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*

Expiration Month*

Expiration Year*

CVC*

Billing Street Address:*

Billing City:*

Billing Zip:*

Billing State:

Choose one:*

Hotel Only

Hotel + Flight

Travel Protection:*

Payment Amount:*

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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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