Credit Card – Guru Travel

Name:*

First

Last

E-mail:*

Phone:

Area Code

Phone Number

Reservation Number (may leave it blank if you do not have one):

Name of your Guru Travel Professional: *

Amount to Charge:

Select Payment Method:

Visa

Mastercard

American Express

Discover

Credit Card Number:

Expiration Date:

Security Code (found on back):

Address:*

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

I am hereby confirming that the names on the reservation are spelled correctly as shown on our government ID's. I further understand that there may be fees imposed to make any changes once the deposit has been made.

Yes, the names match the government ID's exactly.

No, please contact me for changes

I acknowledge that I have been offered travel insurance by my Guru Travel, LLC agent. *

YES

Guru Travel recommends the purchase of travel insurance. I hereby verify that I have reviewed my travel itinerary for accuracy. I have been advised of all fees imposed by suppliers, and I have been offered the option of purchasing travel insurance. I understand that any changes to my reservation may result in additional cost and/or penalties. Please indicate what you have decided below: *:*

Yes - Travel insurance is included in my reservation.

Yes - I wish to purchase travel insurance, please contact me.

No-I have not included travel insurance nor do I wish to add it at this time, and assume all responsibilities for any fees or penalties that may arrise .

Please type in your name as your electronic signature to verify the information above. Must include both first and last name or the charges will not be accepted by Guru Travel, LLC. *

Notes for your agent: