Trip Authorization Form

First Name

Last Name

Email

Phone

Billing Address

City

State

Zip

Select the Dream Trip Planner you are working with.

Select the trip type for this authorization.

Trip Month:

Trip Year:

Please confirm that you agree with each of the following statements: * Required

I understand the cancelation policy of my trip.

My Dream Trip Planner has permission to process payments for my trip as directed by me via phone, email or online chat/text.

Would you like to purchase travel protection for your trip? *

YES

NO

I would like additional information about travel protection for my trip.

Does your trip include a cruise or international travel? *

YES

NO

Please confirm that you agree with each of the following statements: * Required

I understand that compliance with all passport and document requirements for my trip are my responsibility as the traveler.

I understand that Canada has entry restrictions for anyone with a misdemeanor and it is my responsibility to meet those requirements OR my trip does not include travel to Canada.

I understand that any documentation requirements for adults traveling with minors with different last names are my responsibility to be in compliance as the traveler OR these details do not pertain to my trip.

I agree to the terms & conditions of Dream Trip Destinations.View agency terms and conditions.

Your Signature

DTD plans travel for residents of California and Washington as affiliates of Nexion Travel Group.

CST # 2071045-50

WA UBI # 603046768

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