Cruise Deposit Form

SOLOMON CRUISE N' TRAVEL

Payment Form

Please complete this form if you are using your credit card to purchase travel services for yourself or other individuals known to you.

The purpose of this Credit Card Authorization form is to comply with credit card acceptance rules with travel suppliers

and to protect you the cardholder and Solomon Cruise N' Travel from credit card fraud.

If you have any questions or concerns regarding this form please contact us. This form must be completed the cardholder.

We reserve the right to request additional information from the cardholder, if fraud is suspected. We reserve the right to deny this transaction.

First Name *

Last Name *

Contact Number *

Email Address *

Deposit Amount *

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Do you Want to set up a Payment Plan? *

If you choose payment plan please determine frequency -

Comments/Request