Payment Form

Please send us your payment information. This is a secure, encrypted form.

First Name (as it appears on the credit card)*
Middle Name or Initial (as it appears on the credit card)
Last Name* (as it appears on the credit card)*
Email Address*
Billing Street Address*
City*
State*
Zip Code*
Daytime Phone*
Evening Phone*
Cell Phone
Credit Card Type*
Credit Card Number* (Please enter a space after every 4 numbers)*
Exp Date* (Please enter "01" for day if your card does not specify)*
Month
Day
Year
Security Code**
Please Authorize How to Secure Your Travel*
- Please charge my credit card for the initial deposit required per person to secure this booking.
- Please charge my credit card for the full/final payment due for my booking.
The Amount I authorize for this charge is $*

(Prices are subject to change until deposit is made. By entering your credit card numbers we will not be processing your card immediately, this is just a way for us to get your payment details. Please allow up to 24 hours for your card to be charged).
Agent's name that helped you with this booking*
Cardholder Signature (type your name as an electronic authorization for All About Vacations to charge your credit card)*
*
- Yes, I have read and agree with the tour supplier's and All About Vacations terms and conditions and Cancellation Policy

28852