EmailMeForm
Card Holder Authorization Form
Name As Is On Credit Card
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First
Middle
Last
Billing Address On Credit Card File
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Type Of Card
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Visa
Mastercard
Discover
American Express
Credit Card
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Amount To Be Charged On Card
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$
Dollars
.
Cents
Will You Be Adding Vacation Protection Today? Insurance Will Be Due At The Time Of Booking.
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Yes
No
By Declining Insurance You Are Releasing Travel Stylz Travel Agency From Any Negligence That May Occur Pre, During & Post Travel.
Background
If You Have Any Criminal Background, Warrants, Owe Child Support ,Owe Taxes etc. And Your Are Denied By The Airline/Cruise Line Because Of Background Issues Travel Stylz Is Not Liable. If You Book This Trip You Will Not Receive A Refund And Travel Stylz Will Not Be Held Responsible For You Not Being Able To Enter Into Another Country. It Is Your Own Responsibility To Know If You Can Travel Or Not.
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Yes I Understand
Credit Card Authorizations, Cancellations, Penalties And Fees & Chargebacks
By Completing These Forms You Are Giving Travel Stylz Travel Agency Authorization To Charge Your Credit Card For Services Quoted And Accepted. We Will Never Charge Or Use Your Card Without Your Consent. All Charges Will Be Processed By The Supplier For Your Vacation i.e. Funjet, Southwest Vacations, United Vacations, Carnival, Royal Caribbean, Norwegian, Vacation Express etc.
Travel Stylz Travel Agency Does Not Accept Cash App, Prepaid Cards, Cash Or Checks
Reduced Deposits
Your reduced deposit will not be refunded, nor can you apply it towards another trip if you cancel and NO credit will be issued towards future travel- Per the suppliers policy and procedure.
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Yes I Understand
Cancellation/ Change Penalties
Supplier Insurance Does Not Cover Travel Stylz LLC Cancellation Fees. Supplier Insurance Covers Your Trip Only With The Supplier Funjet, United Vactions etc. Travel Stylz LLC Cancellation Fees Are $200 Per Person
I understand that I will be charged a $75 per person change fee if I make any changes to my reservation. I also understand that there is a $200 per person cancellation fee if my reservation is canceled. Please check the box below that you understand and you give Travel Stylz Travel Agency permission to charge your card/cards on file with Travel Stylz LLC $75 per person upon making changes to your booking and a cancellation Fee of $200 per person upon canceling your reservation. Travel Stylz's cancellation/change fees are separate from the supplier fees you will be charged.
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I Do Understand And Agree
Chargebacks
I agree to the charges and terms of the trip. Also I am aware that the deposits are nonrefundable, non transferrable and non exchangeable. Credits will not be issued. I agree not to dispute or attempt to chargeback any deposit, payments, change fees, cancellation fees or charges applied towards my trip.
I understand that additional terms and conditions from the supplier apply as well.
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I Understand And Agree
Signature
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Clear