Robbins Cruise Connections Credit Card Authorization Form

Credit Card Authorization Form
2890 GA HWY 212 SW SteA-154 Conyers, GA 30094 travel@robbinscruiseconnections.com 678-374-9533
ENTER TRIP DEPARTURE DATE
Card Holders Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Card Holder Name

First NameLast Name
Please select payment type
Please enter the amount and frequency of your authoirized payments
Authorized payment amount
Frequency of payment authorization
I hereby authorize Robbins Cruise Connections, LLC or the travel supplier that my bookings 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.
Electronic Signature

First NameLast Name
💳 Travel Purchase Authorization (For Non-Website Purchases)

Your signature on this authorization form is required to complete your transaction and confirm your travel arrangements.

Note: This form is NOT required for electronic purchases you complete yourself on our website, www.robbinscruiseconnections.com, or its affiliates.

Payment Terms

Authorized Charges: Charges are payable ONLY to Robbins Cruise Connections, LLC or the direct travel supplier (hotel, resort, tour operator, cruise line, etc.).
Unauthorized Payments: Independent Travel Advisors are strictly prohibited from accepting and processing charges through any other account or from accepting payment via cash, checks, or other forms of payment.

🛡️ Travel Insurance Waiver

Travel Insurance Recommendation

For your protection, Travel Insurance is strongly recommended and available upon request for a quote from Robbins Cruise Connections, LLC (or referral to a travel insurance company for a quote).

Coverage options include:
- Medical Expenses
- Baggage Delays/Loss
- Trip Delay or Cancellation
Please contact your Travel Advisor for an insurance quote and to arrange a purchase.

Declining Insurance

To formally decline the recommended travel insurance, your signature on this insurance waiver form is required. Final travel documents (tickets, vouchers, etc.) cannot be sent to you until we receive this signed insurance waiver.
Purchase Authorization and Acceptance Check the box(es) for all applicable options and then provide your signature.

3. Cancellation and Change Policy I have read and understand all cancellation charges and change fees related to my travel arrangements. I understand that I may not be entitled to a full refund if my travel plans change. In the event of a cancellation of non-refundable airline tickets or other arrangements, I agree to pay all applicable penalties according to the travel supplier's rules.
Electronic Signature

First NameLast Name
Should be Empty:

Credit Card Authorization Form

2890 GA HWY 212 SW SteA-154 Conyers, GA 30094 travel@robbinscruiseconnections.com 678-374-9533