Booking Form - Wishing Well Travel

We are so excited you chose Wishing Well Travel for all your vacationing needs! We are happy to help make your vacation the best and most magical experience it can be. If at any time you need to make changes, additions, or have concerns, please do not hesitate to contact your personal travel agent at their number provided to you in your vacation quote email. We are here for you!

Please fill out the form below to give us permission to process your credit card to purchase your wonderful vacation. All information gathered is secure and we guarantee that all your information is kept safe. This step is simply to ensure you that your credit card information is in secure hands and that you will not be charged any fees without your prior consent and knowledge. If you have any questions about this form contact your personal travel agent.

Agent *

Name on reservation *

Email *

Names of everyone in your traveling party. Please include ages of all children. *

Payment Options *

Deposit (Future payments will be processed at clients request)

Payment

Full Amount

Amount of Payment *

Please tell us how much you

Name as it appears on Credit Card

Credit Card

Credit Card Number

Expiration Date

CVC Code

Billing Address *

Is your mailing address the same as your billing address? *

Yes

Mailing Address if different from billing

Phone Number *

Flight Information for Ground Transportation (airline, flight #, arrival & departure times)

Dietary Needs - Please list any allergies or dietary restrictions of anyone in your traveling party

Special Celebrations or requests

Additional Information -

Wishing Well Travel highly recommends vacation insurance be added to all travel destinations to help ensure any problems that could arise from vacation cancellation, interruption and delays that could result in loss of time or money. *

I decline vacation insurance

I accept vacation insurance - add at booking

I accept vacation insurance - add at final payment

Terms & Conditions

Affiliation and Responsibility 

Wishing Well Travel is an independent travel company. Wishing Well Travel issues travel documents in the sole capacity as agent for the supplier as indicated in travel documents, brochures, quotes or other communication. As the agent of the supplier, Wishing Well Travel  does not assume the responsibility for the cancellation or substitution of service by the supplier, financial default of the supplier, refunds or unused services to be provided by the supplier, or any obligation, service or monies not the specific responsibility of Wishing Well Travel . 

Authorization  

The person submitting this form, being at least eighteen years of age and a legal resident of the United States or Canada, is hereby authorizing Wishing Well Travel to purchase travel and/or other associated travel components with the Credit Card provided. 

Wishing Well Travel must make deposits, progress payments and final payments using its client's credit card(s). Authorization for such payments is granted upon client's submission of his/her payment information to Wishing Well Travel via this web-based submission form. Wishing Well Travel will retain credit card information for future payments in a secure location until time of travel is complete.  Wishing Well Travel  will not apply payments for the client without the client's express permission, granted herein. Wishing Well Travel shall not be held responsible for cancellation of travel by the supplier if resulting from late final payment. 

Accuracy of Information  

The person submitting this form hereby attests, under penalty of law, that he/she is the rightful owner of the Credit Card or Gift Card being used.  Furthermore, the person submitting this form also attests that the billing name and address provided are correctly associated with the payment method used. 

Vacation Protection Insurance  

By submitting this payment, and therefore accepting the Vacation Quote and these Terms and Conditions, the client agrees that he/she was provided the option to purchase Vacation Proection Insurance (except residents of the state of Washington), and made the decision, on their own, to Accept or Decline such insurance. 

Destination Terms and Conditions  

By submitting this payment, and therefore accepting the Vacation Quote and these Terms and Conditions, the client also acknowledges and agrees to the specific Terms and Conditions established by the respective vacation destination, including cancellation policies.  If at anytime the client wishes to no longer work with Wishing Well Travel, the reservation will be cancelled at the clients expense for any cancellation fees based on the destinations terms, conditions and policies. Wishing Well Travel reserves the right to cancel any reservation if we deem it in the company's best interest. 

Acceptance  

By checking the box below, and by clicking the "Submit" button, you are authorizing Wishing Well Travel to reserve the specified vacation on your behalf, using the method of payment provided above. Furthermore, you agree that you have read and understand all of Wishing Well Travel's Terms and Conditions, and that you understand the cancellation policies and penalties that apply to your vacation.

Agree to Terms *

I agree to the Terms & Conditions above

Electronic Signature *

If you are human, leave this field blank.