Payment Authorization Form

Your agent has requested a payment for your upcoming trip. Please refer to your Personal Trip Quote for the amount due at this time. If unsure of your payment schedule, please ask your agent.

PAYMENT INFORMATION

BILLING INFORMATION

Please charge my credit/debit card referenced above in the amount indicated above for the reservation and trip date itemized in my Personal Trip Quote. I understand all of the terms and conditions regarding this booking including cancellation policies, applicable penalties, and the availability of travel insurance.

If you are using a debit card with a daily spending limit, it is your responsibility to contact your bank to give them permission to authorize the transaction. If they require the name of the vendor and you are unsure as to who that is, please contact us.