e4 Travel - Credit Card Authorization Form
IMPORTANT - Please note: Complete and accurate information is required to process this transaction. All information must be correct. If we are not able to process a payment because of incorrect information, loss of your vacation pricing and/or cancellation of an existing reservation may result.

PLEASE DOUBLE CHECK YOUR INFORMATION - FOR BOTH OF US! We want you to enjoy your vacation!

Agent Name: Regina Dunbar Hendrickson
Agent ID#20027808
  • e4 Travel and Events Authorization - Card Usage

    I have REVIEWED THE DETAILS of the given quote/invoice and accept the ACCURACY OF THE INFORMATION and TRAVEL DETAILS as provided to me by e4 TRAVEL & EVENTS.

    *Correct Spelling of First and Last Names for All Travelers
    *Travel Dates
    *Flight Dates, Times, Layovers, Seating Assignments (if Applicable)
    *Luggage Allowances, Requirements, Restrictions and Cost
    *Hotel/Resort/Cruise and stated room category
    *Ground Transportation/Transfers
    *Rental Car class and authorized driver(s)
    *Excursions/Admission Tickets
    *Required Local Taxes/Resort/Tourism Fees
    *No Show and Cancellation Policies
    *Vendor Travel Protection Plan - If not selecting 3rd party Travel Protection Coverage

    By doing so, I hear by AUTHORIZE e4 TRAVEL & EVENTS to use said credit card on my behalf FOR SERVICES QUOTED AND ACCEPTED to secure this booking/service. I authorize e4 TRAVEL & EVENTS to make payment(s) directly to quoted travel suppliers on my behalf.

    I understand Debit/Credit Cards may often impose "Daily Charge Limits", thus multiple payments may be required to complete the full balance due. Please note: e4 TRAVEL & EVENTS may ask that you call your financial institution to ensure payment(s) through your financial institution can be processed and completed in a timely manner. Please notify e4 TRAVEL & EVENTS when you have received confirmation that payment(s) can be processed.

    I am aware of all potential Cancellation, Refund and Surcharge Fees and Policies of supplier(s). I agree not to dispute or chargeback any of the charges without proper course of action.

    I understand this is a disclosure of business practice and a permissive payment agreement for the purchase of travel services with travel related vendor(s)/supplier(s) and e4 TRAVEL:& EVENTS.

    Pease note, e4 TRAVEL & EVENTS will not release personal information to ANY parties not listed on you finalized Travel Quote and will apply due diligence in maintaining records in a secure, safe location.
  • * "Terms and Conditions were included with your travel service/vacation quote.
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  • Please type your credit card number in exactly as on your credit card. Failure to do so may result in e4 Travel and Events being unable to obtain your booking and loss of quoted price.
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  • Please note payments marked as "Paid in Full" and/or "Final Payment" will not be processed UNLESS the CORRECT amount of full cost of the vacation/travel chargers will be paid in full and/or final payment does result in a zero balance on the account. Please call me to confirm your payment(s) if you have not already received this information from me. 618-667-1362 or 618-520-1144.

  • * If you do not understand these restrictions, contact your airline or go to

    http://www.faa.gov/about/initiatives/hazmat_safety