Royal Travel Payment Authorization

"*" indicates required fields

Card Type*

Number*

Number (old)*

CVV (Old)*

Expiration Date (MM/YY)*

CVV*

Amount authorized to charge at this time*

In payment of:*

Service Fee

Deposit

Final Payment

Other

If the above payment is a deposit, do you authorize Royal Travel & Tours to charge your party’s final payment when due to this credit card? I understand that if I select “No” it is my responsibility to provide method of final payment to my Royal Travel & Tours at least two (2) weeks prior to the final payment date as indicated on my confirmation.*

Yes

I authorize future charges to this card by Royal Travel & Tours and/or the supplier of travel services as agreed with Royal Travel & Tours. I understand that if I select “No” I will be required to complete a Credit Card Authorization Form every time a payment is made with the card stated above.*

Yes

Cardholder Information:

Name on Card*

Address*

Cell Phone*

Email*

Cardholder Digital Signature*

Date*

Select Advisor*

CAPTCHA