CWA Destinations Cruiser, Weekender, Adventurer

Trip Payment Options

Payment Options

Down Payment for Booked Trip

Recurring Payment for Booked Trip

Final Payment for Booked Trip

Full Payment for Booked Trip

CWA Destinations Payment Authorization Form

Thank you for choosing CWA Destinations to design your vacation. Please complete this form to authorize payments and accept/decline travel insurance for your upcoming vacation and/or itinerary.

InteleTravel.com is pleased to confirm the following travel arrangements. To complete your transaction and confirm
your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website, www.InteleTravel.com, or it's affiliates. Charges are payable ONLY to InteleTravel.com or the hotel, resort, tour operator, cruise line or other travel supplier. Independent Travel Agents may not accept and process charges through any other account, or accept checks, cash or other forms of payment.

Trip Booking Number

Name as it appears on Card

Billing Address

Apt/Suite

City/State and Zip Code

Email Address

Phone Number

Authorized Payment Amount

Credit or Debit Card Number

Expiration Date

Digital Security Code

Card Type

Visa

Mastercard

Discover

American Express

TRAVEL INSURANCE WAIVER

For your protection, travel insurance is strongly recommended and available upon request from InteleTravel.com. You can enroll online for travel protection for medical expenses, baggage delays/loss, trip delay or cancellation, and other coverages. Your Independent Travel Agent can also arrange coverage for you if you wish. For an online insurance quote and purchase, ask your travel advisor.

To decline recommended travel insurance, your signature on this insurance waiver form is required. Final Travel Documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver.

I am purchasing or have already purchased travel insurance with my travel agent

Yes

No, I am declining insurance at this time. I will contact my travel agent when/if I am ready to purchase travel insurance.

I have ACCEPTED and authorized the travel purchases above, including travel insurance, and I am aware the insurance premium is not refundable.
(PROTECTION PLANS ARE NOT INSURANCE, uncheck the travel insurance box.)

Your Signature to authorize payment, and/or ACCEPT insurance

Today's Date

or

I have ACCEPTED and authorized the travel purchases above, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I have read and understand all cancellation charges and change fees related to the above travel arrangements, and that I may not be entitled to a full refund should my travel plans change. In case of cancellation of nonrefundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier’s rules.

Your Signature to authorize payment, and/or DECLINE insurance

Today's Date

IMPORTANT: All rates subject to restrictions, availability and change. See www.InteleTravel.com for complete terms and conditions.InteleTravel.com is registered with the States of Florida (ST-32452), Washington (602-735-106), California (209-1941-40), Iowa (977), and Hawaii (TAR 6732) as a seller of travel. InteleTravel.com uses the personal data you disclose about yourself on this form only for the purpose of processing your requested travel purchase. We retain your personally identifiable data only as long as that processing requires. We do not share any of your personal data with any third party except for the purpose of completing your purchase, and then only with third-party travel providers and credit card processors who protect and only process your personal data for the limited purpose of this travel purchase. Following the completion of your travel that is the subject of this transaction, your personal information shall be securely destroyed unless InteleTravel.com is required by law to retain it, and then it will be retained only for that limited legally required purpose. For complete details regarding the protection of your personal information, please see InteleTravel.com’s Privacy Policy posted at www.inteletravel.com. © InteleTravel.com 2020

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