Primary Cell Phone Number *

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Partner/Spouse Cell Phone Number

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Billing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please acknowledge and agree to the following statements: *

Resort to Laura Madrid has permission to represent me (and my travel companions) as our travel advisor.

Resort to Laura Madrid has authorization to use my card on file to complete agreed upon reservations.

Resort to Laura Madrid has permission to charge my card the annual retainer of $5,000. The annual retainer will renew automatically. If I choose to not renew the annual retainer, I will provide notice of cancellation within 30 days of charge and will receive a full refund.

Resort to Laura Madrid is pleased to provide a Travel and Cancellation insurance quote for travels, but I understand that it is ultimately my responsibility to request travel insurance and to ensure it is confirmed correctly on my behalf.

All deposits and final balances made to suppliers are NON-REFUNDABLE unless noted otherwise. Cancellation policies may vary by supplier. Independent of supplier cancellation policies, Resort to Laura Madrid reserves the right to charge client a cancellation fee equivalent of 10% of the total trip cost based on the products booked. I understand that this fee compensates my travel advisor for lost commission revenue as a result of the cancellation and will be charged to my card on file in the event of a cancellation. Postponed trips will not incur a cancellation fee.