GREECE ISLAND EXPLORER Grand Voyages Secure Reservation & Credit Card Authorization Form
Questions marked by * are required.
1. Select Trip *
2. Select Room Type (prices are Land Only) *
3. Your Name as it APPEARS ON YOUR PASSPORT: *
4. Birthday: *
5. ROOMMATE INFO. I cannot book your room unless I have BOTH roommate's reservation info. Name(s) of Other Travelers AS IT APPEARS ON THEIR PASSPORT and BIRTHDATE. If you don't know, please just list the room mate with 'Unsure' next to it and I will contact them to get this info.
6. Email: *
7. Address: *
8. Phone Number: *
9. Name on Credit Card (please double check your payment info before you hit submit): *
10. Billing Address: *
11. Choose Credit Card Type: *
12. Credit Card Number: *
13. Expiration Date: *
14. CCV - 3 digits on back of card: *
15. Emergency Contact Name, Phone Number, & Relationship: *
16. Add Tour Operator Insurance? View Policy Here (copy and paste in your browser): http://www.berkely.net/travcorp/tpr/ Payment for insurance is DUE WITH YOUR DEPOSIT. *
17. Total Amount Authorized to Charge Today *
18. NOTES - Please write any comments or questions here:
19. ONCE YOU SUBMIT THIS FORM, NO CHANGES CAN BE MADE. PLEASE DOUBLE CHECK YOUR INFORMATION BEFORE SUBMITTING. THIS INFO WILL BE USED TO BOOK YOUR RESERVATION. DID YOU DOUBLE CHECK YOUR INFORMATION? *
  • Yes
20. Please READ the Terms and Conditions. You can expand the view to read it better. Do You Agree to the Terms & Conditions? *

Agree Disagree
21. Electronic Signature. You agree by typing your FULL NAME that you agree to use it as an electronic signature and that you have fully read and understood, and agree to, the terms & conditions listed herein. *