SICKLERVILLE, NJ  |  856-435-2141

Payment Submission Form

Please fill out ALL of the fields below completely.
Print, sign and date the form at the bottom and then FAX this page to us at (856) 435-3399.
You will receive an e-mail within one business day as your receipt.

(This should be where you would like your documents sent.)

Insurance is highly recommended, and cannot be added on AFTER deposit paid. If insurance is waived, portions of package price may be non-refundable; please ask for details. If you are choosing insurance, please make sure to add the insurance cost to your deposit amount below, if it is not already included.

* Must be in USD

(If this is a check or debit card, please check with your bank that you are not exceeding a daily spending limit on the card)

(Please note: No third party credit cards accepted.)

Billing address of card (leave blank if same as above):

By submitting, you certify that you are the cardholder and are authorizing Circle Travel or its chosen Tour Operator/Wholesaler to charge the listed amount to the credit card.

You certify that you have verified that all information contained in he confirmation you received is accurate. You also certify that you have read the Terms & Conditions. Cancellation penalties may apply. Insurance is not refundable.

Please be aware that you will not see a charge from Circle Travel on your credit card statement; the charge will come from the Wholesaler (Travel Impressions or Disney Cruise Line, for example) and/or the airline directly (U.S. Air or Air Jamaica, for example).

If paying by other method (money order or cashier's check ONLY), please complete, print, and sign this form, and send with payment via courier service (UPS, Fed Ex, Airborne, etc. - do not use regular mail) to the address listed above.

Payments must be received no later than 5:00pm EST on the due date listed on your confirmation or will be considered late, and rates/availability may not be able to be guaranteed.

Signature (if faxing) _______________________________________________________________

Date: ____________________________________________

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