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Experience the Difference
Design A Trip
#Inspiration
Travel Blog
Say Hello

Credit Card Authorization Form

We know you are excited for your upcoming trip and as part of our process to make everything simple and stress-free for you we ask that you please fill out the below form. We will only process payment on specified date with the amount authorized. If you have any questions please contact your travel advisor or email us at info@perfectlandingtravel.com.

Who Is Your Travel Advisor? *

Heather Keller
Rita Fuja
Lindy Schuch
Jamie Stippel

Trip Name *

Title *

Name on Card *

Email Address *

Address *

Address Line 1

City

State

Zip Code

Billing Address *

Phone Number *

Credit Card Number *

Date to Process Payment *

Expiration Date *

Amount to Process *

CVV Code *

Type of Card *

Visa
Discover
Mastercard
American Express

Travel Insurance

Things happen and sometimes trips needs to be cancelled or rescheduled. Sometimes you get sick on a trip and need medical care. Someone back home gets sicks and you need to get home. Travel insurance helps protect you from losses you might incur. *

Yes, I would like travel insurance; please send me a quote
No, I decline travel insurance

* Please note: In some situations (like pre-existing medical conditions) you need to purchase your travel insurance within a certain amount of time after you place the deposit for your trip. The time varies based on the travel insurance vendor so please ask us for details. Additionally, in order to purchase a policy that includes a Cancel for Any Reason provision, the insurance needs to be purchased the same day the trip deposit is placed.

Agreed Consent *

I also confirm I have reviewed and agree to Perfect Landing Travel’s terms and conditions and travel waiver

Visit links below

Terms & Conditions | Travel Waiver

Agreed Consent *

I hereby confirm that I am the above-mentioned cardholder and authorize Perfect Landing Travel, LLC to charge for the indicated amount for the travel arrangements as specified on the itinerary. In addition, I hereby authorize the remaining balance, if any, to be charged when due to the above indicated card.

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