Anderson Travel and Tours

DAVIS-Credit Card Authorization Form

— Cardholder Details —

Cardholder Name (as shown on card):
Billing Address

— Card Details —

Card Type

AUTHORIZATION for TRIP DETAILS

Package:
Holiday Inn Beachfront + American Airlines Flights

3 Nights – (Aug 7-10, 2025)
American Airlines Roundtrip Nonstop Tickets -BHM-MIA – Aug 7-10, 2025
1 carry-on, 1 personal item included
Airline Seat Preference
Purchase the Hotel+Air Package above:
Quote good through Feb 6, 2025.
Purchase on the following date:

__Rental Car

Rental Car:
NOTE: Please be prepared to show Driver’s License at check-in.

__Squaremouth Travel Insurance

Policy Underwriter: Travel Insured
Purchase the travel insurance policy listed above with Squaremouth.
*Travel insurance much be purchased by Feb 19, 2025. Price subject to change. If the price changes you will be contacted prior to the purchase with the new amount to approve.

Travel insurance must be purchased within 14 days of first trip payment.

Select a date below that is within 14 days of the date listed above for the hotel+air package.

Purchase on the following date:

AUTHORIZATION to Charge Credit Card

I authorize ANDERSON TRAVEL AND TOURS for the designated TRAVEL SUPPLIERS selected below to charge(s) 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 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.

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