Credit Card Authorization Form

This form authorizes Cape Travel to charge the card below for purchases made for Airline Tickets.

Your Information

Your Name
Your Full Legal Name
As it appears on Drivers License or Passport
Your Email
Driver's License Issued (Indicate State)
Driver's License Number
or Passport Number
Address on Driver's License
Expiration Date
 on Driver's License or Passport

Billing Information

Card Type
Name as it Appears on Credit Card
Card Number
Expiration Date
Card Billing Address
CVN
Three Digit Security Code on Back of Card
NOTE: American Express cards have a 4 digit on front of the card.
  
I agree that all the above information is true and correct. I agree to allow Cape Travel to charge card for all expenses associated with my purchases, cancellation penalties, fees, and illegal ticketing. I agree to pay for all fees associated with collection of purchases and expenses associated with my purchases. I agree to settle any disputed charges by arbitration. Cape Travel has the right to prosecute for any false information given.
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