Payment Authorization Reservation Code * Name on Reservation First Name Last Name Email * Billing Name * First Name Last Name Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Card Type Visa Mastercard Amex Discover Credit Card Number * No spaces or dashes Expiration Date * MM/YY CDR Code * Payment Type Deposit Only Deposit + Non-refundable Travel Insurance Payment Towards Balance Final Payment Payment Amount $ Sign Here Authorizing This Transaction * Notwithstanding anything contained in your Cardholder Agreement with the provider that is to the contrary, written notice of rejection or cancellation of these arrangements must be received in writing within the time limits stated on your invoice. If not received, no charge-backs or cancellation will then be accepted. Your signature on this charge confirmation form is an acknowledgement that you have received and read the Terms & Conditions included on your invoice and that you understand the Cancellation Policy, which details this company's policies on payments, cancellations, and refunds for the travel arrangements you have made. You should review this document thoroughly before finalizing any travel arrangements. Barefoot Bridal cancellation fees are in addition to any other cancellation fees you might incur from the merchant, your credit card company, or other. I am aware of all cancellation policies and agree not to dispute or attempt to charge back any of the above signed for and acknowledged charges. Type your name to authorize this transaction on your credit card and to indicate that you accept and acknowledge these Terms & Conditions. Thank you for submitting your credit card authorization form for your payment. Please allow up to 5 business days for processing.
