Credit Card Authorization Form Credit Card Authorization Form Credit Card Authorization Form Please complete all fields on our secure form. You may cancel this authorization at any time by contacting us. This authorization will remain in effect until cancelled. Card Type * MasterCard VISA Discover AMEX Other Authorized $ Amount * Cardholder First Name * Cardholder Last Name * Cardholder Mailing Address * Cardholder City * Cardholder State * Cardholder Zipcode * Card Number * Expiration Date * MM/YYYY 3 or 4 Digit CCV * By typing my name below, I authorize Luxe Pro Travel to charge my credit card above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account. * Type your full name Today's Date * reCAPTCHA If you are human, leave this field blank. Submit
