Four Seasons Travel LLC credit card authorization

CREDIT/DEBIT CARD AUTHORIZATION FORM

*IMPORTANT: If using a debit card for a large payment, please verify with your bank the amount submitted does not exceed your daily limit.

Please be sure to SIGN THE FORM before submitting.

Unsigned payment forms will not be processed.

Please provide your name exactly as it appears on your card

Name on Card *

Credit Card Type *

Credit Card Number *

3 digit code from back (AMEX cards please provide 4 digit code from front) *

Expiration Date (mm/yy) *

Amount to be charged *

Billing address *

Address 2

City *

State *

Postal Code *

Email Address *

Phone *

NOTES:

Trip Cancellation Insurance (please check one)
**Insurance must be purchased at time of deposit. If accepted, the insurance premium will be added to the amount of your package deposit. If you choose to decline this valuable protection, you understand that you will be financially liable for any penalties associated with changes/cancellation of your booking. *

Accept (check if accepting with initial deposit)	Decline
Insurance already purchased for this booking

In lieu of a credit card imprint, I hereby verify I am the cardholder named above and authorize Four Seasons Travel LLC (and/or their affiliates) to charge the above credit/debit card for my travel reservation. You are further advised that the posted charge may appear on your statement in the name of Four Seasons Travel LLC or one of our affiliates. You may request from Four Seasons Travel LLC the name of the affiliate that will appear on your statement.
I have read, understand and agree with the AGENCY TERMS AND CONDITIONS (click link) and also the supplier terms and conditions provided to me with my invoice.
I understand my reservations will not be processed until this completed authorization is received, and if not received within all applicable deadlines my booking may be automatically canceled. I understand and agree with the cancellation penalties associated with this reservation, and have been provided the opportunity to purchase travel insurance.
By submitting this payment, I agree to pay the total amount as entered above in accordance with the card issuer agreement. The cardholder understands and agrees to these terms and expressly waives the rights to credit card chargebacks as a means to mediate disputes. *

To complete the authorization to charge your credit card you must sign your name in the blank below. This will serve as your electronic signature - the equivalent to signing your name on a printed credit card authorization form. By signing this form you acknowledge you are consenting to do business electronically with Four Seasons Travel LLC and our tour operator partners. CARDHOLDER SIGNATURE *

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