Credit Card Authorization Form

Credit Card Authorization Form

Non-Website Purchases
Card Holder Name*

First NameLast Name
Phone Number
Email*
example@example.com
Trips/Events*
Choose One
Conformation Number
(Optional)
*
Zip Code
Total Amount Authorized Today*
USD
WOULD YOU LIKE TO SET UP RECURRING MONTHLEY PAYMENTS?

YESNO
If you elect to have monthly payments for the credit card on file.

Monthly payments will be divided evenly until your balance is paid in full. If you need to change your credit card please contact me via email at arvella@oasistravelconnection.com.

You will receive an email stating the amount that will be charged to your card monthly. An email confirmation will be sent after every payment to keep you updated on payments.

All Payments will be due by the 15th of every month
I hereby authorize Oasis Travel Connection or the travel supplier that my booking is through to charge my credit card for travel reservation and confirm that the information for the credit card and billing address is complete and accurate.
TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases
To complete your transaction and confirm your arrangements, your signature on this authorization is required. Charges are payable ONLY to the hotel, resort, tour operator, cruise line or other travel suppliers. Independent Travel Agents may not accept and process charges through any other account, or accept checks, cash or other forms of payment.

PAYMENT WILL BE APPLIED WITHIN 48 HOURS AFTER SUBMITTED
Signature*

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