CC Auth Form

To complete your transaction and confirm your arrangements, your signature on this authorization is required. Charges are payable ONLY to Blessed To Travel, Blue City LLC, the hotel, resort, tour operator, cruise line or other travel supplier.

Name

First

Last

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Travel Insurance Waiver

For your protection, travel insurance is highly recommended, and insurance recommendations can be provided upon request from Blessed To Travel. If you choose to decline the recommended travel insurance, select the option below with your required signature.

Please select which statement applies and provide your signature:

My signature confirms that I have opted to accept the travel supplier’s travel insurance, and I am aware that the insurance is non-refundable. I have read and understand all terms and conditions provided by the agent and travel supplier regarding cancellation of the trip.
My signature confirms that I have accepted and authorize travel purchases and I have been given information about travel insurance. I am DECLINING the travel insurance offered and/or will seek out my own travel insurance. I have read and understand all terms and conditions provided by the agent and travel supplier and that I may not be entitled to a full refund should I cancel, or my travel plans change. In case of cancellation, applicable penalties may apply according to travel supplier’s terms, and I agree to pay penalties or fees applied.

Signature regarding Travel Insurance:

Clear Signature

Please Select Payment Type:

I authorize a payment for the initial deposit amount and any future balance to be paid until final balance has been paid in full by the due date
I authorize a one-time payment to pay the full amount
I authorize a one-time payment to pay the remaining balance only

Card Type:

Credit Card Number:

Name on Card:

Card Expiration (i.e. MM/YYYY):

CVV:

Billing Address:

Address Line 1

Address Line 2

City

State

Zip Code

Date

Signature regarding authorization of Credit Card Charge:

Clear Signature

Custom Captcha

=

To complete your transaction and confirm your arrangements, your signature on this authorization is required. Charges are payable ONLY to Blessed To Travel, Blue City LLC, the hotel, resort, tour operator, cruise line or other travel supplier.

Travel Insurance Waiver

Etalon Theme

Services

Additional links

Latest news