CREDIT CARD AUTHORIZATION FORM

Escape 2 Sea Travel is an independent contractor, affiliated with Travel Planners International (TPI), a travel agency authorized to conduct business with all travel suppliers including, but not limited to airlines, car rental agencies, hotels, cruise lines, tour operators, and travel insurance companies. TPI requires you to complete this form if you are using your credit card to purchase travel services for yourself or other individuals known to you. Please fully complete and return this form to us, using the instructions provided below. The purpose of this form is to comply with credit card acceptance rules of travel suppliers, and to protect you, the cardholder, our agency, and TPI from credit card fraud. If you have any questions, or concerns regarding this form, please contact us at 301-221-5153.

The form must be completed and signed by the cardholder. TPI reserves the right to request additional information for the cardholder. If fraud is suspected, TPI reserves the right to deny this transaction. Please complete the following :

Date : *   * Fields are Required
Credit Card Number :
*
Expiration Date : * *
Security CVV Number : *
Card Holder Name
(as it appears on credit card)		 : *
Billing Address : *
City : *
State : *
Zip Code : *
Country : *
Email Address : *
Phone Number we can reach you to Confirm Transaction : : *
Phone Number
(as it appears on back of credit card)		 : *
Group Name :
List Full Names of All Travelers you are Purchasing Travel For : :
Travel Services You are Purchasing :
(check all that apply)*		 : AIR     CRUISE     HOTEL     TOUR
PACKAGE     INSURANCE
PROFESSIONAL SERVICES (includes planning, rebooking or cancellation fees)
OTHERS  
Total Amount you are Authorizing to
Charge to Credit Card $
*Professional Services Charges are Non-Refundable.		 : *
Which Payment is this? : *
Would you like to use this Card for an
Automated Final Payment?*		 : Yes     No
Booking Number :
Notes or Comments :
*After your booking is confirmed, you certify that you verify that all information contained in the confirmation you received is accurate. Up to $250.00 per person cancellation penalty for any reason or name change will apply for individual reservations by itself or on the group booking, in addition to the cruise lines' penalties.
*Travel Protection Insurance is highly recommended and "cancel for any reason" insurance has to be added within 2 weeks after the deposit date. If insurance is not purchased, your cruise or vacation package may be non-refundable, even in the case of weather issues, flight cancellations, or resort closure; you will lose all your payments. If you are choosing to purchase travel protection insurance, you can get a quote and purchase ONLINE on our website www.escape2seatravel.com or through a link that we can email you directly with a quote. Insurance premiums are not refundable.
Travel Protection Insurance*
*IMPORTANT : If this is a check or debit card, please check with your bank that you are not exceeding a daily spending limit on the card. Most banks have a daily limit regardless of amount of funds in the account, and exceeding this limit will cause a decline and delay in your payment. By submitting this form, you certify that you are the cardholder and are authorizing Escape 2 Sea Travel or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. After your booking is confirmed, you certify that you will verify that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Protection Plan details. Up to $250.00 per person cancellation penalty for any reason or name change will apply for individual reservations by itself or on the group booking in addition to the cruise lines' penalties. Please note that you may not see a charge from Escape 2 Sea Travel on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.
*I Authorize my travel advisor, suppliers and/or TPI to charge the above listed travel and professional services for the listed person(s) to my credit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.

*I Acknowledge and Agree to the Cancellation and Refund Terms as per Invoice and Supplier.
Cardholder Signature*
*