Credit Card Authorization

Credit Cards are the most convenient and preferred form of payment. This form must be completed before reservations will be secured, and/or documents will be released. Your completion of this authorization form helps us protect you, our valued customer, from credit card fraud. All information entered on this form is transmitted securely and will be kept strictly confidential. PLEASE NOTE: Quotes and fares are not guaranteed until ticketed.

Credit Cards are the most convenient and preferred form of payment.

Your Name: *

Your Email: *

Phone: *

Billing Information

Card Type: *

Name on Card: *

Card Number: *

Expires: * CVV: *

Billing Address: *

Cardholder Authorization

I authorize travel purchased against this credit card *

Payment:

Amount:

This is to confirm that, in keeping with all applicable laws, I am instructing Momentum Vacations to purchase travel against the credit card listed above. Further, I understand that I have authorized this transaction and will hold Momentum Vacations harmless with respect to these instructions.

It is understood that Momentum Vacations may request government-issued photo identification and may verify the billing address of the card. Momentum Vacations reserves the right to mail tickets/travel documents only to the billing address of the credit card. Momentum Vacations is not responsible for the issuance of travel identification such as passports and/or visas and all travelers should ensure they have or have been approved for the appropriate documents before purchasing travel.

Keep this card on file

Please take a minute to look over and verify all information before hitting submit.

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