Credit Card Authorization Form

Ready to book your trip? Before you do, it is required that you complete this authorization form. This will give us permission to pay for your booking on your behalf. All payment requests must be sent through our Payments Page, and we will NOT make any payments with out your permission first. If you have any questions, please reach out at clients@motiftravelgroup.com.

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First Name

Last Name

Email Address

Address

Phone Number

Date of Birth

I,

, authorize Motif Travel Group

and/or my selected travel suppliers to charge the credit card(s) that I provide to make payments on my behalf for my booking(s). I understand that all payments must be submitted by me on the Payments Page and that Motif Travel Group will NOT charge my credit card(s) without my permission.

Signatue

Submit

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