Credit Card Authorization Form
This form authorizes your agent and Travel On A Dream to submit payment on your behalf to travel suppliers. Information submitted here will not be processed until your agent submits it with the supplier. Payments received after 5:00 pm Eastern Time may not be processed until the next calendar day.
  • If you prefer to call in your number, please enter the last four digits here.
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  • 3 or 4 digit security code
  • Please Note: If this is a debit card, your bank may have daily limits. We will just be notified that the card is declined. Contact your bank and find out your daily limit and/or ask for an increase while we process your payment.

  • $ .
    Only complete if partial payment

  • If you select "Yes", for future payments you can email your agent to process them.
  • Payments received after 5:00 pm Eastern Time may not be processed until the next calendar day.

  • I give my consent to Travel On A Dream via its agents to use my credit card information for booking the travel plans we have discussed.

  • Use your finger, mouse or stylus to sign your name.