CREDIT CARD AUTHORIZATION FORM

 

TRAVELERS MUST HAVE PROPER TRAVEL DOCUMENTS

For international travel, excluding cruises that begin at and return to the same U.S. port, U.S. CITIZENS MUST HAVE A VALID PASSPORT. For cruises that begin at and return to the same U.S. port, U.S. CITIZENS must have a VALID PASSPORT or original certified birth certificate w/raised seal and a valid (not expired) REAL ID.

Effective May 7, 2025, a REAL ID is required for air travel within the U.S. NON-U.S. CITIZENS and RESIDENT ALIENS should contact their respective embassies and U.S. Immigration for applicable regulations.

Traveler one

ADD ADDITIONAL TRAVELER

DEPOSIT REQUIREMENTS

It is the traveler's responsibility to determine the correct deposit amount. The deposit will be processed for the minimum amount required to secure the booking unless otherwise indicated by the traveler. Naturally, you can give your agent a call with any questions.

PAYMENT INFORMATION

BILLING INFORMATION

Consent

By completing this form, I, the individual identified in the credit card information section above, authorize the agent or agency providing this form on this website or by email, or their authorized representative, to charge my credit card listed on this document for my booking. I understand all the terms and conditions of this booking and agree to the terms and conditions made available to me for this travel arrangement, including all cancellation policies. I understand and agree that travel arrangements may be subject to non-refundable cancellation penalties. I agree to carefully read all emailed communication between Eccentric Xcursions and myself and note all restrictions that may apply. I further understand that as part of your travel services, you recommend that all travelers purchase some form of travel insurance to help protect their travel investment. I, the above-named Cardholder or authorized representative, certify that the information provided on this form is true and correct. I am authorized to effect charges on the credit card number provided. I agree that in the event of a discrepancy to my credit card account, I will notify your my agent within seven (7) business days of receiving the credit card statement or immediately upon knowledge of such error.

Electronic Consent

We use electronic documents to obtain consent and to notify you of important information regarding your transactions with us. Please check the box below to agree to electronic communications per our terms and conditions and privacy policies. Otherwise, please call us at the number at the bottom of the page.

Please charge my credit card referenced above in the amount indicated above for my reservation. I understand all of the terms and conditions regarding this booking including cancellation policies, applicable penalties, and the availability of travel insurance.

If you are using a debit card with a daily spending limit, it is your responsibility to contact your bank to give them permission to authorize the transaction. If they require the name of the vendor and you are unsure as to who that is, please contact me at (740) 527-5659 or Info@chantenicole.com.

Eccentric Xcursions
740-527-5659
info@chantenicole.com