Credit Card Authorization Form

Credit Card Authorization Form

Klondike Travel & Yukon Tours
TRAVEL PURCHASE AUTHORIZATION
To complete your transaction and confirm your arrangements, your signature on this authorization is required. Charges are payable to the agreed supplier (ie: airline, hotel, resort, tour operator, cruise line or other travel supplier).

This information is encrypted for your/our protection.
Cardholder Name as it appears on the credit card

First NameLast Name
Cardholder address recognized by the credit card company

Street Address

Street Address Line 2

CityProvince or State

Postal or Zip CodeCountry
PLEASE CHECK AND SIGN BELOW

I have ACCEPTED and authorized the travel purchases discussed and confirmed by email with Klondike Travel & Yukon Tours.I hereby authorize Klondike Travel & Yukon Tours to charge for services and travel suppliers for my booking and confirm that the information for the credit card and billing address is complete and accurate.
Cardholder Signature

Clear
Date

MonthDayYear
Date
Type of Card*
Credit Card Number*
Expiry Date*
CVV*
Should be Empty: