Margarita Travel, An Exclusive Club Med Travel Agency

MARGARITA TRAVEL Credit Card Authorization Form

CLUB MED CANADA/MARGARITA TRAVEL CREDIT CARD AUTHORIZATION FORM
NB: The charges on your card will say CLUB MED SALES CANADA.

* Indicates required field

Name On Card *

First

Last

Email *

Phone Number *

BILLING Address *

Line 1

Line 2

City

State

Zip Code

Country

Credit Card Number *

Expiry Month *

Expiry Year *

Security Code (Amex is 4 numbers) *

Insurance is very important, please make sure you have adequate insurance.
More information on Club Med's Insurance. https://www.clubmed.ca/l/travel-protection-plan

Do you want Insurance? The cost is $119CAD per person. Only applicable to Canadian Residents. *

YES NO

I Agree to Club Med's Terms and Conditions. I understand that any airfare i have purchased is non refundable. Any Changes to my itinerary are subject to a cancellation fee and a service fee by margarita travel, *

I AGREE

By Submitting this form, I the credit cardholder, am confirming that I have read the terms and conditions which were sent to me with my option. And I agree to the cancellation penalties. I also understand that Airlines may have schedule changes that are out of MARGARITA TRAVEL'S CONTROL. I Agree that my card will automatically be charged the final payment. *

I AGREE

Please specify any room requests. Filling out this box will help us keep organized and your requests put in at a timely manner. *

Submit