Secure Credit Card Deposit Form
Complete the form below to securely submit a debit/credit card payment for a deposit for bookings made with Hall Aboard Travel, LLC.
Name
*
First Name
Last Name
Destination of Booking
*
Agent working with you
Karrie Hall
Nancy Moore
Vicky Neyman
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name as listed on Credit Card.
*
First Name
Last Name
Credit Card Type
*
Please Select
VISA
Mastercard
American Express
Discover
Credit Card Number
*
Expiration Date (MM/YY)
*
Security Code (3 digits on back, or in case of American Express, 4 digits on front)
*
Authorized Amount to Charge: (if you are using a debit card, please ensure your bank is aware of the amount as they usually have a daily limit of $1,000-$1,500)
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: