Pay For Your Trip Information

Booking # or group name (if applicable)*

Full Name (as it appears on your passport or government issued ID used for traveling:*

Phone:*

Email*

Card type:*

Visa

Mastercard

AMEX

Discovery

Name on Card:*

Cardholder Name*

Card Number*

Please Select

Please select
January
February
March
April
May
June
July
August
September
October
November
December

Expiration Month*

Please Select

Please select
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050

Expiration Year*

CVC*

Billing Street Address:*

Billing City:*

Billing Zip:*

Billing State:

Choose one:*

Hotel Only

Hotel + Flight

Travel Protection Plus Full Credit

Travel Protection Plus Full Credit
Travel Protection Plus Cash Refund
Silver Travel Smart Plan
Platinum Travel Smart Plan
Vacation Protection Plan
Vacation Protection Plan Plus
I decline adding travel protection for my trip

Travel Protection:*

Payment Amount:*

Room type

Date of Travel*

Travelers Information ( up to 4 people )

Name as it appears on your passport*

Date of Birth*

Additional Information:

(Please provide any additional information we may need to process your payment (room type, travelers covered under your payment, etc.):

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Attachment 2

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Signature*

By submitting, you certify that you are the cardholder and are authorizing KT Travel & More, LLC or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable.This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize KT Travel & More, LLC to use the above information to charge my credit card the stated amount.*

I Agree