Credit Card Authorization/Insurance Waiver-Chef Luckey

Credit Card Authorization/Insurance Waiver

First Name

Last Name

Date

Independent Travel Advisor: Lakeya Anderson PIN: P3910310

Advisor Telephone Number: 708-365-8069

Email: info@chefluckey.com

TRAVEL PURCHASE AUTHORIZATION FOR NON-WEBSITE PURCHASES.

TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases. Thank you for your purchase. InteleTravel.com is pleased to confirm the following travel arrangements. To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website, www.InteleTravel.com, or its affiliates. Charges are payable ONLY to InteleTravel.com or the hotel, resort, tour operator, cruise line or other travel supplier. Independent Travel Advisors may not accept and process charges through any other account, or accept checks, cash or other forms of payment

TRAVEL INSURANCE WAIVER

For your protection, Travel Insurance is strongly recommended and available upon request from InteleTravel.com. You can enroll online for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage, or your InteleTravel.com Independent Travel Advisor can arrange coverage for you. For an online insurance quote and purchase, go to www.InteleTravel.com and click on Insure It.

To decline recommended travel insurance, your signature on this insurance waiver form is required. Final Travel Documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver.

CREDIT CARD INFORMATION

Choose card type.

Credit Card Number

Expiration Date

CVV (3 numbers on back of card)

Address

TRAVEL ARRANGMENTS

Itinerary

Dates of Travel

Booking Number

Passenger Names

Amount of Trip

I have ACCEPTED and authorized the travel purchases above, and I understand that by signing below, I am DECLINING TRAVEL INSURANCE. I have read and understand all cancellation charges and change fees related to the above travel arrangements, and

I have ACCEPTED and authorized the travel purchases above, including travel insurance, and I am aware the insurance premium is not refundable

IMPORTANT: Please attach a legible copy of the front and back of your credit card. All rates subject to restrictions, availability and change. See www.InteleTravel.com for complete terms and conditions.InteleTravel.com is registered with the States of Florida (ST-32452), Washington (602-735-106), California (209-1941-40), Iowa (977), and Hawaii (TAR 6732) as a seller of travel. InteleTravel.com uses the personal data you disclose about yourself on this form only for the purpose of processing your requested travel purchase. We retain your personally identifiable data only as long as that processing requires. We do not share any of your personal data with any third party except for the purpose of completing your purchase, and then only with third-party travel providers and credit card processors who protect and only process your personal data for the limited purpose of this travel purchase. Following the completion of your travel that is the subject of this transaction, your personal information shall be securely destroyed unless InteleTravel.com is required by law to retain it, and then it will be retained only for that limited legally required purpose. For complete details regarding the protection of your personal information, please see InteleTravel.com's Privacy Policy posted at www.inteletravel.com

Upload a photo copy of Credit Card Front

Upload a photo copy of Credit Card Back

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