By signing below, I authorize AuClaire to charge the credit card provided herein. I also understand that AuClaire Travel  will be sending an additional form to complete to accept or waive travel insurance coverage.  Please note, if you do not select insurance coverage you are waiving your right to additional coverage. This payment is for the services described on the invoice. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated on this invoice.