List Full Legal Names of All Passengers)

  • Full names must be listed as they appear on your government issued identification and /or passport for all travelers. If additional space is needed use the space located at the bottom of the form. If you are not sure what identification you will need for your trip consult with your travel agent now.

  • Please include the information of the person completing the form, if that person is traveling.

  • Birth certificates are only required in certain circumstances. If a child under 16 is traveling with you, you can choose other if you are traveling Domestically or Birth certificate and/or Passport if you are traveling Internationally. If you are NOT SURE what id you need please contact me now. This will vary based on method of travel.

  • An actual Passport is needed should an emergency occur and passengers need to fly home from a foreign port or country.

    * A certified copy of a birth certificate is only acceptable for most "closed loop" cruises, (departing from and returning to the same US port.)  Please check with your travel agent for all entry and exit requirements for your destination well in advance. This also includes Visa information.


  • Travel Insurance:


  • Passports/Visas:


  • Change/Cancellation:


  • Credit Card Information: Form is sent via a secure connection and only accessible by Estes Consultant of Travel. However to remain PCI complaint we can only collect the last 4 digits to be stored on this form or we can be charged heavy fines. This is for your safety as well as ours. Please email the 1st 12 digits in one email and the CV code from the back of card in a separate email both with subject lines "my trip detail" to tammy.estes@estestravel.com.  This will be kept separate from the last 4 digits initially entered.  Credit Card information is NOT kept on file at our office for security purposes unless you specifically request us to.

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  • Card Holder Authorization

    I, the above-named authorized credit card user, give Estes Consultant of Travel. and its representative express authorization to charge my credit / debit card for the purposes detailed 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 charges in expressed writing as well as any and all collection and legal fees (if required). This credit/debit card is authorized for only the charges I approve in advance in writing. By signing this "Credit Card Authorization" form, I/my organization acknowledge receipt and understanding of its contents, including its "Explicit Authorization" clause. 

  • Disclosure and Consent

    We make every effort to honor the package price quoted originally, however; under certain circumstances your price may be subject to increase prior to full payment due to an increase in the cost for one or more of the travel components of your package. We will always notify you in such an event and require your written approval to proceed in advance of charges incurred.

    Prices will not increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees. 

    By signing below, you expressly acknowledge your acceptance of these conditions applicable to your purchase and by signing your name and initials you have read and agreed to this being your signature by electronic transfer to Estes Consultant of Travel.

    https://www.transportation.gov/airconsumer/

     

  • By signing below, I agree to the accuracy of the information disclosed within this form and to the authorization to charge my credit card for the amount specified above.

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  • 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 or as you so declare in writing.

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