PLEASE FILL OUT THE FORM BELOW TO SUBMIT YOUR PAYMENT INFORMATION FOR PROCESSING.If you have questions please call us at 1-844-267-8727 (1-844-ANSURA7). All fields marked with an asterisk (*) are required. Cardholder First Name* Cardholder Last Name* Personal Credit Card Roommate(s) Name Credit Card Number* CVV* Expiration Date* Amount* Card Type* VisaMastercardAmerican ExpressDiscover Billing Address* City* State* Zip Code* Name of Event* Ultimate Caribbean Escape Soca Cruise April 3-10 2022 RCCL Grandeur Of The Seas By checking below you accept the following: I, Cardholder of the debit / credit card (whose details are set out) hereby authorize Ansura Vacations LLC (“AV”) on behalf of Soca On The Seas to charge the referenced Debit / Credit card for the following services (the “Amounts”): Royal Caribbean Cabin, Port Fees & Taxes and S.O.S. Entertainment. Accordingly, I hereby irrevocably and unconditionally authorize “AV” to charge to my 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 charges from Royal Caribbean and S.O.S Entertainment. NOTE: This is a music – themed cruise event inclusive of RCCL cruise fare, taxes, port fees, NCCF fees, meals, administrative fees, non-alcoholic beverages, and daily live entertainment from April 3-10, 2022. In the event of a global pandemic or travel ban which cause the delay or postponement of the sailing from April 3-10, 2022, Royal Caribbean’s cancellation policy will go into immediate effect which could be in the form of a future cruise credit or a refund to your debit / credit card. Ansura Vacations on behalf of SOS will issue an Entertainment credit which will be applied on the rescheduled sailing. Email Address* Phone Number* Additional Comments