LB Credit Card Authorization Form

Sols Travel & Tours

Solange Sanchez 570-780-6290 solangesanchez @solstravel.com
Credit Card Authorization Form
TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases
To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website, or its affiliates. Charges are payable ONLY to the hotel, resort, tour operator, cruise line or other travel supplier.

TRAVEL INSURANCE WAIVER For your protection, Travel Insurance is strongly recommended and available upon request from Sols Travel & Tours (or its affiliates). You can enroll for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage. Sols Travel & Tours can arrange coverage for you. For an insurance quote and purchase, please contact your travel agent.

To decline recommended travel insurance, your signature on this insurance waiver form is required. Final travel documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver
Client Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
PLEASE CHECK WHICH APPLIES AND SIGN BELOW

I have ACCEPTED and authorized the travel purchases below, including travel insurance, and I am aware the insurance premium is not refundable.I have ACCEPTED and authorized the travel purchases below, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I have read and understand all cancellation charges and change fees related to the above travel arrangements, and that I may not be entitled to a full refund should my travel plans change. In case of cancellation of nonrefundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier’s rules.
Signature

Clear
Please select payment type

Pay in full the amount belowPay deposit amount below and balance to be paid in full by due date

Total Amount Authorized Today

USDDescription

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I hereby authorize Sols Travel & Tours or affiliated third party travel supplier or tour company (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.
Cardholder Signature

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Date

MonthDayYear
Date
Should be Empty:

Sols Travel & Tours

Credit Card Authorization Form