Agent Name: Joyce Ellis
Passenger Names: (Please List Full Legal Names)
Full names must be listed as they appear on your government issued identification and passport for all travelers. If additional space is needed use the space located at the botton of the form.
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.
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 Joyce's Journeys. http://airconsumer.dot.gov/rules/EAPP_2_FAQ_01-11-2012final.pdf
Note: Following submitting this form, I will need to call you for the complete credit card number.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.
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.