• Roaming with Tanisha

  • Credit Card Authorization Form

    Credit Card Authorization Form

  • The Independent Travel Advisor listed above is pleased to confirm your travel arrangements. In order to finalize your arrangements, your payment information and signature on this credit card authorization form is required.  Please note that charges are payable ONLY to InteleTravel.com or the specific travel supplier such as the hotel, resort, tour operator, cruise line, etc. Independent Travel Advisors may not accept and process charges through any other account, or accept checks, cash or other forms of payment.

  • The cardholder listed below authorizes charges for:

    Travel Itinerary Descriptions:*

    Dates of Travel:   Pick a Date*     to Pick a Date*   

    Your Name: *

  • Card Holder Information

  •  -
  • Type of Payment:*
  • Once you submit your completed information, we’ll send a confirmation email and then process the charges with you by phone at your selected date and time.

  • For security reasons, we only allow the last four digits of your credit card to be recorded.  Please select the best date and time that we may contact you to obtain your complete credit card information.  We must obtain this information before we can complete your reservation.

  • Appointment*
  • PLEASE NOTE : If the time selected is available, you will receive an email from RoamingWithTanisha@gmail.com confirming the time via calender invitation. If you do not receive an email, this is NOT confirmed. Please review your emails to confirm this time and date.

  • I hereby authorize the Travel Advisor listed above, InteleTravel.com, or the hotel, resort, tour operator, cruise line or other travel supplier that my booking is through to charge my credit card for travel reservations.

  • Date
     / /
  • Should be Empty: