Credit Card Authorization For Carnival Desiny 5/2/2011

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CARDHOLDER AUTHORIZATION FORM

Date:_____________________________
Agent Name:_____Lisa Phillips_____________________________ Agent ID:___0103
I, ______________________________________________________________ authorize
(Company)__ All Tickets Travel _______________________
to charge the amount of $______________ for the following services:______________
____Cruise Deposit – Carnival Destiny May 2nd, 2011
_______________________________________________________________________

to my: (circle one) Visa MasterCard American Express Diners/Enroute Discover

Card # _________________________________________________________________
(exact name as it appears on credit card)
Exp. Date: _______________ CCV/CID# _____________

VISA, MASTERCARD, DINERS & DISCOVER credit cards have a three-digit (CVV) number. It is
printed in the signature panel on the back of the Visa, MasterCard and Discover cards. The
verification number is the last 3 digits on the right side of the panel.
AMERICAN EXPRESS credit cards have a 4 digit non-embossed number. It is printed above the
account number on the front of your card. It may appear to the left or to the right, but it is always
above your account number.
DEBIT CARDS or if your card has no verification code, enter 0000 in the CVV/CID field.

Billing Address: This must be the address where your statement is mailed.
Street _________________________________________________________________
City _______________________________ State ___________ Zip Code____________

Cardholder’s Signature: ___________________________________ Date: ___________

I/we are aware of any cancellation policies and agree not to dispute or attempt to chargeback any of
the above signed for and acknowledged charges.
________________
(cardholder initial)

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