By signing below, I authorize Divine Wellness Partners, LLC and/or its travel agency partner, T&M Destination Travel, LLC, to charge the credit card provided herein. For retreats hosted solely by Divine Wellness Partners, LLC, a separate invoice will be sent via email for payment collection. 

I acknowledge that it is my responsibility to fully complete and submit this credit card authorization form in order for my advisor to submit payment to the vendor on my behalf. 

For initial deposits or one-time payments only: I understand that prices quoted by Divine Wellness Partners, LLC and/or T&M Destination Travel, LLC are subject to change until my deposit or payment has been received and confirmed by the vendor. This may ultimately change the final amount required to secure my travel arrangements.