Service fee payment form
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Travel planning fee
Multi-destination
$
200.00
Travel planning fee
Single destination
$
100.00
Air ticket fee - per person
International
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Air ticket fee - per person
Domestic
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Frequent flyer/Award booking fee
Per person
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Change fee - per person
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Trip Cancellation fee- per person
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
Phone Number
-
Area Code
Phone Number
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
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