CREDIT CARD AUTHORIZATION

    Credit Card Type:

    Amount to Authorize (CAD):

    Card Number:

    Cardholder Name:

    Card Expiration:

     

    CVV Code:

     

    Billing Address

    Address:

    City:

    Country:

    State / Province:

    ZIP / Postal Code:

    Phone Number:

    Email:

    Comments:


    This form is not used to make charges directly to your card or onto an existing booking. This form is a secure way for me to collect your credit card information and an authorization from you that I can process a payment on your credit card.