Honeymoon Registry

Credit Card Authorization Form

HONEYMOON GIFTS Credit Card Authorization Form - *This form produces a FAX that is sent only to our office for processing. By clicking "submit" you will only produce the fax. It does not process your card. That will be done on a secure server by your agent only. By submitting this form you are authorizing Island Jack's Travel to make this transaction in your behalf for travel arrangements that you have approved. Submission of this form indicates that you have read and accepted the Terms & Conditions outlined at the bottom of this form.

Name of HONEYMOON COUPLE *

Amount to be Charged for HONEYMOON GIFT *

Your Name *

First

Last

Your Email *

Your Telephone Contact *

Credit Card Number *

Expiration Date AND CID Number (Security Code) *

Mailing Address for Credit Card *

Electronic Signature *

Credit Card Authorization Form

CLICK HERE for Terms & Conditions