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Group Payment Form

Wedding Couple (required)

1st Guest Full Name (as it appears on passport)

Date of Birth

2nd Guest Full Name (as it appears on passport)

Date of Birth

3rd Guest Full Name (as it appears on passport)

Date of Birth

4th Guest Full Name (as it appears on passport)

Date of Birth

Email

Phone Number

Credit Card Number

Expiry Date (MM/YY)

CVC

Would you like to use this card for final payment?
YesNo

Special Requests


Would you like info on travel insurance?
YesNo