payment


Vacation Payment
First
Last
Available at an additional cost.
amount to be charged during this transaction
Last 3 digits on signature strip (4 digits on front of AmEx)
By submitting, you certify that you are the cardholder and are authorizing Everlasting Memories or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms and Conditions and the appropriate Travel Protection Plan details. Cancellation penalties may apply. Insurance is not refundable. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Please note that you may not see a charge from the travel agency on your credit card statement; the charge may come from our resort suppliers and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement.
I authorize Everlasting Memories to use the above information to charge my credit card the stated amount. Completion of this form and checking this box signifies acceptance in lieu of my signature.
Sending