This is a Booking and Credit Card Payment Authorization form. Please complete the form where applicable.
Please upload a copy of the Passport for all travellers.
Travel Insurance
Emergency Medical Travel Insurance is mandatory on all out of country tours.
Unless otherwise stated, all payments are 100% non-refundable. We strongly recommend purchasing cancellation/interruption travel insurance to protect your investment in the event of an unexpected emergency.
Emergency Medical Coverage (required)
Trip Cancellation / Trip Interruption Coverage (optional but strongly recommended)
Pay the minimum deposit
Pay total Balance
Service Fee In %
I the undersigned acknowledge that I am the cardholder and authorize Niche Travel dba Departures Travel or its chosen Travel Supplier to charge the provided credit card. I certify that the information provided is correct and accurate. I also consent to store this payment information and will be notified when any changes are made to the terms of use. I also acknowledge that transactions will contain the necessary payment details when storing or using cards on file (payment information).
WAIVER OF RIGHTS AND RELEASE OF LIABILITY:
Niche Travel Inc dba Departures Travel (the “Travel Agency”) has advised me that because of the worldwide effects of the Coronavirus, Covid 19, (“Covid 19”) it cannot provide any representations about any location or travel service that I am booking, for myself and everyone else who is a part of the booking.
BY SIGNING THIS DOCUMENT, I ACKNOWLEDGE that I, and everyone who is a part of the booking I am going to make with the Travel Agency is waiving certain rights and I acknowledge, for myself and everyone who is part of the booking, that:
NOTWITHSTANDING THE ABOVE, I and everyone who is a part of the booking, have decided to proceed with the travel arrangements that I am asking the Travel Agency to book for me/us and I/we agree that: