CREDIT CARD AUTHORIZATION FORM

CREDIT CARD AUTHORIZATION FORM
Independent Contractor Information

Business Name: ClassAct Travel Expert Business Address: Denton Meadows CT City: Katy State: Texas Zip: 77449 Business Phone: 832-356-3644 Email: catravelexpert79@gmail.com
GUEST: First Name* Last Name* TRIP TYPE: Cruise/Package/Other* Departure Date* Return Date* Confirmation Number* NAME ON CREDIT CARD* Last four digits of Credit Card* Supplier
** To protect your confindentaial information, DO NOT provide full credit card number written on this form. You will be contactd by your Travel Agent to provide your full credit card number and CVV number. A copy (picture) of your driver's license and copy (picture) of the front of credit card is needed alone with this form**
Total to charge to credit card: Deposit* Total Amount: Full Amount* Billing Address* City* State* Zip* Area Code* Phone Number* Email*
Travel Protection Was Offered?*
Travel Protection Was Accepted?*
***The risks of declining coverage have been explained by my Travel Advisor. I understand that declining travel insurance, I may not be covered for any changes or cancellations of my trip. I am solely respnsible & liable for any cancellation penalties and out of pocket expenses incurred. ***

I hearby authorize Cynthia Jacobs with ClassAct Travel Expert to process the credit card information provided for the reservation details listed.
Once the form is submitted, please remember to send a copy of your passport or valid ID.
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