Castaways Travel
SECURE SERVER
Charge Card Authorization Form


Submission of this form is your agreement to permit Castaways Travel to charge your credit card and that you hereby agree to pay to your designated charge card company the amount you have authorized

Until your card is actually charged by Castaways Travel, the amounts quoted are subject to change by the travel supplier, especially for airfare. You will be notified by Castaways Travel of any supplier change, including airfare, before your card is charged.


IMPORTANT:
Each section must be completed to make a valid booking. Missing or incomplete information will just delay making or confirming your reservation.

Payer Information
Todays Date:  
Your Name:
(Exactly as it appears on your Credit Card)
 
Your Billing Address:
(Address and Zip must match CC billing address)
 
Daytime Phone  
Evening Phone  
Fax  
Email Address  
Best Way to Reach You:  
Daytime Phone
Evening Phone
Fax
Email

Passenger Information
Passenger #1 :
Name: as it appears on Passport:  
Birthdate:  
Passport #:  
Passport Exp. Date:  

Passenger #2 :
Name as it appears on Passport:  
Birthdate:
Passport #:
Passport Exp. Date:

     
Trip Details
Destination Resort or Cruise:  
Room or Cabin Category:  
Destination Country:  
Departure Date   - Provide Exact Dates
Return Date   - Provide Exact Dates
 

Credit Card Details
Total Trip Cost:  
I Approve This Payment Amount:
Balance will be charged automatically on due date unless otherwise advised.
 
This Payment is For:  
Type of Card  
American Express
MasterCard
Visa
Discover
Credit Card Number   - REQUIRED
Expiration Date:   - Provide exact date
Security Code #:   - REQUIRED
Amex - 4 digit number above CC# on FRONT of card
MC, V, DIS - last 3 digit number on BACK signature strip
     
Requests: For example: location in resort, cruise deck, birthday's, anniversaries, etc...  
 
  Must Check the following to complete reservation
Check Here to Confirm that you have read the following Cancellation Policy.
Portions of this package may not be or are not refundable up to 100% of the vacation value. Agency cancellation fee is $50/per person and additional cancellation penalties may apply from both the supplier and Castaways Travel.

Must Select the following to complete reservation
I have ACCEPTED TRIP INSURANCE

I have DECLINED TRIP INSURANCE - By checking this box, I acknowledge that I have been offered and I have declined the purchase of; Trip cancellation (including airline, cruise, and tour operator default) and travel accident/limited sickness/medical/trip interruptions insurance. I will not hold CASTAWAYS TRAVEL and/or its agents responsible or any expenses incurred by me resulting from delay/cancellation of my trip, accident sickness, death, stolen or damaged baggage or property.


SEND then WAIT FOR THE CONFIRMATION.
If you see the confirmation page, that means that we have received your payment information.
If you get any type of ERROR message or did not get redirected to a confirmation page... that means that we did not receive your payment information Please contact us via e-mail at info@castawaystravel.com or by phone at 281-363-0808.