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Make a Payment

This form authorizes Her Travel Experience, LLC to charge your credit or debit card for the trip described. Please contact us with any questions at hertravelexperience@gmail.com or 318-655-2336.

Please indicate for which trip this form is being submitted. *

Please provide Names (as listed on passport) and Date-of-Birth for all guests.

Guest Names & Date of Birth *

Today's total payment $ *

Credit/Debit Card Type *

Credit/Debit Card Number *

Name on Card *

Expiration Date *

3 Digit Security Code (4 Digits AMEX) *

Billing Address *

City *

State *

Zip Code *

Telephone Number *

Email address *

It is strongly recommended to purchase Travel Insurance. If you choose not to purchase insurance, you understand you are liable for any change or cancellation penalties and out-of-pocket expenses incurred. You will also make your own provisions in the event of an emergency while traveling.

Travel Insurance? *

I hereby ACCEPT travel insurance coverage. I understand the trip cancellations details, terms and conditions that were provided or discussed with me.

I hereby DECLINE travel insurance coverage. I understand the trip cancellation details, terms and conditions that were provided or discussed with me.

Authorization? *

I acknowledge that all the information above is correct. By signing below I am giving authorization to Posh Getaways by Paris LLC and or the supplier to charge my card for all charges listed above.

Required

Customer Electronic Signature *

Date *

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