Simply World Class
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TERMS & CONDITIONS: Online Registration & Payment Authorization Form - Palm Trees & 80°!! Aruba 2K25
ONLINE: Registration & Payment Authorization Form (SWC) - Palm Trees & 80°!! Aruba 2K25
SCHEDULE OF EVENTS: Aruba 2025 | Memorial Day Weekend
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SIMPLY WORLD CLASS
REGISTRATION & PAYMENT AUTHORIZATION FORM
By submitting this form, you authorize Simply World Class (and/or Perfect Reflections Travel), to debit/charge your card for travel services and you agree to the terms and conditions of the Supplier(s) who will be providing your travel services. Your signature is required to complete your travel plans. Please read the cancellation/change penalties that may apply to changes or cancellations of your travel.
A completed registration and debit/credit card authorization form is required for Simply World Class (and/or Perfect Reflections Travel) to process your flexible monthly payments (if applicable). You will be required to complete an updated registration and debit/credit card authorization if your debit or credit card details change. This will help to avoid confusion and relieve any issues just in case you may need to switch cards, inform us of any changes to your trip account (additions/removals of roommates, changes to travel dates, etc., or your advanced/monthly payment/ final balance amount differs from the previous month(s). Please submit to avoid late fees and/or penalties. Thank you.
FLEXIBLE PAYMENTS (REQUEST ONLY):
After the initial deposit per person, registrants requesting flexible monthly payments will be required to make subsequent on-time monthly payments per person which will be determined by Simply World Class (and/or Perfect Reflections Travel), and divided out based on the total of your package which is due on a specific date of every month (based on your deposit received date) or late fees and/or cancellations may incur.
Once your online registration/authorization form has been completed and submitted, you will receive a confirmation message via the Simply World Class website which provides Simply World Class (and/or Perfect Reflections Travel) authorization to initiate, set up and finalize the invoicing process to allow you to make monthly payments. When making deposits or payments, you will receive an e-mail confirmation from the supplier which will provide you payments received, balance history, and reminders of final balance due. Any questions or concerns, please contact Simply World Class.
Any questions or concerns, please contact
Simply World Class
or
Perfect Reflections
Travel
.
NOTE:
Fields below marked with
*
are required.
INDEPENDENT TRAVEL AGENT:
Kim A. Woodruff / Simply World Class
TELEPHONE NUMBER:
(617) 293-0793
FAX NUMBER:
N/A
EMAIL ADDRESS:
[email protected]
*
Indicates required field
SIMPLY WORLD CLASS/PRT AGENT/REFERRAL SOURCE
*
- Select One -
Kim Woodruff / Simply World Class
Toni Porter / Perfect Reflections Travel
Other
CUSTOMER INFORMATION
CUSTOMER NAME
(Full Name As Shown On Government-Issued ID or Passport)
*
FULL NAME EXAMPLES
John Harry Smith
Jane Marie Johnson
OR
John H Smith
Jane M Johnson
If no middle name, just list First & Last Name only.
TRAVEL PURCHASE AUTHORIZATION
For Non-Website Purchases. Thank you for your purchase.
Simply World Class (and/or Perfect Reflections Travel) are pleased to confirm the following travel arrangements. To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website(s), www.SimplyWorldClass.com or www.GOPRT.com. or its affiliates. Charges are payable ONLY to Simply World Class (and/or Perfect Reflections Travel) or the hotel, resort, tour operator, cruise line or other travel supplier. Simply World Class (and/or Perfect Reflections Travel) may not accept and process charges through any other account, or accept checks, cash or other forms of payment.
TRAVEL INSURANCE WAIVER
For your protection, Travel Insurance is strongly recommended and available upon request from Simply World Class (and/or Perfect Reflections Travel).
You can choose to ACCEPT travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage, and
Simply World Class (and/or Perfect Reflections Travel) can arrange coverage for you through our provider, Allianz Travel Insurance.
PLEASE NOTE:
Travel insurance coverage is an add-on option which may or may not be required to be paid at time of initial deposit. Cost is based per person, by age, the state you reside in, and the total cost of your travel package which is eligible for travel protection.
To DECLINE recommended travel insurance, your signature on this insurance waiver form is required. Final Travel Documents (tickets, vouchers, etc.) cannot be sent to your prior to receipt of the signed insurance waiver.
AUTHORIZATION FOR TRAVEL SERVICES -
ELECTRONIC SIGNATURE
*
I Authorize my Debit/Credit Card to be Charged, and agree to the terms and conditions of the Supplier(s) who will be providing my travel services.
I, the debit/credit card holder, authorize Simply World Class & Perfect Reflections Travel to debit/charge my debit/credit card account for my travel services. By checking this box and submitting this form, I agree to the terms and conditions of the Supplier who will be providing my travel services. Click button if you agree.
TRAVEL ARRANGEMENTS
ITINERARY / EVENT NAME
*
DATES OF TRAVEL
*
MM/DD/YYYY or
MM/DD/YYYY - MM/DD/YYYY
DO YOU PLAN TO SHARE A ROOM?
*
YES
NO
PASSENGER NAMES, DATE OF BIRTH, AGES & ADDRESSES
(List addresses if different from primary registrant.
Leave blank if not sharing a room.)
*
LEAVE BLANK if you are not sharing a room.
If you are sharing a room, ONLY list the FULL names of those who will be rooming with you.
Provide their FULL NAME (first/middle/last) DATE OF BIRTH, and AGE they will be at time of travel.
EXAMPLE:
Janice Marie Smith | 01/01/1972 | 50
OR if middle name is not spelled out as exactly shown on passport...
Janice M. Smith | 01/01/1972 | 50
If no middle name, only list first & last name only with date of birth, and age at time of travel.
Janice Smith | 01/01/1972 | 50
If you are sharing a room, ONLY list the addresses of those who will be rooming with you if the passenger's address is different from yours.
EXAMPLE:
Janice Marie Smith | 01/01/1972 | 50
Janice M. Smith | 01/01/1972 | 50
Janice Smith | 01/01/1972 | 50
555 Anywhere St
Anyplace, MO 55555
BED SIZE / ADDITIONAL PREFERENCES
*
1-KING (for single travelers & couples)
2-QUEENS (for doubles)
1KING/2QNS + Extra Bed/Cot (if available; upon request only)
1KING/2QNS + Baby Crib (if available; upon request only)
Fridge (if available; upon request only. Extra charge may apply.)
Microwave (if available; upon request only. Extra charge may apply.)
DO YOU NEED TRANSPORTATION?
*
YES - Car Rental
YES - Private Airport/Hotel Transfer
YES - Shared Airport/Hotel Transfer
OTHER
NO
TOTAL FOR THE TRIP ($)
(Varies based on the trip or event terms and conditions.)
- Initial Deposit: $100-$200/per person required upon booking.
- Travel Insurance/Transfers: If required, travel insurance and/or transfer costs must be included with the initial deposit.
*
TRAVEL INSURANCE
DO YOU WISH TO PURCHASE TRAVEL INSURANCE?
*
YES -- I hereby ACCEPT travel insurance coverage. I have read and understand all travel insurance premiums are non-refundable, non-transferable and MUST BE PAID AT TIME OF DEPOSIT (if required). I understand the trip cancellations and interruption details, terms and conditions that were provided or discussed with me.
NO -- I hereby DECLINE travel insurance coverage. I have read and understand not purchasing travel or cancellation insurance, I am liable for any cancellation penalties/charges, change fees and out-of-pocket expenses incurred and related to the above travel arrangements, and I am responsible for making my own provisions in the event of an emergency while traveling. I understand the trip cancellation and interruption details, terms and conditions that were provided or discussed with me.
Travel Insurance: Please indicate if you wish to YES (Accept) the travel insurance offered for your trip/room/cabin/etc. or you choose NO (Decline) to not take the insurance. Please note you WILL NOT be allowed to ADD it later once the booking is completed. You will be required to obtain travel insurance outside of Simply World Class and Perfect Reflections Travel.
For travelers who ACCEPT, this will be an add-on option and you may be required (varies per trip or event) pay the travel insurance cost upfront for your travel package during the initial booking.
(Example: If the cost for insurance for you is $78, then you must pay the $200 initial deposit + $78 insurance = $278 for deposit.)
PAYMENT INFORMATION & AUTHORIZATION
TRAVELERS NAMES:
1- Which travelers are you making payments for?
2- List ALL full names on separate lines. List as
shown on your government-issued ID or passport).
3- List ONLY those you are paying for.
*
Please list full names of ALL who are registering under this booking and for who you are paying for.
Please verify all legal names and list each passenger's full name on a separate line and AS EXACTLY SHOWN ON THE GOVERNMENT-ISSUED ID OR PASSPORT.
Example:
- Jane Marie Smith or Jane M. Smith or Jane Smith
- George Lee Smith or George L. Smith or George Smith
PAYMENT PLANS & METHODS
DO YOU WISH TO SET UP A FLEXIBLE PAYMENT PLAN FOR THIS TRIP?
*
YES
NO
Payment Plan: Please indicate YES or NO if you are looking to be on a flexible payment plan.
Your monthly payments will be based on your initial deposit and final balance due date.
Please note, late payments may cause automatic cancellations or late fees. Final balances are due by the due date -- NO EXCEPTIONS!
WHAT IS THE AMOUNT YOU ARE AUTHORIZING?
(Varies based on the trip or event terms and conditions.)
($100-200/per person deposit required upon booking.
*
Please note $$$ amount you are authorizing for initial deposit per person AND monthly payment per person.
EXAMPLE:
(A) $200 initial deposit/per person (excluding travel insurance), and a monthly per person payment based on the balance with final balance due date.
(B) $500 initial deposit (excluding travel insurance) and a monthly per person payment based on the balance with final balance due 03/01/2023.
(C) Full payment (indicated $$$ of total package amount)
TRAVELER INFORMATION
Please complete this form as accurate as possible. If a question does not apply to you, please leave blank.
CREDIT/DEBIT CARD TYPE
*
Visa
Mastercard
American Express
Discover
Choose One. All Major Credit and Debit Cards Accepted. NO Holds, NO Exceptions.
CARD NUMBER (no dashes/hyphens)
*
Please provide full and correct debit or credit number. DO NOT INCLUDE DASHES OR HYPHENS ( - )
EXPIRATION DATE (mm/yyyy)
*
2-digit mm/yy (i.e. 01/23 or 10/22)
CARD SECURITY CODE/CVC#
(3-Digit: Visa/Mastercard/Discover; 4-Digit: American Express
*
The CVV code is either the three digits on the back of your card for Visa, MasterCard and Discover or the four digits on the front of your American Express card that you'll find after your account number.
Visa/MC/Discover: 3-Digit Code
American Express: 4-Digit Code
NAME AS IT APPEARS ON YOUR CARD
*
First
Last
Put First Name and Middle Name or Initial in the first box as it appears on your card. Please put a space (i.e. Jane Marie OR Jane M) and Last Name ONLY in second box.
MIDDLE NAME OR INITIAL (If Applicable)
(Please include if noted on credit card)
*
Middle name or initial, if applicable, and appears on your card.
BILLING ADDRESS
Please note the address associated with the credit card.
Include suite or building number if applicable.
*
Line 1
Line 2
City
State
Zip Code
Country
Complete with address that is associated with the debit or credit card you are authorizing and using to make payment.
For STATE you can note PROVINCE here if your country is not USA.
(If your Mailing Address is Different, please provide in the "Amount Authorized/Payment Plan/Comment" section below.)
BEST PHONE NUMBER
(Please note if home or work.)
*
Complete with phone number that is best to reach you for questions regarding your travel trip (home or work)
BEST E-MAIL ADDRESS
(Email addresses are case sensitive. Please indicate your
email address accurately to avoid delays in processing.)
*
Email addresses are case sensitive. Please be sure to indicate your email accurately to avoid delays in processing deposits/payments or forwarding e-documents for travel.
EXAMPLE:
[email protected]
[email protected]
[email protected]
[email protected]
SPECIAL REQUESTS & COMMENTS
*
SPECIAL REQUESTS & COMMENTS:
Indicate here any special requests, instructions, dietary restrictions, etc. we need to be aware.
Please note there are certain requests we cannot guarantee (i.e. room assignments, location of room/floor level other than what has been paid for, near elevators or a friend, etc.)
EXAMPLES:
- Dietary restrictions (vegan, vegetarian, gluten-free, etc.)
- Special accessibility, handicap-accessible room required, etc.
- Please NO ground level room
- Please hypo-allergenic/feather-free room
- Please assign me a room close to or near Jane Marie Smith.
- Please assign me a room close to the pool or beach.
YOUR ELECTRONIC SIGNATURE
(Please type full name)
*
Please electronically sign with full name for submission.
EXAMPLE:
Jane M Smith OR
Jane Marie Smith
TODAY'S DATE
*
Please electronically sign with today's date for submission. (MM/DD/YYYY)
Submit