Credit Card Payment Authorization Form
Sign and complete this form to authorize Custom Memories Travel to make payments to your credit card as listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date.
IMPORTANT: Please note that some debit cards have a maximum per-day use. It is advised you investigate your daily limit before purchase.
Please complete the information below:
By typing my name below, I authorize Custom Memories Travel to charge the below credit card account indicated below. I also acknowledge that I am the authorized user for this card.