Kat's Kaleidoscope is an approved travel agency authorized to conduct business with all travel suppliers including, but not limited to airlines, car rental agencies, hotels, cruise lines, tour operators, and travel insurance companies. Your professional travel agent is contracted with Kat's Kaleidoscope for the purchase of travel related services, therefore, it is required that you comply with our credit card acceptance policies. You should complete this form if you are using your credit card to purchase travel services for yourself or other individuals known to you. Please fully complete and return this form to your travel agent using the instructions provided below. The purpose of this Credit Card Authorization form is to comply with credit card acceptance rules with travel suppliers and to protect you the cardholder, Kat's Kaleidoscope, and your travel agent from credit card fraud. A copy of your Driver License and a copy of your credit card both front and back is required with this Authorization.If you have any questions or concerns regarding this form, please contact your travel agent 404.805.4589. This form must be completed and signed by the cardholder. Kat's Kaleidoscope reserves the right to request additional information from the cardholder. If fraud is suspected, Kat's Kaleidoscope reserves the right to deny this transaction.

Please complete the following:

Date

Cardholder Name As it appears on your credit card

Credit Card Number

Exp. Date

Security Code

Billing Address

City

State

Zip

Phone Number We can reach you at to confirm this transaction

Bank Phone Number As it appears on back of your credit card

List full names of all travelers you are purchasing travel services for Separate names by comas

Description of the travel services that you are purchasing

Total amount you are authorizing to charge to your credit card

Notes/Comments

I authorize Kat's Kaleidoscope agents and/or it travel suppliers to charge the above listed travel services for the above listed person(s) to my credit card provided herein. I further authorize Kat's Kaleidoscope agents and its travel suppliers to charge the credit card copy attached hereto for travel services, including airfare, hotel, or any other service related to my travel. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.

CARDHOLDER - Print Name and Sign Below:

Cardholder Printed Name

Cardholder Signature

Important: Fill the whole form before you click the button to print, all fields are required. Print and Sign.

Credit Card Authorization Form