Payment Authorization

This form authorizes Our Destination Weddings to charge the credit card listed below for agreed travel services. Please complete all fields accurately.

Name

First Name

Last Name

Reservation Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Number

Number

Expiration Date

CVV Code

Currency

Message

My signature below authorizes the payment indicated above and confirms that I have read, understood, and agree to be bound by the Terms & Conditions provided.

Payment Authorization

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