Credit Card Authorization Form
Please complete this authorization to finalize your travel arrangements. All information is collected solely for the purpose of your travel arrangements and will remain confidential.

*NOTE: Your card will not be charged immediately upon submission. Travel Dreams by Denise will process payment with the appropriate suppliers upon receipt.

Denise Nicholson, Travel Dreams by Denise
Tel. (856) 227-6938
e-Mail: Denise@TravelDreamsbyDenise.com
  • (found on your quote/confirmation)
  • Payment Details:

  • $ .
  • (exactly as it appears on card)
  • (**PLEASE DOUBLE CHECK CARD NUMBER FOR ACCURACY BEFORE SUBMITTING**
    If using a DEBIT CARD, please ensure your bank is aware of the charge being made before submitting payment to ensure no delays in processing your payment submission.
  • /
  • VISA, MASTERCARD, DISCOVER credit cards have a three-digit (CVV) number. AMERICAN EXPRESS credit cards have a 4 digit non-embossed number.
  • (Address Line 2: Suite, Apartment #, etc. if applicable)
  • Your Contact Information for any Questions:

  • - -
  • Authorization

    I acknowledge that I have reviewed the travel arrangements prepared for me and agree to the terms. By signing this authorization, I hereby authorize Denise Nicholson of Travel Dreams to charge the credit card listed above for the travel services normally handled by travel agencies.

    I guarantee and warrant that I am the legal cardholder for this credit card.

    I/We understand that Travel Dreams is acting only in the capacity of an agent for the various suppliers of travel services listed on my travel documents and itinerary. Travel Dreams is not liable for any personal injury, property damage, or other loss, accident, delay, or inconvenience caused by any supplier or any party not under its control. Your acceptance of travel documents indicates your understanding and agreement to this.

    Please note that the charge you see on your statement will NOT be from Travel Dreams by Denise but rather with the travel supplier or airline directly. Payment may take 3-5 business days to process and be reflected on your statement.