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Homepage
Our Services
Request A Quote
Make A Payment
New Reservation
Existing Reservation
Contracted Group
Pay With STRIPE
Resources
Resources
FAQs
Contracted Group
Thank You for Securing Your Group Travel Accommodations with YJJ Travel Corp.!
Kindly Complete The Following Credit Card Authorization To Successfully Apply Payment Towards Your Group Contract.
"
*
" indicates required fields
Step
1
of
3
0%
FIRST NAME:
*
LAST NAME:
*
I authorize YJJ Travel Corp. or one of their affiliated travel suppliers to charge my card.
*
I agree
TYPE OF RESERVATION:
*
Wedding Group
Family Reunion
Birthday Celebration
Milestone Celebration
Other
I AUTHORIZE A PAYMENT IN THE AMOUNT OF ______. (USD$)
*
I AGREE TO PAY THE ENTIRE BALANCE OF THE CONTRACTED GROUP AND CHARGEBACKS, IF APPLICABLE.
*
Yes, I agree.
I GUARANTEE AND WARRANT I AM THE LEGAL CARDHOLDER FOR THE FOLLOWING CREDIT CARD.
*
Yes, I am the legal cardholder.
FIRST NAME:
*
LAST NAME:
*
CARDHOLDER'S FIRST NAME
*
CARDHOLDER'S LAST NAME
*
CARDHOLDER'S PHONE NUMBER:
*
CARDHOLDER'S EMAIL ADDRESS:
*
CARD TYPE:
*
VISA
Master Card
Amex
Discover
CREDIT CARD NUMBER:
*
MONTH:
*
exp. month
01
02
03
04
05
06
07
08
09
10
11
12
YEAR:
*
exp. year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
SECURITY CODE:
*
CARDHOLDER'S BILLING ADDRESS:
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
READ BEFORE YOU SIGN
By signing your name below and selecting the submit button, you are authorizing this financial transaction electronically. This enters you into a financial agreement with YJJ Travel Corp. and one of their travel supplier affiliates. You agree your electronic signature is the legal equivalent of your manual signature on this transaction. You consent to be legally bound by this transaction and all financial terms and conditions of this agreement. You agree to not dispute this charge to YJJ Travel Corp. or one of their travel supplier affiliates after the payment has been successfully processed. If you'd like to confirm the name of a travel supplier once a payment posted you will contact YJJ Travel Corp. If you agree, kindly sign below.
PLEASE SIGN BELOW:
*
TODAY'S DATE:
*
MM slash DD slash YYYY
SIGNER'S FIRST NAME:
SIGNER'S LAST NAME:
Name
This field is for validation purposes and should be left unchanged.
Δ
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