CREDIT CARD AUTHORIZATION FORM

Credit Card Authorization

  • Enter the names of the travelers for which this payment applies.
  • Please enter a short description of your trip. Or enter your booking number if known
  • TRAVEL INSURANCE

  • I have been advised of the cancellation penalties for my purchase.

    I acknowledge that I have been provided access to a Travel Insurance Plan.

    I understand that Travel Insurance can protect me from possible loss of money due to supplier bankruptcy/default, unexpected trip cancellation/interruption due to accident, sickness or death, baggage loss, medical expenses, and emergency air transportation costs.

  • TERMS AND CONDITIONS

  • ◊ I have been informed of the cancellation policies for our travel services and have been made aware of the benefits of travel protection.

    ◊ Violet Clover Travel Group has provided me with the travel supplier’s Terms and Conditions of service. I have read, understood, and consent to the stated terms.

    ◊ Violet Clover Travel Group has provided me their Terms and Conditions of Service.

    ◊ I understand that Violet Clover Travel Group cancellation fees ($100 per person) are in additional to supplier fees and must be paid prior to my cancellation request being processed.

  • CREDIT CARD INFORMATION

  • No third party credit cards accepted. Card holder must be one of the travelers.
  • Please re-enter the last 4 digits of your credit card.
  • Last 3 digits on back of credit card or front 4 digits for American Express
  • CARD HOLDER AUTHORIZATION

  • By submitting, you certify that you are the cardholder and are authorizing the travel agency or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions and the appropriate Travel Insurance Plan details.

    Without Travel Insurance, all payments are 100% non refundable.

    All payments are non-transferable.

    This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge will come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.