BMD Travel and Tours

Vacation Package 

Payment Form

Click for Live Support!

NOTICE: If you have made previous online payments AND your Account (Checking or Credit) is already on file, CLICK HERE...
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.
Group Name/Lead Client:
Reservation/Booking #:
or
Destination:
Departure Date:  
BMD Reservation Agent:

     

Name                                        Age           Date of Birth
Passenger #1:

       

Passenger #2:         
Passenger #3:          
Passenger #4:

       

 Include Trip Cancellation Protection Insurance   Yes    No

Lead Client/Passenger #1 Address:

Select Address Type: 

Contact Phone  (include area code):
Contact Email Address:   
Document Shipping Address, (if different from above):

NOTE:  Please, only one payment form per room, even if multiple rooms are reserved with the same booking number. 

Method of Payment:   

Credit Card   Check

Credit Card Payment:         

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: $

I authorize BMD Travel and Tours to charge my credit card for the amount

indicated above (Required for Processing your registration):     Yes    No

 

 

Check Payment:

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: $

I authorize BMD Travel and Tours to debit my checking account for the amount

indicated above (Required for Processing your registration):     Yes    No

 

 

I agree to the following...

Agree Disagree

 

 

   

You may also, mail or fax all payments and registration forms, 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

812 Forest Hollow    

Hurst, TX 76053

Fax: (817) 285-9225

Attn:  Accounting

 

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

 

You may also call or email all credit card payments to:

(817) 282-2597 or Toll-Free (877) 406-8820

Email:  payments@bmdtravel.com

 

Hit Counter