Submit A Payment "*" indicates required fields Complete the information below to make a payment toward your upcoming trip.TRIP PAYMENTS If you are making a payment towards a trip deposit, an additional payment or a final payment, you will be charged manually by your travel advisor. Please note that you will likely see a charge on your credit card from the Tour Operator/Vacation Supplier/Cruise Line you are booked with rather than from our agency. Since its processed manually, if it is urgent, please call your travel advisor during business hours to process.TRAVEL ADVISOR FEE/INDEPENDENT TRAVEL PLANNING Each trip requires a level of research and planning time to offer a personalized trip experience according to your preferences, and therefore we have an upfront travel advisor fee. The amount is determined by the advisor based on the type of trip you are requesting. This fee is non-refundable once purchased and is for the trip planning time and the consultation of the options we have put together for the the trip you inquired about. This amount is separate from the cost of the trip. We will create a plan for an experience that is tailored to your vacation. This will include any airline, accommodation, transportation and excursion information that we feel you might like to add to your trip. The trip details can be adjusted to what you want. Keep in mind some components will be non-refundable once booked. Then, after reviewing the options and discussing the vacation with your travel advisor, you can decide to move forward and book your trip with our agency. We would love to help you with those plans and can book the entire trip for you (except in certain cases but your travel advisor will share with you if your plans need to be booked differently). We are here to make sure your vacation goes smoothly.CREDIT CARD By submitting the following information, you certify that you are the cardholder and are authorizing New Horizons Travel or the Tour Operator/Supplier/Cruise Line whom your travel is booked with, to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties will apply according to the the supplier. Insurance is non-refundable. This charge will be manually applied by the agency to your reservation. If there are any issues, an advisor will contact you. When a payment is processed, we will send an invoice.Who is your Travel Advisor?*Lacey Veenstra-GrayShane KlaverYour Confirmation Number* Your Name* First Middle Last Additional Name on the Reservation First Middle Last Your Email Is this a Honeymoon Registry Gift?* Yes No Third Choice If yes, please provide the couple's name(s) Credit Card Type*American ExpressMastercardDiscoverVisaCredit Card #* Expiration Date* MM slash DD slash YYYY CC Security Code*Name on Card* First Middle Last Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment Amount*Payment Type*DepositFinal PaymentHoneymoon Registry GiftOtherAdditional CommentsBy submitting, you certify that you are the cardholder and are authorizing the travel agency or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize the New Horizons Travel to use the above information to charge my credit card the stated amount. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature. By checking the box below and adding your signature, you indicate that the above amount is correct, you authorize New Horizons Travel to charge your credit card for the specified amount, and you agree to the terms and conditions.Consent* I agree to all the terms and conditions outlined above.Signature (please type name below) First Middle Last