Authorization Form

CREDIT CARD AUTHORIZATION FORM

I ___________________________________ hereby authorize Oyster Travel to process the credit card information provided for the reservation details listed below:

GUEST NAME: ___________________________ TRIP TYPE: (CRUISE/PACKAGE/OTHER) __________________________

SUPPLIER NAME: __________________________________ CONFIRMATION#: ___________________________

DEPARTURE DATE:_____________________ RETURN DATE: _______________________

CONTACT NAME: _________________________________________________

NAME AS IT APPEARS ON CREDIT CARD: _____________________________________________________________

LAST FOUR DIGITS OF CREDIT CARD: __________________________________

** To protect your confidential information, do not provide full credit card number in this form. You will be contacted by your Travel Agent to provide your full credit card number and CVV number. A copy of the driver’s license is needed along with this form **

TOTAL TO CHARGE TO MY CREDIT CARD: ______________________________

EXPIRATION DATE: ______________________

BILLING ADDRESS: _____________________________________________________________________________

CITY/STATE/ZIP: _______________________________________________________________________________

DAYTIME PHONE NUMBER: _________________________________________

EMAIL ADDRESS: __________________________________________________

CREDIT CARD HOLDER SIGNATURE: __________________________________________ DATE: _________________

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This form is provided to you by an independent travel agent affiliate of Archer Travel. Seller of Travel: CA 2001330-10, FL 35395