Honeymoon Gift Deposit From:* First Last Email* Cell Phone*To:* Jameson + Perkins / Bali Downy + Ayers / Italy Johnson + Mills / Maldives 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* Month Day Year 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)FileMax. file size: 2 GB.If amount is greater than $200, please upload a copy of your ID and front/back of the credit card or email to: info@travelbydarcy.wpcomstaging.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.NameThis field is for validation purposes and should be left unchanged. Δ Like this:Like Loading...
