Zuriana's Elegant Occasions, LLC
Credit Card Authorization

Please process my payment:
Travel Protection and Insurance (please check one)
**Insurance must be purchased at time of deposit. If accepted, the insurance premium will be added to the amount of your package deposit. If you choose to decline this valuable protection, you understand that you will be financially liable for any penalties associated with changes/cancellation of your booking. *

In lieu of a credit card imprint, I hereby verify I am the cardholder named above and authorize Zuriana's Elegant Occasions, LLC (and/or their affiliates) to charge the above credit/debit card for my travel reservation. You are further advised that the posted charge may appear on your statement in the name of Zuriana's Elegant Occasions, LLC or one of our affiliates. You may request from Zuriana's Elegant Occasions, LLC the name of the affiliate that will appear on your statement.

I have read, understand and agree with the AGENCY TERMS AND CONDITIONS (click link) and also the supplier terms and conditions provided to me with my invoice. I understand that once payment is applied to my reservation, cancellation/change penalties will apply and I may not be entitled to a refund. 

I understand my reservations will not be processed until this completed authorization is received, and if not received within all applicable deadlines my booking may be automatically canceled.  I understand and agree with the cancellation penalties associated with this reservation, and have been provided the opportunity to purchase travel insurance.

By submitting this authorization, I agree to pay the total amount as entered above in accordance with the card issuer agreement.  The cardholder understands and agrees to these terms and expressly waives the rights to credit card chargebacks as a means to mediate disputes. *

Please Note: Rates are not guaranteed until your credit card is charged. 

To complete the authorization to charge your credit card you must type your name in the blank below. This will serve as your electronic signature - the equivalent to signing your name on a printed credit card authorization form.
Powered byFormsiteReport abuse