WP E-Signature by Approve Me - Sign Documents Using WordPress -

New Cruise Res

Please verify your information, then sign below.

Number of Travelers: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_1327818" display="value" ]
Stateroom Selection: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5345640" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_2553560" display="value" ]

Primary Traveler Information: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_1812913" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5874646" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_7124494" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_7740288" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_3137967" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_7806752" display="value" ]

Secondary Traveler Information:

[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_9500977" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_8683007" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_6900741" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_9151101" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_6629363" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_3952086" display="value" ]

[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_4386243" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_1167727" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_9057477" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_670356" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_6629363" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_3952086" display="value" ]

PAYMENT INFORMATION:

Name of Cardholder: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_4979405" display="value" ]
Credit Card to Charge: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_6535819" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5067923" display="label_value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_3381590" display="label_value" ]
[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5423159" display="label_value" ]

BILLING INFORMATION:

[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5852245" display="label_value" ]
[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_2838924" display="value" ], [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_2043447" display="value" ] [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5923028" display="value" ]
[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_7606585" display="label_value" ]

Please charge my credit card referenced above in the amount of [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_5423159" ]. I understand and accept all of the terms and conditions regarding this booking, including cancellation policies and applicable penalties, and agree not to dispute nor chargeback any of the above charges. I agree that payments may be made direct to selected travel suppliers on my behalf by Shoreside Travel, paid in prorated amounts not to exceed the sum total of approved charges. I acknowledge that I have been offered Travel Insurance to protect my vacation.

If you are using a debit card with a daily spending limit, it is your responsibility to contact your bank to give them permission to authorize the transaction. If they require the name of the vendor and you are unsure as to who that is, please contact us so we may assist you.

Confirmations will be sent to this email address: [esigcaldera formid="CF5acfd05fa07fd" field_id="fld_9800295" display="value" ]

[esigcaldera formid="CF5acfd05fa07fd" field_id="fld_9188908" display="value" ]

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

May 19, 2018 4:11 pm CDT

New Cruise Res Uploaded by David Glenn - davidglenn@shoresidetravel.com IP 104.190.245.211