EmailMe Form - Tarrant Reunion Credit Card Authorization (2)

Tarrant Reunion Credit Card Authorization - 2 Passengers
Registration Instructions
Please list your name as it appears on your passport or government issued identification that you will be traveling with.
Passenger 1:
Name *
First Last
Date of Birth *
MM / DD / YYYY
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Phone
### - ### - ####
Passenger 2:
Name *
First Last
Date of Birth *
MM / DD / YYYY
Email
Credit Card Authorization
If you have any questions or concerns that need to be addressed before submitting this form, please feel free to contact Felicia Hepburn at 224-848-6006.
Name of the person listed on the credit card *
First Last
Credit Card Number *
Expiration Date *
MM / YYYY
Security Code *
Registration amount to be charged:
$ Dollars . Cents
$50 per adult
Deposit Amount to be charged:
$ Dollars . Cents
Deposit is $100 per person
T-Shirt Size - Adult #1 *
Small
Medium
Large
X-Large
XX-Large
Unisex t-shirts for adults only
T-Shirt Size - Adult #2 *
Small
Medium
Large
X-Large
XX-Large
Unisex t-shirts for adults only
Cabin Type *
Interior Cabin
Oceanview Cabin
Balcony Cabin
Review Cruise Information
Copy and paste
*Please review this form and answer all questions prior to signing* *
I have reviewed all trip details and confirm that all information is correct. Any alterations to this trip may result in extra fees. I am aware of the cancellation policy for the Supplier/Vendor of this package.
I acknowledge that I am purchasing this trip through a travel agency and not airline/hotel directly, therefore, transaction cannot be cancelled due to flight/hotel services dissatisfaction.
I am aware of cancellation policies and agree not to dispute or attempt to chargeback any of the above signed for and acknowledged charges.
I guarantee and warrant that I am the legal cardholder of this credit/debit card.
I authorize Let Me Plan It... to process the agreed upon charge/s to the credit/debit card indicated in this authorization form.
By signing this form, Let Me Plan It,LLC has the right to debit your account for the amount indicated on or after the specified date. Permission is given for one single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account. A charge from Tarrant Past Student Association and a charge from Royal Caribbena, not Let Me Plan It, will appear on your credit card statement.
Cardholder Signature
Clear
I authorize the above named institute to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above, and is valid for one-time use only. I declare that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; as long as the transaction corresponds to the terms indicated in this form.

Tarrant Reunion Credit Card Authorization - 2 Passengers

Registration Instructions

Passenger 1:

Passenger 2:

Credit Card Authorization