Please print and fax to us.   Please print and fax to us.

A Proud Member of 

CM.Travelonline.com Inc.
12388 Warwick Blvd., Suite 303
Newport News, VA 23606
F
ax:1.
757.596.2775

Booking Form

I ______________________, authorize CM.Travelonline.com to charge my deposit of $______________ and final payment to the indicated credit card entered below.  I understand CM.Travelonline.com will initially charge my card the deposit and then automatically charge the balance approximately 45 days prior to departure as per the hotel/airline/tour operator/cruise line policy.  I understand CM.Travelonline.com will charge my credit card for the full amount if tour is booked within 30 days of departure. I agree to the terms and conditions as stated in our web site.

_____(Initial) I agree to the above          

_____(Initial) I do not agree, I only want my deposit charged on the card an will contact CM.Travelonline.com in the future with other payment terms.

____Yes, I would like trip cancellation added to my deposit.

____ No, I do not want trip cancellation insurance and understand the terms and conditions regarding the cancellation policy located in our web site.

Resort/cruise Name__________________     Arrival Date at resort/cruise_________________

City you will fly from________________

Credit Card Type- ____Visa            ____MC _____Discover____ Amex ____Cash or Check

Card Number_____________________________________  Expiration Date______________

Card Holders Signature_____________________________

Card Holders Name_______________________________

Billing address-_________________________________________

 City_______________State_______Zip______________

Phone:(H)___________________  (W)____________________   (Fax)____________________

Email_________________________________________

Passenger Names (as they appear on passport, driver's license or birth certificate)

1._____________________________ 2.____________________________

3._____________________________ 4.____________________________

5._____________________________ 6.____________________________

Please fax to 1.757.596.2775