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Credit Card Authorization Form

Guest Name:

Additional Guest Names:

Wedding of (if applicable):

Travel Dates:

Credit Card Holder’s Authorization: In lieu of my credit card imprint, I
hereby authorize Destination Weddings Travel, Inc. (used for my travel package) to charge my credit card the amount below:

Name on Card:

Card Type:

Card Number:

Expiration Date:

Security Code:

Billing Address:

Billing Address:

City / State / ZIP:

City / State / ZIP:

Phone:

Your Email (required)

Insurance:
YesNo

By signing below, I acknowledge and accept the charges described herein and understand that should my travel plans change, and I did not purchase insurance, I may not be entitled to a full refund and that cancellation or change fees may apply. If I purchased insurance, my cancellation penalties would be adjusted or waived, based on the terms of the policy purchased. I accept that Infinite Journeys Travel, it’s travel suppliers and it’s independent agents are acting fully upon my direction and that I will not hold them responsible for acts beyond their immediate control as it relates to this charge and that I will make payments according to the terms of my agreement with the credit card company.

Signature:

Date:

Check here if you would like to take advantage of our Interest Free Payment Plan. All scheduled payments must be on the 1st and/or the 15th of each month. All payments must be completed by the final payment due date on your invoice! (Approximately 70 days prior to departure)

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