Credit Authorization


Credit Authorization

Serving Tampa, Wesley Chapel, Dunedin, Oldsmar, St Petersburg, FL and surrounding areas

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Form Instructions

It is highly recommended to use a CREDIT CARD AUTHORIZATION FORM your records for each client’s credit card transaction. This form gives you signed authorization to charge your client’s credit card and protects you in the event of chargebacks, debit memo’s, and/or disputes. This form is for your own record keeping to be included in your client’s file. It is not necessary to send this form to KHM Travel corporate office or accounting.


It is important to have your client enter his or her name exactly how it appears on their credit card. Example: your client profile information may indicate John Smith, however the name on the credit card may be Jonathan A. Smith. It is also recommended to keep records of all posted credit card transactions (deposits, additional amounts paid, final payment, etc) that pertain to each itinerary or trip transaction. Request a copy of the front and back of the credit card and photo ID to retain for your records.

Cardholder Authorization

I, 

have authorized (company) Serenity Travel Inc. to charge the amount of 

to my

for the following services

I/we are aware of any cancellation policies and agree not to dispute or attempt to chargeback any of the signed for and acknowledged charges. (cardholder initials)

VISA, MASTERCARD, DINERS & DISCOVER credit cards have a three-digit (CVV) number. It is printed in the signature panel on the back of the Visa, MasterCard and Discover cards. The verification number is the last 3 digits on the right side of the panel. AMERICAN EXPRESS credit cards have a 4 digit non-embossed number. It is printed  above the account number on the front of your card. It may appear to the left or to the right, but it is always above  your account number. DEBIT CARDS or if your card has no verification code, enter 0000 in the CVV/CID field.

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