E.E.I. Travel Credit Card Payment Form

PLEASE NOTE: OUR PAYMENT SYSTEM DOES NOT ACCEPT DEBIT CARDS.
Please complete the Credit Card Payment Form below and fax back to 1-425-984-8054.

  • The cardholder must sign this form in order for the charge to be processed.
  • I have read and I understand the terms and conditions.
  • I have reviewed my itinerary and I verify that all information is accurate.
  • If any information is incorrect, including but not limited to passport name, travel dates and city of departure, I understand that penalties, travel delays or cancellations may apply should any corrections need to be made after paid in full. Please call 1-800-927-3876 prior to submitting this form to make corrections.
  • I understand it is my responsibility to obtain the ncesessary documents for travel including passports and visas.
  • I accept and agree to adhere to the terms and conditions of this transaction. YES____ NO____

    Booking Number: ________________

    Card Holder Name______________________________________

    Card Holder Billing Address- Street_______________________

    City__________________________________________________

    State_____ Zip_____________

    Credit Card #_____________________________ Exp_____

    Credit Card Identification Number (This is located on the front or back of the credit card) ______

    Visa, Mastercard, Discover & American Express Credit Cards gladly accepted Debit Cards are not accepted.

    I authorize $__________ (enter amount) to be charged on my credit card.

    Card Holders Signature _____________________________________________ Date___________

    I have been advised of and chosen to ___ACCEPT ___DECLINE E.E.I. travel insurance. Please note that if you did not book insurance when you submitted your request an additional amount will be due should you wish to add it to your reservation.