Spurger Shenanigans Credit Card Authorization Form

Travel Agent Credit Card Authorization
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, www.keithhahn.inteletravel.com, or its affiliates. Charges are payable ONLY to keithhahn.inteletravel.com or the hotel, resort, tour operator, cruise line or other travel supplier as discussed during booking. Independent Travel Agents may not accept and process charges through any other account, or accept checks, cash or other forms of payment.

TRAVEL INSURANCE WAIVER:

For your protection, Travel Insurance is strongly recommended and available upon request through our website or our affiliates during the booking process. You can enroll for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage. We 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.
Billing Name

First NameLast Name
Email
example@example.com
Billing Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
PLEASE CHECK WHICH APPLIES AND SIGN BELOW

I have ACCEPTED and authorized the travel purchases as discussed with agent, including travel insurance, and I am aware the insurance premium is not refundable.I have ACCEPTED and authorized the travel purchases as discussed with agent, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I understand that there may be cancellation charges and change fees related to the 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

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Please select payment type

Pay the amount in fullPay in installments as detailed with Spurger Shenanigans Travel AgencyPay deposit amount discussed and balance to be paid in full by due date
I hereby authorize Spurger Shenanigans or the travel supplier 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
Credit or Debit Card Number
CVV
Expiration Date
MM/YY
Should be Empty:

Travel Agent Credit Card Authorization