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Sunny D's Travel - Credit Card Authorization Form
Please fill out the following fields.
Full Name (as stated on your government issued ID)
*
First
Middle
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Email
*
Phone
*
###
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###
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Credit Card
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
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.
Authorized amount to be charged to the credit card.
*
$
Dollars
.
Cents
Please enter dollar amount.
Date Time
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MM
/
DD
/
YYYY
Supplier Name (ex: Carnival Cruise Line)
*
Authorization for payment/vacation booked through Sunny D's Travel.
*
Initial Deposit
Regular Payment
Final Payment
I have been informed of the supplier’s cancellation policies for travel services and agree to the supplier’s terms and conditions. I have been informed of the benefits of travel protection and understand if purchased, the premium is non-refundable. At this time I have decided to:
*
Agree
Decline
Signature
*
Clear
By signing I authorize Sunny D's Travel to charge the amount listed to the credit card provided herein. I agree to this purchase in accordance with the issuing bank cardholder agreement.