Latitudes Travel LLC - Credit Card Authorization
This form is required. It verifies that you, the card holder, have given permission to Latitudes Travel LLC and its agents to process payments for your travel, excursions, transfers and other items related to your desired travel plans. This form is design with security measures in place to protect your information.
This form is required and is part of Latitudes Travel's efforts to fight credit card fraud and is also protection for you, the consumer, and Latitudes Travel LLC.
  • As an example ---
    Iberostar Lindo, Rivera Maya, Mexico - Family Vacation
    Princess Cruise, Eastern Caribbean - Honeymoon
  • / /
  • Name EXACTLY as Shown On ID Date of Birth Passport Expiration Date
    Primary Traveler -
    Additional Traveler # 1
    Additional Traveler # 2
    Additional Traveler # 3
    Additional Traveler # 4
    Additional Traveler # 5
  • - -
  • - -
  • If you are traveling internationally you may need to have an international data plan.
  • The address you wish to have receipts, replies and questions to be sent to.
  • If you are traveling internationally you may need to have an international data plan.
  • The billing address is where you receive the bill for this 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.
  • Latitudes Travel offers a variety of different Travel Insurance options both through certain travel providers as well as a third party independent option.
    Levels of protection and benefits differ by policy and, in some cases, may depend on when you purchase the insurance in regards to when you book your vacation/travel package.
  • Federal law forbids the carriage of certain hazardous materials, such as aerosols, fireworks, and flammable liquids, aboard the aircraft.
    If you do not understand these restrictions, contact your Latitudes Concierge Agent, your Airline or go to
  • By entering this information, you confirm the information on this form to be true and hereby authorize Latitudes Travel LLC to charge the indicated credit card listed for the travel services stated above. Furthermore, I guarantee and warrant that I am the legal cardholder for this credit card and, in the case of a business or corporate card, I am permitted to use the card for these purposes.
  • If you don't have a touch screen/pad you can use your mouse to sign... Yeah we know it is really hard, just do your best !