Fantastic Journeyz
361-319-2275
Dear Travel Customer....
Thank you for arranging your travel plans with Fantastic Journeyz. This Credit Card Authorization form is required by the American Travel Bureau for the purchase of travel by credit card. The purpose of the form is to protect you, the card holder, from fraudulent use of your card. This is our “single use” authorization, meaning that it will only be used for the travel and shipping you stipulate, and only up to a maximum amount you authorize. This authorization will not be used for any other charges, including future travel or shipping. In addition to this form, we ask that you supply a photo copy (front and back) of your credit card and driver’s license. All information is confidential between your credit card issuer, Fantastic Journeyz, American Travel Bureau and the travel suppliers involved in your itinerary. If you should have any further questions regarding this policy, please contact Fantastic Journeyz. We will be happy to answer any questions you may have. Crystal Gonzales - Owner of Fantastic Journeyz
CREDIT CARD AUTHORIZATION FORM
PLEASE FILL OUT THIS FORM AND SUBMIT (BUTTON AT THE BOTTOM OF THE PAGE). BY COMPLETING THIS FORM YOU AUTHORIZE THE TRAVEL CEO OR THE SUPPLIER OF YOUR TRIP TO CHARGE YOUR CREDIT CARD THE AUTHORIZED AMOUNT. YOU WILL BE EMAILED A COPY OF YOUR RECEIPT AND ITINERARY AFTER BOOKING IS COMPLETED.
Agent Name: Crystal Gonzales
Travel Deal Number
(Deal number is listed in FB post)
Please list all travelers names and their date of birth that will be Covered By This Credit Card Form
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Type Of Booking
Airline
Hotel
Car
Cruise
Tour
Other
Travel Departure Date
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Month
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Day
Year
Date
Travel Return Date
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Month
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Day
Year
Date
Trip Total ($)
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Trip Deposit Required ($)
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
Contact Number
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Area Code
Phone Number
Back
Next
Billing Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
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Afghanistan
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British Virgin Islands
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Wallis and Futuna
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Other
Country
Upload a picture of the front of your Driver's License or ID
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Upload a picture of the back of your Driver's License or ID
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Today's Date
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Signature
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I hereby authorize Fantastic Journeyz, American Travel Bureau, and/or their appointed travel suppliers and couriers to charge the card entered above, for the items I have initialed. • We currently accept MasterCard, Visa, American Express and Discover. • This form must be completed in its entirety (do not leave blanks) for every new travel reservation and passenger regardless of age. • A valid state or governmental issued ID is required when filling out this form. • Account numbers and signatures on credit cards must be visible and all signatures must match. • Refusal to sign this form will result in all travel being cancelled, Fantastic Journeyz will not be held responsible for any penalties, and it is the responsibility of the passenger to pay all imposed fees. • Fares ARE NOT guaranteed until issued. By signing above, you agree your electronic signature is the legal equivalent of your manual signature on this Agreement. I hereby authorize Crystal Gonzales of Fantastic Journeyz to charge my credit card for the prices mentioned in this form. I have read and agreed to all of the above. I also understand that in the event of cancellation, penalties may be assessed.
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