Cruise Credit Card Authorization

Name of Guest Completing this Form

First

Last

NOTES for CRUISE LINE CHARGES

Important Instructions & Payment Rules:

One form per guest name: Complete a separate form if using a card under a different guest’s name.
Splitting Cruise Line Payments: You may split costs across multiple credit cards for cruise lines only.
- Cards in your name: Click +Add below the expiration date to enter additional cards.
- Cards in other guests’ names: Submit a separate form per guest and divide the cost between them.
- Cruise Packages: If add-ons (air, hotel, transfers, insurance, etc.) are bundled directly through the cruise line, the package price can be split across multiple cards/guests.
Non-Cruise Suppliers: Airlines, hotels, car rentals, insurance, and third-party tours accept only one credit card transaction per charge. Total costs cannot be split across cards unless paid in separate transactions (e.g., deposit on one card, final balance on another).
Payment Dates: Charges are not automatic. Anderson Travel and Tours will process your card(s) directly with suppliers on your chosen date(s).

ENTER CREDIT CARD DETAILS:

Credit Card Information:

Cardholder Name (as shown on card):

First

Middle

Last

Email

Birthdate

Phone Number Associated with Card

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Card Type

Mastercard
VISA
Discover
AMEX

Nickname for this Card: (example: Michelle's Disney Visa) – security tactic so we can refer to your card on correspondence without mentioning numbers.

Card Number:

3 Digit Code (use the 4 digit code for AMEX):

Exp Date:

Click the shaded +Add button above to add another card in YOUR name.

TRANSACTIONS

SELECT PAYMENT CATEGORIES: (select all that apply)

CRUISE or CRUISETOUR
BUNDLED ADD ON PACKAGES (Non Cruise Line) (items like air, hotel, transfers, auto rental, train, etc.)
INDIVIDUAL ADD ON ITEMS (Non-bundled air, hotel, transfers, auto rental, train, shore excursions/tours, etc.)
TRAVEL INSURANCE (Non Cruise Line)

CRUISE or CRUISETOUR or BUNDLED CRUISE PACKAGE
(cruise line)
Card Authorization / Amount / Charge Date:

SELECT CRUISE LINE:

BUNDLED ADD ON PACKAGE
(Supplier other than cruise line)
Card Authorization / Amount / Charge Date:

SET CHARGE(S) for BUNDLED ADD ONS PACKAGE

Select SUPPLIER of Bundled Add Ons Package

Existing Bundled Package Reservation number (for new booking leave blank):

If you can’t find your reservation number, email us: info@andersontraveltours.com

Select ONE Payment Type below.
~ Click the +Add button to add additional payments.

Reminder: Bundled package suppliers accept only one credit card per transaction.
- Pay-in-Full at Booking: Total amount must be on one card (cannot be split).
- Deposit & Final Payment: Can use different cards (since these are processed as two separate transactions).

Type of payment to Bundled Package Supplier selected above:

Total (1-time) Payment for Bundled Package
Deposit for Bundled Package
Final Payment for Bundled Package

Last 4 digits of credit card to charge:

Payment amount for Bundled Package:

Date for Bundled Package payment:

I authorize ANDERSON TRAVEL AND TOURS to charge my selected credit card for agreed upon purchases with the designated SUPPLIER selected above.

I authorize charges to the selected Supplier.

***CLICK THE +ADD BUTTON BELOW TO ADD ANOTHER PAYMENT TYPE – CHARGE AMOUNT – DATE

INDIVIDUAL ADD ON ITEMS
(Suppliers other than cruise line)
Non-Bundled (air, hotel, transfers, auto rental, train, shore excursions, etc.)
Authorization / Amount / Charge Date:

Reminder: Non-cruise suppliers accept only one credit card per transaction.

Deposits & Final Payments: Can use different cards (since they are processed as two separate transactions).
Pay-in-Full at Booking: Total amount must be on one card (cannot be split across multiple cards).

Select Individual Supplier Categories (select all that apply):

Select AIRLINE from Drop Down:

Charge amount for AIRLINE:

Date to charge for AIRLINE:

Select HOTEL Supplier from Drop Down:

Charge amount for HOTEL:

Date to charge for Hotel:

Select TRANSFER/SHUTTLE Supplier from Drop Down:

Charge amount for TRANSFER/SHUTTLE

Date to charge for Transfer/Shuttle

Select AUTO RENTAL Supplier from Drop Down:

Charge amount for AUTO RENTAL

Date to charge AUTO RENTAL:

Select TRAIN Supplier from Drop Down:

Charge amount for TRAIN

Date to charge for TRAIN:

Select SHORE EXCURSION Supplier from Drop Down:

Charge amount for SHORE EXCURSION

Date to charge for SHORE EXCURSION:

OTHER SUPPLIER (list here):

Charge amount for OTHER Supplier

Date to charge OTHER Supplier:

Last 4 digits of credit card to charge:

I authorize ANDERSON TRAVEL AND TOURS to charge my selected credit card for agreed upon purchases with the designated SUPPLIER selected above.

I authorize charges to the selected Supplier.

SET CHARGES for TRAVEL INSURANCE

Select ONE Payment Type below.
~ Click the +Add to add additional payments.

Travel Insurance Rule:

Same Household: Guests living at the same address can share a single policy and card.
Different Addresses: Guests at separate addresses must have individual policies, and each policy must be paid on its own credit card.

Payment Type to Supplier:

PURCHASE TRAVEL INSURANCE PLAN
MODIFY EXISTING TRAVEL INSURANCE PLAN

If modifying an existing plan, list plan number here:

Select TRAVEL INSURANCE SUPPLIER from Drop Down:

If you selected OTHER list the optional supplier here:

Last 4 digits of credit card to charge:

Charge amount for TRAVEL INSURANCE:

Date to charge TRAVEL INSURANCE:

I authorize ANDERSON TRAVEL AND TOURS to charge my selected credit card for agreed upon purchases with the designated SUPPLIER selected above.

I authorize charges to the selected Supplier.

***CLICK THE +ADD BUTTON BELOW TO ADD ANOTHER PAYMENT TYPE – CHARGE AMOUNT – DATE

Terms, Disclaimers & Acknowledgments

By completing this form, you acknowledge and agree to the following terms:

Booking Accuracy & Terms: You accept the itinerary details, pricing, promotional offers, and supplier terms provided by Anderson Travel and Tours and all designated Travel Suppliers. You are responsible for reading all supplier contracts and rules.

Agency Liability & Disputes: Anderson Travel and Tours is not legally or financially liable for supplier errors, delays, schedule changes, or insurance claim disputes. You are responsible for any credit card chargeback disputes.

Cancellation & Refund Policies:

Cruise deposits vary by promotion (some are non-refundable). After final payment, cancellations do not guarantee refunds; insurance claims must be filed.

Anderson Travel and Tours Cancellation Fee: A non-refundable $75 per guest cancellation fee applies to any booking canceled after deposit. This fee is billed directly by invoice and cannot be paid via credit card or deducted from supplier refunds.

NCL CruiseFirst Credits: Non-refundable for cash; unused credits return to your NCL account upon cancellation.

Travel Insurance Warning: If you decline travel insurance, you risk losing your entire trip investment in the event of cancellation. Unused travel insurance premiums and cancellation fees are non-refundable.

Onboard Authorization Holds: Cruise lines place an initial authorization hold (~$100–$300/stateroom) during online check-in/embarkation. Holds clear in 3–10 business days for credit cards (up to 30 days for debit cards). Using a credit card is strongly advised to prevent frozen bank funds.

I have read, understand, and agree to all terms, disclaimers, and payment policies listed above.

Yes, I understand and agree.

— SIGN and DATE —

Guest Name – Electronic Signature

First

Middle

Last

Electronic Signature Agreement

I understand I am signing this form with an electronic signature and understand by typing my name above I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature.

Today's Date

NOTES for CRUISE LINE CHARGES

ENTER CREDIT CARD DETAILS:

Credit Card Information:

Click the shaded +Add button above to add another card in YOUR name.

TRANSACTIONS

CRUISE or CRUISETOUR or BUNDLED CRUISE PACKAGE (cruise line) Card Authorization / Amount / Charge Date:

SELECT CRUISE LINE:

BUNDLED ADD ON PACKAGE (Supplier other than cruise line) Card Authorization / Amount / Charge Date:

SET CHARGE(S) for BUNDLED ADD ONS PACKAGE

INDIVIDUAL ADD ON ITEMS (Suppliers other than cruise line) Non-Bundled (air, hotel, transfers, auto rental, train, shore excursions, etc.) Authorization / Amount / Charge Date:

SET CHARGES for TRAVEL INSURANCE

Select ONE Payment Type below. ~ Click the +Add to add additional payments.

— SIGN and DATE —

If this form won't submit or you don't get a confirmation, make sure you checked or completed each required field with an asterisk.

CRUISE or CRUISETOUR or BUNDLED CRUISE PACKAGE
(cruise line)
Card Authorization / Amount / Charge Date:

BUNDLED ADD ON PACKAGE
(Supplier other than cruise line)
Card Authorization / Amount / Charge Date:

INDIVIDUAL ADD ON ITEMS
(Suppliers other than cruise line)
Non-Bundled (air, hotel, transfers, auto rental, train, shore excursions, etc.)
Authorization / Amount / Charge Date:

Select ONE Payment Type below.
~ Click the +Add to add additional payments.