Credit/Debit Card Form - Group Travel | Passport Travelers

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Credit/Debit Card Information

Name on Credit Card

Group Name

Dates of Travel

Credit Card Type

Card Number

Exp Date (MM/YY)

CVC

Email Address

Amount Being Charged

Card Billing Address

City, State, Zip

Additional Information

I confirm that the above details are correct and that I am the card holder. I agree that the above mentioned amount will be charged in USD to my credit card and I am aware that this transaction is in adherence to refund policies as mentioned in my travel itinerary and travel confirmation receipt. Refunds are in the form of a travel voucher, unless trip protection insurance is purchased.

We will submit your information and send you a receipt! Let's Vacation!

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