CC Authorization

Credit Card Authorization

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Confirmation # or Check in Date *

Last 4 Digits of Card *

I authorize Dream Makers Travel Agency to make the following charges on my credit/debit card to the travel company. I understand that Dream Makers uses the credit card to secure my travel bookings, charges will be made by the travel company (i.e Disney Travel, airlines, etc.) and will appear on my statement as such. I certify that I am the authorized holder and signer of the card referenced below. I certify that all information below is complete and accurate. I authorize this card to be charged for the following: Deposit, Payments and Final Payment *

Please review Disney's Terms & Conditions and indicate your understanding and approval below.

I am stating that I have read and agree with Disney's Terms & Conditions *

Comment *

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