Credit Card Authorization Form

This form authorizes Magic Path Travel, LLC to process payments and credit card holds for your vacation on your behalf. Please read the form carefully and complete all information.

NOTE: Please do NOT include your entire credit card number on this form. You will provide that to your travel advisor by phone or in person.

Guest Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Expiration date*

First 12 digits of credit card number (only)*

First 12 digits only please.

Billing Address*

Street Address

Street Address Line 2

CityState/Province

Zip CodeCountry

PLEASE CHECK WHICH APPLIES AND SIGN BELOW*

I hereby authorize Magic Path Travel to use my credit card or gift card listed above for the following purposes (check all that apply):Vacation depositPayments toward the balance on my vacationCredit card holds or prepayment of dining and special event registrationsAny other unique components of my vacation I request from Magic Path Travel

With my electronic signature below, I hereby authorize Magic Path Travel to share my credit card information with the travel supplier that my booking is through (e.g. The Walt Disney Travel Company, Universal Resort, etc.) to charge my credit card for my travel reservation. I hereby confirm that the information for the credit card and billing address that I provided by phone or in person to Magic Path Travel, LLC is complete and accurate. I understand that I will receive a communication from Magic Path Travel, LLC prior to each specfic payment including the amount and purpose, and I will then authorize each specific payment by phone or email. I certify that I agree to conduct this transaction by electronic means. I also certify that I am responsible for payment of all charges listed in my final confirmation itinerary and will hold Magic Path Travel, LLC and its agents harmless with respect to those payments, and any other payments Magic Path Travel, LLC processes on my behalf at my direction.

Client/Cardholder Signature*

Date*

Date