TravelJoy

Mallory Dumond

Mallory Dumond - Travelmation, LLC

Credit Card Authorization

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="text" required="true" label="If making a payment on an existing booking, please include your booking number. If you are paying your first deposit, please put &quot;new booking&quot;&amp;nbsp;" name="if-making-a-payment-on-an-existing-booking-please-include-your-booking-number-if-you-are-paying-your-first-deposit-please-put-new-booking-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Enter the amount to authorize:" name="amount" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="By authorizing my payment, I agree that I have read, understand, and agree to all applicable terms, conditions, cancellation policies, and entry requirements for the trip that I am booking. (This includes vaccination requirements for cruises, covid-testing and vaccination requirements for certain international destinations, and passport requirements)."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

By signing below, I authorize Mallory Dumond - Travelmation, LLC to charge the credit card provided herein.

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