Anderson Travel and Tours

Custom Credit Card Authorization – Registration

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— Cardholder Details —

Cardholder Name (as shown on card):
If you have received a new card since your last charge with us, you’ll need to submit the new card info below.
Birthdate of Cardholder:
Billing Address

— Card Details —

Card Type

If you are not approving a charge and just need to update your credit card on file with Anderson Travel and Tours, select the box below.

This will skip you to the signature and submit button.

I am only updating my credit card on file. I am not making a purchase at this time.

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GUEST #1 INFORMATION
for Reservation

GUEST #1 FULL NAME:
PLEASE LIST NAME “EXACTLY” AS IT APPEARS ON YOUR DRIVER’S LICENSE OR PASSPORT (whichever you plan to use to check in for your flight).
List phone you will have with you during the trip.
Guest #1 Address (if different than billing address above) – just leave blank if it's the same
Guest #1: Birthdate
Guest #1 Date Passport Issued:
Guest #1 Passport Expiration Date:
Note: the KTN is the “CBP PASSID” for GLOBAL ENTRY
Solo Guests:
If you select this box, the form will skip to the credit card authorization below.

GUEST #2 INFORMATION
for Reservation

GUEST #2 FULL NAME:
PLEASE LIST NAME “EXACTLY” AS IT APPEARS ON YOUR DRIVER’S LICENSE OR PASSPORT (whichever you plan to use to check in for your flight).
Guest #2: Birthdate
List phone you will have with you during the trip.
Guest #2 Address (if different than billing address or guest #1's) – just leave blank if it's the same
Guest #2 Date Passport Issued:
Guest #2 Passport Expiration Date:
Note: the KTN is the “CBP PASSID” for GLOBAL ENTRY

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AUTHORIZATION to Charge Credit Card

I authorize ANDERSON TRAVEL AND TOURS for the designated TRAVEL SUPPLIERS selected below to charge my credit card above for agreed upon purchases.
$0.00
Date to Charge Credit Card Listed Above:
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 that ANDERSON TRAVEL AND TOURS charges a $50 per person cancellation fee if a booking is cancelled after final payment to cover our time and resources spent on your booking
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 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
Clear Signature
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.