Credit Card Authorization

This form securely collects your information for travel bookings. The signed PDF shows your contact info, billing address, card brand and last 4 digits, and your e-signature. The full card is stored securely and is not emailed.

Full Name

Phone

Billing Address - Line 1

Line 2 (optional)

City

Province

Postal/ZIP

Card Number

Expiry (MM/YY)

CVV

Signature (use mouse or finger)

We’ll produce a signed PDF (without the full card number) and securely store your card for bookings.