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MAKE A PAYMENT (PLAN)

Did you know you can put your Dream vacation on layaway?

YES YOU CAN!! Contact one of our travel professionals for more information on how you can setup an interest-free payment plan for your Dream vacation.

Vacay on Layaway Form

* Indicates required field

Tour / Cruise Name and Date *

If this is a group event, give the name of the group; otherwise, give the name of destination or ship and date of departure.

Will you be traveling International? If yes, please forward a copy of your passport to your PDV travel consultant *

Yes No

If your travel is international, you are required to have a passport. If you are going on a cruise, you are required to have a passport book or passport card. Some international travel requires a travel visa, ask your travel Pineapple Dream Vacations travel consultant if you need a travel visa.

Tour Company / Cruise Line *

If you know it, please include the name of the tour company or cruise line, i.e., Apple Vacations, Carnival Cruise Line, etc.

Payment Options *

I Will Call With My Credit Card Payment I Will Fax My Credit Card Payment Please Have a Travel Professional Contact Me

Name of Traveler *

First

Last

Enter your name as listed on your government issued ID/passport.

Gender *

Male Female

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Please enter the billing address for the credit card being used to make this payment.

Phone Number *

Email *

Who is your travel consultant? *

If you have been working with a particular travel consultant or referring agent, please select his/her name from the dropdown list.

Rooming Options *

How many people will be staying in your room/cabin?

List the names of your roomate(s) *

Enter your roommate(s) legal names as they appear on their government issued ID/passport.

Payment Type *

Deposit Payment Balance Full Payment

What type of payment are you making today?

Travel Insurance *

Yes, I want to purchase travel insurance No, I decline travel insurance

You have the option of purchasing travel insurance. We are NOT insurance agents, however, we work with insurance agencies that would be happy to help with all your travel insurance needs.

Would you like to enroll in our Monthly Payment Plan? *

Yes No

Monthly payment plans are available for travel 180 days or more out. Our payment plans are interest free, however, there may be a late fee incurred to all late payments.

Comment *

Please list any additional questions or comments here.

Submit

Effective September 1, 2022 late fees will be increased to $25 per person, per occurrence.

Pineapple Dream Vacations, Inc. | (312) 344-3656

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