Anderson Travel and Tours

Custom Credit Card Authorization Form

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— Cardholder Details —

Cardholder Name (as shown on card):
Billing Address

— Card Details —

Card Type

— Authorization —

Charge my card for the following agreed upon charges:
I authorize ANDERSON TRAVEL AND TOURS for the designated TRAVEL SUPPLIERS selected below to charge my credit card above for agreed upon purchases.
I understand and agree on the total package price, destination, itinerary/details and terms/conditions as explained to me by ANDERSON TRAVEL AND TOURS. I understand and agree that ANDERSON TRAVEL AND TOURS is not responsible for any changes, errors, negligence or refund amounts/delays made by the designated TRAVEL SUPPLIERS.
I understand and agree that I am fully responsible for any charge-back dispute and/or non-payment to Credit Card Company or Issuing Financial Institution.
I understand that after payment is made, a cancellation does not equal a refund and that I must file my travel insurance with a valid claim. I am aware that the cost of my travel insurance is non-refundable.
I understand that ANDERSON TRAVEL AND TOURS is not responsible for disputes between me and my credit card company/issuing financial institution regarding charges accrued directly with the TRAVEL SUPPLIER.
Print Name
Use your mouse, touchscreen or touchpad with your finger to sign your name. “IT DOES NOT HAVE TO LOOK GOOD” Note: click the X in the right corner to clear your writing and redo.