Secure Online Payment Form

This form is to securely submit payment information to Inspiration Travel.

It is for transmission purposes only, and your payment is not being charged immediately. Please do not assume that the payment has been processed or accepted by submitting this form. You will receive a final payment receipt when processed.

If you wish to use multiple forms of payment, please fill out a form for each one.

First Name *

Last Name *

Destination/Trip Description *

Departure Date

Phone Number *

Email Address *

Payment Information

Name on Card *

Amount Inspiration Travel is Authorized to Charge *

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV CODE *

Billing Address *

Address Line 2

City *

State *

Zip Code *

Terms & Conditions and Release of Liability

Thank you again for choosing Inspiration Travel, LLC to assist in your travel arrangements. To insure your trip goes as planned, please review the following information. Should you have any questions, please call me immediately.

TRIP INFORMATION: Please check the attached information upon receipt and verify all information is correct. Inspiration Travel, LLC will not be responsible for omissions or errors if not brought to my attention immediately. Payment must be received by the due date to avoid vendor cancellation.

DOCUMENTATION: U.S. citizens travelling to any destination outside of the United States will be required to present a valid U.S. passport. Passports must be valid for at least 6 months past your return date. Some countries require a visa for transit or entry. Passengers are responsible to ensure that they have all the proper documents for entry. All names on documents must match the legal name on your photo I.D., and travel document information must match tickets. Please check the State Department website at http://travel.state.gov for further information. Immunizations may also be required. Failure to comply with these regulations may result in denied boarding, denied entry, and/or government imposed fines. If you are a citizen of another country, there may be additional requirements. Check with the nearest consulate or embassy of the destination you are travelling to and find out the entry requirements for non-U.S. citizens.

RESPONSIBILITY: Inspiration Travel, LLC offers retail travel services to customers, which are provided by separate and independent vendors of travel services. Inspiration Travel, LLC does not operate, control, or otherwise provide the services of the independent travel vendors. Hence, customer agrees and understands that Inspiration Travel , LLC is not responsible for any operating failures, loss, damage, delay, or injury to you or members of your travelling party, nor for consequential damages, which may result from failure, delays, or injuries, which arise out of or during your scheduled travel. Customer agrees and understands that JJT is not responsible for any damages, direct or consequential, which may arise as a result of acts of God, social or labor unrest, war, political or national strike, terrorist activities, mechanical failures, climatic conditions, or any other actions or omissions beyond Inspiration Travel, LLC's control.
In the event an airline or travel vendor declares bankruptcy, it is not obligated to carry you or to provide funds. Money given to my agency immediately becomes the property of the airline or travel vendor as required by law. Inspiration Travel, LLC is not allowed to provide refunds for vendors who have declared bankruptcy. If an airline or travel vendor declares bankruptcy, it might continue services or stop completely. Other airlines or travel vendors might provide alternative services under the limited circumstances.

TRAVEL PROTECTION: I acknowledge that I have been offered to purchase trip cancellation/interruption insurance. I understand I may purchase travel insurance from Inspiration Travel, LLC at a later date and before travel takes place, but in that event, the terms and conditions of my coverage may be more restricted.

INITIALS *

I understand that after my deposit is charged, it is fully non-refundable, and that any name changes or reductions in passengers may incur additional penalties.

I understand that after final payment is made on November 1,2014 my trip is fully non-refundable. (Excluding Travel Insurance coverage if purchased with deposit)