Card Charge Authorization


It's just a few easy steps to fill out our "authorization to charge" your credit card account.
Fill out this form as completely as possible and one of our agents will contact you if there are questions.

 

Please allow this notification to serve as authorization to use the following credit card as form of payment for traveler(s) as noted.

 

You may download a printable version of this form here and
return it to us by mail or on your next visit.

Your information:

Today's date

Full card number or last four digits

Expiration date

3-digit security code

Name as it appears on charge card

Billing address of charge card:

Name

Address

City

State

Zip

Cardholder phone

Traveler's name #1

Traveler's name #2

Traveler's name #3

Traveler's name #4

Traveler's name #5

Traveler's name #6

Authorized amount $

 

Email address

 

By completing this authorization, I take full responsibility of charges and agree and understand
that all of the information outlined above is true and accurate.

Check here I agree
Cardholder's full name

 



 

Please call us if you need any help.

 

Grand Blanc 810.695.6170
Frankenmuth Travel 989.652.9977
Bay City Travel 989.684.3506