Credit Card Info Form Please fill in the form below. All information must be provided correctly to process payments. Please double check your entries before submitting. Type Of Credit Card*Select CC TypeVisaMastercardAmerican Express Name As It Appears on Card* Credit Card Number* Expiry Month* Expiry Year* CVV* Billing Address* Street Address City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Total Payment Amount $$ I authorize the above, Tanya Hulsemann, with Boss Travel to use this credit card with my permission for any future travel related charges: YESNO TERMS AND CONDITIONS - It is the responsibility of the passenger to verify documentation requirements direct with the embassy or consulate of the country of travel. Customs and/or immigration officials can deny a person entry into their country at their own discretion. We strongly recommend travelling with a passport that is valid for at least 6 months beyond your return date. Log on to www.voyage.gc.ca for country information. Please be aware that different living standards and practices exist outside of Canada including by not limited to provisions of utilities, accommodations and services of all kinds. Deposits are nonrefundable and non-transferrable. Change fees may apply. It is extremely important that all clients purchase out of country medical insurance. We strongly recommend that all clients purchase cancellation and interruption travel insurance. This contract permits price increases except if the customer has paid in full. No price increases are permitted after the customer has paid in full. If the total price of the travel services are increased and the cumulative increase, except any increase resulting from an increase in retail sales tax or federal goods and services tax, is more than 7%, the customer has the right to cancel the contract and obtain a full refund. Boss Travel cannot be held responsible for any errors, ommissions or mistakes on this form. Your reservation is subject to the rules and conditions of the tour operator.*I Accept the Above Terms and Conditions reCAPTCHASubmitReset