Responsible Party Name

Personal Credit Card

Credit Card Number*

CVV*

Expiration Date*

Amount*

Card Type*

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Billing Address*

City*

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By checking below you accept and agree to the terms & conditions. You accept the following:

I, Cardholder of the debit/credit card (whose details are set out) hereby authorize Ansura Vacations LLC (“AV”) to charge the referenced debit/Credit card. Accordingly, I hereby irrevocably and unconditionally authorize “AV” to charge to my debit/credit card all the Amounts due and payable and I shall be liable for the payment of all the Amounts so charged to my debit / credit card. Your credit card statement will reflect a charge (s) from the relative cruise lines and tour operators: Culture Holidays, Royal Caribbean, MSC Cruises or S.O. S. Entertainment.

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