EmailMe Form - The Pleazure Principle Credit Card Authorization

The Pleazure Principle Credit Card Authorization

Digitally sign and complete this form to authorize Pleazure Principle LLC to process a one-time debit to your credit card listed below. Multiple charges may be processed for complex reservations using more than one supplier.

By signing this form you give us permission to process payment from your account for the amount indicated on or after the date indicated.

***Quoted prices are not guaranteed. Rates are subject to change until payment is processed.

Exact Name Printed on Credit Card *
First Last
The Pleazure Principle LLC is not responsible for the incorrect spelling of names entered by traveler.
Email *
This will be used for mailing any electronic documents/itineraries.
Cardholder Phone Number *
### - ### - ####
Today's Date *
MM / DD / YYYY
Trip Destination *
What is your trip destination?
Payment Credit (Other) *
If payment is for another traveler, enter name of person payment should be credited.

Enter NA if not applicable.
Travel Insurance *
Would you like a quote for Travel Insurance?

If yes, you will receive an insurance premium quote for approval. The one-time premium cost will be added to your travel package. On average, $250-$299 per person.

Travel insurance is optional but highly recommended. If you do not insure your travel, you will be responsible for all cancellation penalties and forfeit some or all funds paid for non-refundable resort or flight plans. In many cases, airlines only offer flight credit.
Payment Details
Please provide payment details below
Billing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Please enter the address that is on file with the card.
Authorized Payment *
$ Dollars . Cents
Credit Card *

Card Number

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.
Authorization of Charges *
I do authorize
As named Cardholder; I authorize The Pleazure Principle LLC to charge the credit card indicated in this authorization form according to the terms and conditions outline herein.

This payment authorization is the purchase of goods/services described herein, for the amount indicated only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute payment with my credit card company; as long as the transaction is aligned with the terms indicated on this form.

I understand that unless I purchased insurance, my deposit and airfare are non-refundable. After final payment, significant penalties (up to the full cost of the vacation package) will apply if canceled.
Signature *
Clear
Thank you for allowing The Pleazure Principle to assist in creating Amazing Memories of Pleazure!!

Payment Details