Reservation Form for Check-In Date Check-Out Date Number of Adults Number of Children Price including Taxes and Fees $We will authorize the above shown amount on the credit card shown below. The card is not going to be charged until the final charge amount is sent to the email below for approval before the final confirmation of the reservation depending on the cost of the taxes and fees and/or travel insurance quote.Optional Travel Insurance (Highly Recommended):You want to protect your investment. In the event of unforeseen situations, you will be covered for your medical expenses and even transportation back to your home. There is also coverage for flight cancellations/delays and luggage lost or damage. If you choose to protect your investment, we will send you the quote for your travel insurance. We use several third-party underwriters for your travel insurance. You can purchase directly from them once we give you the choices or we purchase the insurance on your behalf. We have no financial ties to any of the insurance providers. If you choose not to have a travel insurance, you either want to obtain your own travel insurance or want to take the full legal and financial responsibility if anything happens during your trip that may involve but not limited to emergency evacuation, medical expenses, and hospitality expenses of your companions and relatives.Yes. I would like a quote of the optional Travel Insurance to protect my investment.No. I will take full legal and financial responsibility of the trip.The Name of the Guest for this Reservation:First Name Last Name Date of Birth Residential Address Street Address Address Line 2 State / Province / Region City Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe The Type of Photo Identification:Cedula (For Colombian Citizens Only)Passport (For All Citizens of other Countries)Identification Number Authorized Credit Card Type (Please read above policies)MCVISADISCOVERAMEXName on the CardFirst Name Last Name Email Address Credit Card Number Expiration (MM/YYYY) 12345678910111220222023202420252026202720282029203020312032CVV Billing Address Street Address Address Line 2 State / Province / Region City Zip Code Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Change and Cancellation PolicyAny change/cancellation made 60 days before the arrival date is 100% refunded without any penalty. If the change/cancellation is made within 60 days of arrival up to 30 days prior to the arrival date, the first night fee is deducted from the change or cancellation and the rest of the whole reservation is refunded. If the change/cancellation is made within 30 days of the arrival up to 14 days before the arrival, you will be refunded only 50% of the entire reservation. If the change/cancellation is made within 14 days of the arrival, the guests are responsible for the entire reservation amount and the 100% of the reservation is non-refundable. If you have family emergency, medical emergency, and other emergency situations that prevent you from making your reserved trip, we reserve the right to issue a future date travel credit of equal amount for a future reservation given the availability. If you have purchased a travel insurance that may cover trip change or cancellation due to emergency situations, you may be fully or partially refunded by the Travel Insurance in such situations.I have read and agree to the above policies. I authorize cancellation fees and other agreed upon fees to be charged to the above credit card. I certify that the credit card information I provide is accurate, and I understand that providing invalid information may result in penalties and does not relieve me from my financial responsibilities. The above card will be authorized for the entire reservation. Once your reservation is confirmed, the total amount will be charged to the above credit card.Please sign your name exactly as your name on file including your first name, middle initial, and last name. By signing here, you acknowledge that you have read and agreed to the above terms and conditions. ClearI understand that this is a legal representation of my signature.