Credit Card Authorization

This form only documents your authorization for your advisor to process payment on your behalf. Your card will not be charged prior to the date chosen below.

indicates a required field

Authorization Amount

Charge Card On/After

Authorization Comments

Cardholder Information

Name on Card

Address 1

Address 2

City

Country

State

Zip

Credit Card Information

Please note: you are providing your full credit card number. However, this is only an authorization form. As such, your card number will be stored securely for the purposes of payment processing based on the date you selected above. Your credit card information will not be sent via email upon submission of this form.

Card Type

Card Number

Security Code

Expiration Month

Authorization Acknowledgment

In lieu of my credit card imprint, I (name of cardholder) hereby authorize Cruise Planners to use my credit card information to pay for the above reservation in the amount entered above.

I agree to be bound by the Terms & Conditions related to authorization of this charge when it occurs. I understand that in the event of a cancellation the travel supplier can assess penalty charges. I will not hold Cruise Planners nor the advisor liable for these charges.

Your Name

Your Email Address

Trip Confirmation Number

Date

04/27/2024 6:56am

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Validation Code

I understand and acknowledge that this form only provides authorization for my advisor to process the payment on my behalf as specified above, and that my card will not be charged until my advisor processes the payment with the supplier.

Cruise Planners highly recommends protecting your investment with Travel Insurance. Before submitting your payment authorization, please select one of the following:

I have already purchased insurance

I need travel insurance, please contact me

I have decided to decline travel insurance (please complete the waiver upon selecting this option)