EmailMeForm
Invoice Payment Form
Authorize a payment to be made on your travel invoice using a card on file. Credit Authorization Form must be on file first.
** THIS FORM IS FOR TRIPS CURRENTLY BOOKED BY US**
Name
*
First
Last
Today's Date
*
MM
/
DD
/
YYYY
Payment will be applied TODAY
Invoice # or Trip Reference
*
Payment Amount
*
$
Dollars
.
Cents
Card Identifier - Last 4 Digits of Card on File
*
Email
*
Additional Comments/Questions
Agree to authorize payment using card on file. Payment will be made today on my invoice. Charges may show on your credit statement /bank notification as PayPal or a Travel Vendor Administering a portion of your trip.
*
I agree to keep a receipt on file.
