Honeymoon Gift Deposit From:* First Last Email* Cell Phone*To:* Gagnon + Haeck/ Maui Mannon + Dates/ Jamaica Correa + Elliott/ London, Paris & Rome Laverriere + Bielicki / St Lucia Burrowes + Pittman/ Bali Aldrich + Colarusso / St Lucia Solan + Wilkins / Riviera Maya Lank + Roland / Jamaica Stein + York/ Greece McIntyre + Hamilton/ Ireland Peabody + Smithson / South Africa Gift Message:IMPORTANT:* I Agree I understand that my gift deposit is non refundable and that funds will be directly deposited into the honeymoon couple travel account. If I decline the charge to my credit card at a later date, I understand that the honeymoon couple is directly impacted and that their reservation could be cancelled. At a minimum, the honeymoon couple will be responsible for paying any cancelled funds including processing fees.Credit Card Information Name* First Last Credit Card Number*Expiration Date* MM DD YYYY CVV*Last 3 digits on back of credit card or front 4 digits for American Express Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Amount to be Gifted:*(min. $50)FileIf amount is greater than $200, please upload a copy of your ID and front/back of the credit card or email to: info@travelbydarcy.comCard Holder Authorization I, the authorized credit card user, give Travel by Darcy LLC and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by submitting this form, I will be held responsible for all agreed upon charges as well as any and all collection and legal fees. By submitting this "Credit Card Authorization" form, I (cardholder), acknowledge receipt and understanding of its contents. Note: Your card will not automatically be charged by completing and submitting this form; however, completing and submitting this form does give the agent the right to charge the card for the amount and purpose authorized above. Like this:Like Loading...
