TWF Credit Card Authorization Form

TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases

To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website, www.travelwithflare.com, or its affiliates. Charges are payable ONLY to the hotel, resort, tour operator, cruise line, or other travel suppliers with exception of agents' booking fees as noted in the Service Agreement when applicable.

TRAVEL INSURANCE WAIVER

For your protection, Travel Insurance is strongly recommended and available upon request from Travel with Flare. You can enroll for travel protection for Medical Expenses, Baggage Delays/Losses, Trip Delay or Cancellation, and other coverage. Travel with Flare can arrange coverage for you. For an insurance quote and purchase, please contact your travel agent. To decline recommended travel insurance, your signature on this insurance waiver form is required. Final travel documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver.

Client Name (as it appears on government id)*

First NameLast Name

Email*

example@example.com

Date of Birth*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Passport number

PLEASE CHECK WHICH APPLIES AND SIGN BELOW*

I have ACCEPTED and authorized the travel purchases below, including travel insurance, and I am aware the insurance premium is not refundable.I have ACCEPTED and authorized the travel purchases below, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I have read and understand all cancellation charges and change fees related to the above travel arrangements, and that I may not be entitled to a full refund should my travel plans change. In case of cancellation of nonrefundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier’s rules and TWF Service Agreement.

Passport Expiration

Name as it appears on Card*

First NameLast Name

Card Type

Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Signature*

Please select payment type

Pay in full the amount belowPay deposit amount below and balance to be paid in full by due date

Amount to Charge

I hereby authorize Travel with Flare/Archer Travel or the travel supplier that my booking is through to charge my credit card for the travel reservations and confirm that the information for the credit card and billing address is complete and accurate. I understand that I MUST upload a picture of your government-issued ID (front) and credit/debit card (front and back) to verify your identity and to protect yourself from potential fraud and identity theft.

Upload Front of Driver's License*

Browse Files

Cardholder Signature

Date