I authorize Debra Gaines, ACC dba Paradise Travel Professionals and/or Cruises & Tours Unlimited to process a charge not to exceed the amount indicated below for travel components and services rendered by Debra Gaines, ACC dba Paradise Travel Professionals and/or Palm Coast Travel or one of its third party vendors. By submitting this form I acknowledge that I have been advised that the purchase of travel insurance is available to protect my travel investment in the event that non-refundable payments are lost due to unforeseen circumstances. I also acknowledge that Debra Gaines, ACC is NOT a licensed insurance agent and has not advised me on travel insurance plans, policies or coverages.
Your completed and signed form must be received in order to process any payments. Deposits will be charged immediately unless other arrangements have been made and agreed to in writing.