Itinerary ID#:
Selected Itinerary:
Land Tour Start:
Land Tour End:
Per Person:
Total
Price:
Agent Commission:
Total:
Deposit Due:
Flight Information
While we are able to save most elements of your itinerary, we cannot save your flights
unless you make a deposit now.
Hotel Information
Room Category:
Staying in Room(s):
Room Preferences:
Please note that the total price includes the Perillo Protection Plan
Forgot Password
We will use your email address for your send your Perillo Account password.
Additional Information & Requests:
Promotions & Discounts:
Payment Options
Credit Card Payment
How many credit cards will you be using?
(You may split the payment among up to 3 credit cards)
Use
the Billing address above?
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Credit Card No. 2
Use the Billing
address
above?
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Card Holder Name
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Credit Card No.
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Expiration date
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Security Code
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Payment Amount
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Address
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Credit Card No. 3
Use the Billing
address
above?
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Card Holder Name
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Credit Card No.
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Expiration date
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Security Code
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Payment Amount
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You have selected to pay by check after you receive the Perillo Tours
invoice by email.
Passenger Information
For security purposes please enter the first name, middle name (if any), last name and date of
birth
as
they appear on the passport.
The Transportation Security Administration requires all passengers to provide the EXACT name as it
appears on the government issued passport, passport number, expiration date, date of birth & gender
for
international travel. Passports must be valid for 6 months after international travel is completed.
Critically important: The information submitted at the
time
of booking
must match your passport. Name corrections are subject to change
fees.
