Passenger Information Form

By submitting, you certify that you are the cardholder and are authorizing Group Trek Travel LLC or its chosen Tour Operator/Supplier/Cruise Line to apply 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. Travel Insurance is not refundable. This charge will be manually applied by the agency to your reservation. If there are any issues, a travel advisor will get back to you. Please note that you may not see a charge from Group Trek Travel LLC on your payment statement; the charge will come from the selected supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.

I authorize Group Trek Travel LLC to use the above information to apply payment to my credit card for the stated amount. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature.

By checking the box and adding your signature, you indicate that the above amount is correct, you authorize the travel agency to charge your credit card for the specified amount, and you agree to the terms and conditions.