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Credit Card Authorization Form
Destinations with Character Travel Services, LLC.
WWW.DESTINATIONSWITHCHARACTER.COM
Email: info@destinationswithcharacter.com
Please complete all fields. This authorization will remain in affect until cancelled
You may cancel this authorization at any time by contacting
Destinations with Character Travel Services, LLC.
at anytime by emailing us at: info@destinationswithcharacter.com
Your Travel Consultant?
*
Don Korta
Nikki & Ken Dangman
Julia Flannagan
Katie Holtzknecht
Melissa Morrell
Joleen Westrich
Credit Card Type:
*
MasterCard
Visa
Discover
American Express
Card Number
*
Expiration Date:
*
CVV Number from back of Credit Card
*
Cardholder Street Address (Billing Address)
*
Cardholder City & State (Billing address)
*
Cardholder ZIP Code (from credit card billing address):
*
Cardholder Phone Number
*
I authorize Destinations with Character Travel Services, LLC. and its Travel Consultants , t charge my credit card above, for agreed upon purchases. I understand that my information will be saved to file for future trabnsactions on my account.
Please Type Cardholder Name (as shown on card)
*
Signature:
*
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