Credit Card Authorization Form
  • Credit Card Authorization Form

    Credit Card Authorization Form

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        One Time Payment
        USD one-time payment
          
        Monthly Payment
        USD for each month
          

        Payment Method
        Credit Card
        Billing Address
      • I hereby authorize Imperial Success Travels  to charge my credit card for the amount entered by me and confirm that the information for the credit card and billing address is complete and accurate. I understand that my information will be saved to file for future transactions on my account.

        I have been informed that I can cancel the recurring payment at least 15 days before the payment by phone or signing a consent form provided by the merchant company.

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