THIS IS NOT AN AUTOMATIC PAYMENT FORM. WE MANUALLY ENTER PAYMENTS ONCE RECEIVED. NOTE IF RECEIVED AFTER 4 PM OR ON WEEKENDS THE PAYMENT WILL NOT BE ENTERED UNTIL THE FOLLOWING BUSINESS DAY. YOU WILL RECEIVE AN UPDATED INVOICE SHOWING PAYMENTS APPLIED AND REMAINING BALANCE Name Booking number Email Telephone Billing address on Card City, State Zip Code Travel Agent you Booked With Carol Aria Credit Card Number Expiration Date CVS Code Travel Insurance Scroll And Select I accept insurance as quoted I decline insurance please contact me about other insurance options. Date of payment Amount to Charge NO $ OR . ENTER VALUE IN NUMBER - EXAMPLE 2375.20 ENTER AS 237520 I agree to pay This amount by clicking this I undestand my card will be charged. THIS IS NOT AN AUTOMATIC CHARGE. We process these payments when we receive them. If received after hours or the weekend they will be processed the next business day. I understand te cancellation penalties Additional payment Please use this card for the final payment and apply on date as shown on the invoice Contact me for another card for final payment. Signature of Card Holder Send
