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The Desired Travel
Payment Authorization Form

Thank you for choosing The Desired Travel to design your vacation. Please complete this form to authorize payment and accept/decline travel insurance for your upcoming vacation and/or itinerary.

This form is used to authorize deposits towards your upcoming trip. is pleased to confirm the following travel arrangements. To complete your transaction and confirm
your arrangements, your signature on this authorization is required.


Charges are payable ONLY to or the hotel, resort, tour operator, cruise line or other travel supplier.


Independent Travel Agents may not accept and process charges through any other account, or accept checks, cash or other forms of payment.


Card Type


For your protection, Travel Insurance is strongly recommended and available upon request from You can enroll online for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage, or your Independent Travel Agent can arrange coverage for you. For an online insurance quote and purchase, ask your travel advisor for a quote.

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.

I (am purchasing/ already have purchased) travel insurance with my travel agent.

I have ACCEPTED and authorized the travel purchases above, including travel insurance, and I am aware the insurance premium is not refundable.
(PROTECTION PLANS ARE NOT INSURANCE, uncheck the travel insurance box.)


I have ACCEPTED and authorized the travel purchases above, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I have read and understand all cancellation charges and change fees related to the above travel arrangements, and that I may not be entitled to a full refund should my travel plans change. In case of cancellation of nonrefundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier’s rules.


IMPORTANT: All rates subject to restrictions, availability and change. See for complete terms and is registered with the States of Florida (ST-32452), Washington (602-735-106), California (209-1941-40), Iowa (977), and Hawaii (TAR 6732) as a seller of travel. uses the personal data you disclose about yourself on this form only for the purpose of processing your requested travel purchase. We retain your personally identifiable data only as long as that processing requires. We do not share any of your personal data with any third party except for the purpose of completing your purchase, and then only with third-party travel providers and credit card processors who protect and only process your personal data for the limited purpose of this travel purchase. Following the completion of your travel that is the subject of this transaction, your personal information shall be securely destroyed unless is required by law to retain it, and then it will be retained only for that limited legally required purpose. For complete details regarding the protection of your personal information, please see’s Privacy Policy posted at © 2020 

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