Please completed all fields. You may cancel this authorization at any time by contacting us. This authorization will remain in affect until canceled Confirmation/Reservation Number Travel Insurance. Please tell us whether or not you would like us to add travel insurance to your resservation at additional cost Yes, Please add travel insurance protection to my reservation at additional cost per person No , I decline travel insurance coverage and accept the inherent liabilities. The benefits have been explained, but at this time I decline. Name on Reservation Address City State Zip Code Email Phone Number Please Charge my Visa Mastercard Discover American Express Credit Card Number Card Security Code (CSC) Credit Card Expiration Date Amount to Charge Name As It Appears On Credit Card: Billing Address Billing City Billing Address State Billing Address Zip Code Grant Authorization to Charge Credit Card By check this box , I hereby authorize ALL INCLUSIVE VACATION STORE.COM and/or its travel suppliers to charge the above credit card and amount. Furthermore, I acknowledge that I understand I may not be entitled to a full refund should my travel plans change and any cancellation or change fees apply. Any additional outstanding cancellation fees owed may be charged to last credit card on file. Please take moment to review our booking policy list below under policies Submit