Credit Card Authorization

Please complete the form below to authorize payment for your travel arrangements. All information is transmitted securely and encrypted.

School Name *

Client First Name *

Client Last Name

Travel Start Date *

Travel End Date *

Room Category *

Credit Card Number *

Credit Card Type *

Other

Expiration Date *

CVV Code *

Credit Card Holder Name *

Billing Address *

Billing City *

Billing State *

Billing Zipcode *

Email *

Preferred Phone *

Traveler 1 Name *

Traveler 1 Date of Birth *

Traveler 1 Gender *

Male

Female

Has Passport? *

Yes

Not Sure

Traveler 2 Name

Traveler 2 Date of Birth

Traveler 2 Gender

Male

Female

Has Passport

Yes

Not Sure

Traveler 3 Name

Traveler 3 Date of Birth

Traveler 3 Gender

Male

Female

Has Passport

Yes

Not Sure

Traveler 4 Name

Traveler 4 Date of Birth

Traveler 4 Gender

Male

Female

Has Passport

Yes

Not Sure

Traveler 5 Name

Traveler 5 Date of Birth

Traveler 5 Gender

Male

Female

Has Passort

Yes

Not Sure

Traveler 6 Name

Traveler 6 Date of Birth

Traveler 6 Gender

Male

Female

Has Passort

Yes

Not Sure

I want the Trip Insurance (This must be Accepted at time of deposit) : *

Yes

Type of Insurance:

Medical

Full Coverage

Airfare Quote? *

Yes

PLEASE READ CAREFULLY BEFORE SUBMITTING

I give full authorization to Travel All Seasons and/or other tour provider to charge the dollar amount of the trip on my credit card and shall not decline, reject or challenge such amount charged on my credit card for the purpose of paying for air, cruise, tour, or other trip components for the passengers identified above. I am aware that some restrictions may apply to the trip purchased by this transaction. By accepting these terms, I am consenting to the supplier's terms and conditions. I have been offered insurance for my travel arrangements. There is a $75 fee for any denied credit card charges. This form gives Travel All Seasons the authority to reserve my trip and they will forward the itinerary details and advise the cost before I am charged

I agree to these Terms & Conditions *

Yes

By agreeing to these terms can conditions I give Travel All Seasons permission to charge the nonrefundable deposit

Credit Card Authorization

Secure Payment Form

PLEASE READ CAREFULLY BEFORE SUBMITTING

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