Travel Registration Form

Use the form below to book travel.

Your booking is only confirmed after we have received your deposit and sent you a confirmation email.

Refer to your invoice or any information received from us for balances and payment due dates. For payment related questions please contact us at 410-497-7105 or at travel@bellesabound.com

Quote #*
Number of Passengers*
Please select the number of passengers in your room.
Primary Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Second Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Third Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Fourth Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Fifth Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Sixth Passenger
The names printed on this registration form must match exactly the first, middle and last names in each passport.
Prefix*
Name*
Suffix
Date of Birth*
Email*
Travel Insurance
Additional $40.99 - $230.99 per person. Please refer to your invoice or other information received from us for exact cost. Please add the amount noted on your quote to the total the deposit due.
Would you like travel insurance?*
- Yes
- No. I decline insurance and understand that I assume full responsibility for any penalties/non‐refundable elements of my trip.
Hotel Accommodations
Based on Availability. We make every effort to accommodate our guests, but there is no guarantee.
Room Preference
- Non-Smoking
- Smoking
Bedding Preference
- 1 Bed
- 2 Beds
Additional Information
Please add any optional information to explain your registration. You can also add frequent flyer information here.
Payment Information
Please enter the amount to be charged on the card.
Amount*
Enter amount in USD, do not include the dollar sign. (For example: 250.00)
The minimum amount charged will be the deposit plus the cost of insurance.
Name on Credit Card*
First Last
Credit Card Type*
Visa Card Number*
MasterCard Number*
Discover Card Number*
American Express Card Number*
Expiration Month*
Expiration Year*
Security Code*
Billing Information
Address*
Street Address Address Line 2 City State ZIP Code
Mobile Phone*
I hereby authorize Belles à Bound to charge my credit card for the amount above to make a one-time payment toward my outstanding balance for the booking above.*
Please enter your name. This will serve as your electronic signature - the equivalent to signing your name on a printed credit card authorization slip.
Date*
MM slash DD slash YYYY
Terms & Conditions
Passenger Information*
- I confirm that these names match EXACTLY the full name(s) as listed in each passport, including middle name(s) or initial(s), or as listed on government-issued ID for passengers traveling within the USA. Any discrepancy may result in cancellation, change fees, new and higher airfares or denial of services.
Travel Documentation*
- I understand that it is my responsibility to obtain the correct travel documentation (passport, visa, identification) for the destination(s) to be visited. I understand that passports are required to be valid for at least 6 months beyond my travel dates.
Terms & Conditions Acceptance*
Booking Terms and Conditions
- I acknowledge that I have read, understand and agree to be bound by the terms & conditions of my booking.
Terms & Conditions Acceptance on Behalf of Another Person(s)*
- I understand that if making a booking on behalf of another person or persons, I guarantee that I have the authority to accept and do accept these terms & conditions on their behalf.
Email
This field is for validation purposes and should be left unchanged.

If you have trouble processing your payment online or would like to pay by credit card over the phone, please call 410-497-7105 during business hours Monday – Friday, 9:00 AM-7:00 PM Eastern Standard Time or email us directly at travel@bellesabound.com.

Travel Registration Form

Use the form below to book travel.

Primary Passenger

Second Passenger

Third Passenger

Fourth Passenger

Fifth Passenger

Sixth Passenger

Travel Insurance

Hotel Accommodations

Payment Information

Billing Information

Terms & Conditions