CLIENT PAYMENT & INFORMATION FORM

PLEASE NOTE:

When supplying your credit card information to Magical Moments Vacations:

1. Your credit card will not be charged by Magical Moments Vacations

2. Your credit card information will be used to apply your payment directly with the supplier

3. Your credit card will be charged by the supplier at the time your payment is actually applied to the supplier by your travel agent. This is not instantaneous.

4. All credit card information is stored via a SSL Secured Server and relayed in an encrypted manner to the travel agent of record. The safety and privacy of our client's personal information is our highest priority.

PERSONAL INFORMATION

Your First Name *

Your Last Name *

Your Email Address *

Select Your Magical Moments Vacations Agent * 🛈

If your agent wasn't listed above, please input their first and last name here: *

Please let us know how you found us: *

Facebook

Internet Search

Other Social Media Site

Referral - Please indicate whom we can thank! Referral - Please indicate whom we can thank!

Phone Number *

RESERVATION INFORMATION

Reservation Type *

Trip Deposit / Initial Payment

Subsequent Payment on Existing Reservation

Submitting Names and/or Passport Info Only

Agreeing to Terms & Conditions Only *No Payment

Confirmation/Reservation # (If you don't have one yet, put None) *

Lead Guest Name (First and Last Name) *

Passport Requirement - Please select below: *

No - My destination does not require a passport

Yes - Passports are required for our destination, and we already have them

Yes - Passports are required for our destination - and we need to obtain them prior to travel *Please inform your agent