• Credit Card Authorization Form

    Credit Card Authorization Form

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      Admin/booking fee

      For 24hr access to me for planning before,during and after your trip!!

      $20.00$20.00 one-time payment
        
      Payment Method
      Credit Card
      Billing Address

    • I, {cardholderName}, as a cardholder, hereby authorize ABC Company to charge my credit card for {conditiontext} and confirm that the information for the credit card and billing address is complete and accurate.

      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.

    • Date
       - -
      2 digit month, 2 digit day, 4 digit year
    • Should be Empty: