Cerchio Travel Document Form

LET ME HELP YOU PLAN YOUR UNFORGETTABLE TRIP!

travel@cerchio.com or call (513) 341-5882
Welcome back to Cerchio Travel. I am so excited to plan your bespoke vacation with you!

If you are filling out this form, you are ready to book your trip.

Rest assured, your privacy is VERY important to us and will only be used in bookings on your behalf. Unless otherwise directed, I you authorize me to use the provided card(s) to make Reserve now - Pay Later bookings and bookings that have a cancellation window to allow you to review and confirm them.
Full Name (as on card)*

PrefixFirst NameMiddle NameLast NameSuffix
E-mail*
Phone Number*

Area CodePhone Number
Billing Zipcode
Please provide your address.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Authorization

The information you provide below using my secure form will only be used for payment of bookings made by Cerchio Travel on your behalf. If you'd rather, you can contact me at (513) 341-5882 to arrange faxing, or texting of the information. I look forward to hearing from you.
TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases
To hold or make bookings on your behalf and to confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website, www.cerchio.com, or its affiliates. Charges are payable ONLY to Cerchio Travel or the hotel, resort, tour operator, cruise line or other travel suppliers.

TRAVEL INSURANCE WAIVER For your protection, Travel Insurance is strongly recommended and available upon request from Cerchio Travel. You can enroll for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage. Cerchio Travel can arrange coverage for you. For an insurance quote and purchase, please contact your travel agent.

To decline recommended travel insurance, your signature on this insurance waiver form is required. Final travel documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver
PLEASE CHECK WHICH APPLIES AND SIGN BELOW

I have ACCEPTED and authorized travel purchases made on my behalf by Cerchio Travel, including travel insurance, and I am aware that insurance premiums are non-refundable.I have ACCEPTED and authorized travel purchases made on my behalf by Cerchio Travel, and I understand by signing below, I am DECLINING TRAVEL INSURANCE. I will review all notices of cancellation charges and change fees related to travel arrangements made on my behalf. I understand that I may not be entitled to a full refund should my travel plans change. In case of cancellation of non-refundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier's rules
Sign Here (Use mouse or finger where possible)
I hereby authorize Cerchio Travel or the travel supplier that my booking is through to charge my credit card for travel reservation and confirm that the information for the credit card and billing address is complete and accurate.
Cardholder Signature (Use mouse or finger where possible).
Please take a clear image of the front of Item 1.
Please take a clear image of the rear of Item 1.
Billing Zipcode
Have a second item?

Please use the buttons below.
Please take a clear image of the front of Item 2.
Please take a clear image of the rear of Item 2.
Billing Zipcode
Additional notes:
Looking for something special? Please let us know.
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I will get busy planning your unforgettable trip!
Payment of Fees

You can pay the fees listed above using Zelle (if supported by your bank)
©2025 FORM DESIGNED BY
Should be Empty:

LET ME HELP YOU PLAN YOUR UNFORGETTABLE TRIP!

Payment Authorization

Have a second item?

Payment of Fees

©2025 FORM DESIGNED BY