Credit Card Authorization

Credit Card Authorization

for additional charges
Who is your advisor?
Name on Credit Card

First NameLast Name
Date to Charge

MonthDayYear
Date
Trip Date

MonthDayYear
Date
Amount $?
Charge is for? (Supplier)
I approve my travel advisor charging my credit card for additional purchases related to the trip. This is according to the Terms/Conditions/Cancellation policy that my credit card company has.
Signature
Should be Empty: