START HERE - IMPORTANT NOTE: THIS IS A TWO PART FORM  

Travel Direct Corporation
You should read and sign the Consumer Disclosure Notice Disclaimer Form. Click here

Cruise Direct Online
After filing out this credit card form: You will need to fax to us both forms.

4 Reserve Way

Any and all payments made are subject to cruise line verification and approval.

Milford, New Hampshire 03055

Phone 800.365.1445

Fax 407.650.3271

CRUISE OR CRUISETOUR CONSUMER DISCLOSURE NOTICE

and CRUISE LINE CREDIT CARD AUTHORIZATION FORM

To use this form, you must have an existing CRUISE Reservation

or Courtesy Hold for a CRUISE on file with us.  If not , DO NOT USE THIS FORM

Please provide the following information so we can have the cruise line process your credit card charge.

Important: This Form & The Consumer Disclosure Notice must be faxed or mailed back to us. 
For security and privacy reasons, do not e-mail this information.

1. Cardholder’s Name ( first, middle name or initial, last ) [ exactly as it appears on the charge card ]

_________________________________________________________
2. Cardholder’s Address  [ The address where you receive your monthly statement and where you want us to send your cruise documents. If you would like documents sent elsewhere or change your address, be sure to let us know. Otherwise your documents will be sent USPS Priority -Mail Signature Confirmation to this address.]

Street:_________________________________________    Email___________________ Address:____________________________________________

City:________________________________________________

State:_________________________________Zip Code_______________

3.Telephone Number: Home (      )______________________Office (      )_______________

4. Please Fill In. Sailing Date________Cruise Ship:___________Cabin #______Tour#______

  RQ or Reservation #_______________( do not leave blank )

Note: If a cruise tour, enter (start) date of cruise tour in "sailing date" space above & enter cruise tour # above. {Ignore "Tour #" if cruise only}
5. Passenger Names: SHIP’S MANIFEST , must be listed exactly as they appear on their valid passport. Passports must be good for at least 6 months after trip is completed. It is your responsibility to contact the cruise line for exact citizenship/identity requirements for your sailing. Failure to have the proper citizenship and identity documents may result in denied boarding. If you are denied boarding, you will not get a refund.

DOB = Date of Birth
(1)_______________________( DOB ) ______ (2)__________________( DOB ) _________

(3)_______________________( DOB ) _______(4)_________________ ( DOB ) _________

6. Dining Preference: (On Request Only, subject to confirmation) ____First ____Second _____Open. If you choose 1st or 2nd seating: Table for ___ (2,4,6,or 8)

7. PAYMENT AUTHORIZATION
I Authorize Travel Direct Corporation dba Cruise Direct Online to forward to the cruise line my credit card information so the cruise line may process the charge in the amount of $___________________. I further understand that the proof of citizenship/proof of identity, payment requirements, booking conditions and cancellation policies of the Cruise Line and not that of Travel Direct Corporation apply to this transaction.

   Please mark all of the following with an "X" in front of the appropriate answer;  

 ( Example:  X  Yes )

   • This payment is for,   _____Deposit _____Final Payment.

   • After being advised I, _____Accept  _____Decline cruise line arranged travel insurance.
    • I want the Cruise line arranged Airfare and Airport Transfers to/from ship:  ___Yes ___No
    • I want the Cruise line arranged Airport Transfers to/from ship only: ___Yes ___No

 

8. Card Type:__Amex__Mastercard__Visa__Discover Card•Is this a cash/debit card?__Yes __No
 (Note: If this is a cash or debit card, you may have a maximum limit on what can be charged per day.)

9. Card Number:________________________________Expiration  Date:_________

10. Credit Card Verification Value Number:________Note: The three or four digit Credit Card Verification Value number is located above or below the credit card number or located on the back of the card.

Cardholder Signature (Granting Authorization)

_____________________________________Date:_________
[As it exactly appears on the charge card]

For security reasons, we do not take credit card information over the phone. The credit card information provided by fax, or mail is given directly to the Cruise Line who will process your charges. Their name will appear as the merchant on your monthly card statement. Our Pay Direct Process provides comfort and assurance that your funds are deposited directly with the Cruise Line. Cruise Direct Online aka Travel Direct Corporation is a licensed, bonded Seller of Travel in Florida, Registration # 31254.