CREDIT CARD AUTHORIZATION

Please fill out and complete the form and one of our representatives will reach out to you regarding payment

Tour Name

ex. tour date / priest name

Cardholder Information

First Name

Last Name

Phone

Country

(###)

###

####

Cardholder Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Type

Credit Card Number

Expiration Date

Security Code

Amount To Be Charged

Comments or Remarks:

I Agree to pay according to the card issuer agreement. I understand Chaplet Tours & Pilgrimages cancellation policy, terms and conditions.

Yes, I agree

I agree to pay the Service Fee of 2.9 - 4% per transaction

Yes, I agree