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Cancel Refund Overpay Form
Cancel Refund Overpay Form
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Cancel Refund Overpay Form
Please complete the following information to update your prior reservations that have been cancelled, refunded or overpaid.
Cancellation/Refund/Overpayment Form
Date
*
Agent Name
*
Agent ID
*
Booking #
*
Lead Passenger Last Name
*
Travel Supplier
*
Travel Date
*
Type of Notification
Cancellation
Refund
Overpayment
*
For Cancellations
Canceled by Supplier
Canceled by Client
For Cancellations: Cancellation Date
For Cancellations: Cancellation Confirmation #
For Cancellations: Commission/Booking Status
Client is Receiving a Future Credit
Client has Rebooked (Please submit new Booking Form)
Client is Receiving a Refund (Complete Refund Section)
For Cancellations: Commission is Protected
Yes
No
For Cancellations: If Commission Protected - Amount Expected
For Cancellations: If Client Rebooked - Enter New Booking Number
For Cancellations: If Client Rebooked - Enter New Travel Date
For Refunds: Amount
For Refunds: Reason for Refund
For Refunds: Original Payment Date
For Refunds: Original Form of Payment
Credit Card
Check
Money Order
Other
For Refunds Issued by Agency: Refund Payable To
For Refunds Issued by Agency: Payee Full Address
For Overpayments: Amount
For Overpayments: Reason for Overpayment
For Overpayments: Overpayment Date
For Overpayments: Original Form of Payment
Credit Card
Check
Money Order
Other
For Overpayments: Overpayment Payable To
Send Copy of Form To
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