NOTICE:  This form is "Printer Friendly". Please remember to  print this form for your records by  selecting "PRINT" from the File Menu in your browser BEFORE selecting the SUBMIT button below...

NOTICE: If you have made previous online payments AND your Account (Checking or Credit) is already on file, CLICK HERE...

 

BMD Travel and Tours

Vacation Registration & Payment Form

Name of Responsible Party:

Address:

City:

State:

Zip:

Home Phone:

Day Phone:

Mobile Phone:

Anniversary: Date of Birth: Country of Birth:

Email Address(es):

Reservation/Booking #:

If applicable, enter individual Booking #: (optional)

Departure Date: (optional)
BMD Reservation Agent:

I will be sharing a room with...

(You may enter up to 4 Names along with Age, and Birthday Information...)

Room Preference:

Garden View (No Pref)

Bedding Preference:

Are you interested in purchasing...

Airport transfers???

Yes    No
Purchase Trip Cancellation Insurance:

Passport Name Here:

   Psg #1:

   Psg #2:

   Psg #3:

   Psg #4:

Passport Number

Date Issued

Exp. Date

City Issued

**Effective January 1, 2007, Passports are required for ALL travel outside of the United States.

If using birth certificate, 

indicate State Issued:

Psg #1

Psg #2

Psg #3

Psg #4

Driver’s License, indicate Issuing State:

Psg #1

Psg #2

Psg #3

Psg #4

Special Needs/Requirements (i.e. diet, handicap, etc…):

BILLING INFORMATION...

Method of Payment: 

Amount Authorized: 

$

Emergency Contact (Name / Phone):

If Credit Card or Check: Complete the applicable Credit Card or Check Payment Authorization Form (see below). If Passenger 2 – 4 is paying separately, please complete and sign/submit a registration and authorization form for each payment. 

REFERRALS: If you would like for BMD Travel and Tours to contact someone else about this cruise, please enter their Name, Mailing Address, Email Address, and/or Phone Number in the space provided below.

I authorize BMD Travel and Tours  to process my payment  for the amount indicated above (Required for Processing your payment): 

Name: Date:

NOTICE: Your signature/entry above also indicates your acceptance of the Terms and Conditions outlined below.

 

...Continue On To The Check or Credit Card Payment Authorization...

 

 

BMD Travel and Tours

Authorization Form

Credit Card Authorization Form

To process your credit card using BMD Travel and Tours, LLC's secured credit card processing, simply complete the registration form and select the "Complete Your Payment" button below.  You will then be directed to our secured Check or Credit Card payment forms to process your payments.

*Amount: $
Complete the credit card information below ONLY if faxing or mailing your registration form.

Name on Card:

Billing Address:

City, State, Zip:

Phone:

Account number:

Exp. Date:

**Security Code:

Amount:

Confirm Payment Schedule:

One-time

Weekly

Bi-Weekly

Monthly

**Your "Security Code" can be found on the "back" of the your Visa and MasterCard credit cards, The Security Code is normally the last 3 digits on the "Signature Box".  American Express' 4-Digit Security Code may be found on the front of the American Express Credit Card. The 4-Digit Security Code are the un-raised/flat digits found to the upper left of the "raised" credit card number.**

Automatic Check Draft Authorization Form

To process your check payment using BMD Travel and Tours, LLC's secured e-check payment processing, simply complete the registration form and select the "Complete Your Payment" button below.  You will then be directed to our secured Check or Credit Card payment forms to process your payments.

*Amount: $
Complete the check below ONLY if faxing or mailing your registration form.
Please enter your name and address. 
*Name
*Street
*City,state zip
Country
Phone number
Please enter your bank name.
Bank Name
Country
REFERENCE * DATE * CHECK NO. * AMOUNT
TO THE 
ORDER
OF
BMD Travel and Tours
11601 Shadow Creek Pkwy #111-124
Pearland, TX 77584
877
-406-8820
SIGNATURE NOT REQUIRED
Your depositor has authorized this payment to payee.
Payee to hold you harmless for payment of this document.
This document shall be deposited only to the credit of payee.
Signer's Name
AUTHORIZED SIGNATURE
MEMO 
  *Bank Routing Code   *Bank Account Number  
 

Confirm Draft Schedule:

One-time

Weekly

Bi-Weekly

Monthly

 

**I authorize BMD Travel and Tours to debit my checking account or process my credit card for the amount indicated above (Required for Processing your registration):   

  Yes    No

Name: Date:
NOTICE:  For ALL Check or Credit Card Payments:  BMD Travel and Tours gladly offers automatic debiting.  To initiate, simply complete an "Automatic Debit Request" form with your credit card or check information, including the desired debit amount, and select the frequency of the automatic debits.  We will reply with a confirmation email to confirm your request.  In addition, you will receive an email to confirm every subsequent debit, after processing has been completed.

Submit, Mail or Fax this form along with your 

non-refundable / non-transferable deposit/payment to:

 

BMD Travel and Tours

Attn: Accounting

11601 Shadow Creek Pkwy #111-124

Pearland, TX 77584

Fax: (817) 282-2597

   Call:  Toll-Free (877) 406-8820 Ext. 87

   Email payments@bmdtravel.com

 

 

You may also submit your credit card or check payments by printing this completed form, along with a copy of your check or credit card and driver's license or state issued ID (front & back) and mail or fax to:

 

BMD Travel and Tours

Attn: Accounting

11601 Shadow Creek Pkwy #111-124

Pearland, TX 77584

Fax: (817) 282-2597

*If paying by check, please attach check(s) to corresponding forms for ease of processing. 

Thank You!

 

 

 

 

 

 


Terms & Conditions (***Keep For Your Records***):

NOTICE: You are responsible for contacting your booking agent to CANCEL YOUR RESERVATION. If you DO NOT cancel your reservation prior to the penalty period (seven (7) months or 210 days of scheduled departure), AND you have paid LESS than the per person penalty amount on your account, THEN you will be responsible for paying the outstanding amount due. Please be aware...your group's travel documents will NOT be released by the cruise line until this balance has been satisfied in full. As a result, we strongly encourage all cancellations to be communicated to your booking agent prior to the 210 day deadline. Please consult your agent should you have any questions about our cancellation policies.

INSURANCE: Protect your travel investment. We strongly encourage the purchase of insurance which covers you if you are prevented from traveling due to an injury, sickness or other covered events. Airline and other travel suppliers insurance for baggage have limited liability. Your personal insurance may not adequately cover losses incurred by cancellation, accident, illness or stolen or damaged property. We strongly urge you to purchase additional insurance offered to you. If you have pre-existing conditions, you must purchase your insurance at the time of your deposit.

LOST DOCUMENTS: After you receive your documents, you are responsible if they are lost, stolen, or destroyed. You will have to pay for the replacement cost, express mailing of new documents and a $25 handling fee.

RESPONSIBILITY: This travel agency acts only as agent in all matters connected with the making and securing of reservations for transportation, accommodations, tours, and/or other arrangements for the retail clients of this agency and for various disclosed principles and contractors in the for of airlines, ship lines, tour wholesales, limousine services, and owners or contractors providing accommodations, transportation, and/or other services, hereinafter referred to as "suppliers." This travel agency does not own, manage, control, or operate any transportation vehicle, hotel, restaurant, insurance company, tour or sightseeing company or any other service that would fit into the classification of "supplier." As an agent, all related tariffs as well as the terms and conditions specified are by each "supplier." The acceptance of coupons, exchange orders, receipts, contracts, and tickets shall be deemed to be consent to the foregoing conditions and also to the further condition that neither this agency nor any of its representatives shall be or become liable or responsible nor liable for defaults of "suppliers" or any other person, company or incorporation not directly under its control.

BMD Travel and Tour’s Refund, Cancellation, and Change Policy for Cruises...

Up to 76 Days (2.5 months) prior to travel: BMD Travel and Tours will NOT impose a fee to process any change requests to any cruise reservation. However the $50 NON-REFUNDABLE/NON-TRANSFERABLE per person deposit, will be imposed for any cancellation requests up to 76 days prior to the scheduled departure.

46 to 75 Days prior to travel: BMD Travel and Tours will NOT impose a fee to process any change requests to any cruise reservation. However, a $250 per person fee will be imposed for any cancellation requests between 46 and 75 days prior to the scheduled departure. All other change and cancellation penalties imposed will be by and at the discretion of the cruise line, based upon travel insurance, if purchased.

31 to 45 Days prior to travel: BMD Travel and Tours will NOT impose a fee to process any change requests to any cruise reservation. However, any cancellation requests between 31 and 45 days prior to the scheduled departure will incur a 60% Cancellation Penalty. All other change and cancellation penalties, if applicable, will be imposed by and at the discretion of the cruise line, based upon travel insurance, if purchased (highly recommended).

0 to 30 Days prior to travel: BMD Travel and Tours will impose a $75 fee to process any CHANGE requests to any cruise reservation. However, any booking cancelled within 30 days of the scheduled departure, if the travel cancellation insurance was not purchased, will be penalized at 100% of the cost of the cruise vacation, resulting in "No Refund".

Trip Insurance: If Trip Insurance is purchased, and you need to cancel your cruise reservation for any covered reason, all funds will be refunded except $25 per person and the cost of the insurance. Note: Insurance covers baggage, trip cancellation/interruption* and medical expense coverage for your vacation. Remember, most major medical policies do not provide coverage outside the U.S. ATTN: Reason for cancellation must be a medical condition or other covered cause deemed by the contracted insurance company.


Although not required, BMD Travel and Tours strongly urge the purchase of Trip Cancellation Insurance. Contact your agent for detailed pricing, policy information, and coverage options. NOTE: If purchased, you will receive a copy of the Cruise Vacation Protection Plan within 7 days of coverage. 

Proof of Citizenship is required to travel.

O Effective January 1, 2005, A Valid Passport is the ONLY valid proof of citizenship for travel outside of the United States. Prior to January 1, 2006, a Valid Passport  OR State issued copy of Birth Certificate AND government issued pictured ID (Valid Drivers License or State ID)

O An Original Marriage Certificate may be required when surname is different from birth record

 

Note: Please ensure you provide the date-of-birth and the legal names listed on the official documentation.

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