GMS Vacations Credit Card Form

GMS Vacations Credit Card Form

GMS Vacations Credit Card Authorization Form

Sorry For The Long Form, But It's The Law
Departure Date*

MonthDayYear
Return Date*

MonthDayYear
Booking/Reservation Number/ Found At The Top Of Your Package Quote
To comply with the DOT rules we need this information filled in completely and accurately as possible.

Please Fill in complete names and date of birth for all travelers
Passenger 1*

First NameMiddle NameLast Name
Date Of Birth*

MonthDayYear
Passenger 2

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Passenger 3

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Passenger 4

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Passenger 5

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Passenger 6

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Passenger 7

First NameMiddle NameLast Name
Date Of Birth

MonthDayYear
Card Holders Informations
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Best Contact Number*

Area CodePhone Number
E-mail*
Amount Approved *
Card Holder Authorization : I, the above-named authorized credit card user, give Outside Agent and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by affixing my signature to this form, I will be held responsible for all agreed upon (as stated above) charges as well as any and all collection and legal fees. This credit card is authorized for only the charges noted above. By signing this "Credit Card Authorization" form, I/my organization acknowledge receipt and understanding of its contents, including its "Explicit Authorization" clause.
Decline Travel InsuranceAccept
Emergency Contact Name*
Emergency Contact Phone*

Area CodePhone Number
Signature (Type Please)*
Should be Empty: