Credit Card Authorization Form for Lyndsay Stradtner, Independent Travel Agent, Life in Motion Travel via Inteletravel or Specified Suppliers

I authorize and or my travel supplier to charge my Debit/Credit Card.
Credit Card Type

TRAVEL PURCHASE AUTHORIZATION For Non-Website Purchases. Thank you for your purchase. is pleased to confirm the following travel arrangements. To complete your transaction and confirm your arrangements, your signature on this authorization is required. This form is NOT required for electronic purchases you complete yourself on our website,, or its affiliates. Charges are payable ONLY to or the hotel, resort, tour operator, cruise line or other travel supplier. Independent Travel Advisors may not accept and process charges through any other account, or accept checks, cash or other forms of payment.


For your protection, Travel Insurance is strongly recommended and available upon request from You can enroll online for travel protection for Medical Expenses, Baggage Delays/Loss, Trip Delay or Cancellation, and other coverage, or your Independent Travel Advisor can arrange coverage for you. For an online insurance quote and purchase, go to and click on Insure It.

To decline recommended travel insurance, your signature on this insurance waiver form is required. Final Travel Documents (tickets, vouchers, etc.) cannot be sent to you prior to receipt of the signed insurance waiver.

Please select one to ACCEPT or DECLINE travel insurance:

IMPORTANT: Please attach a legible copy of the front and back of your credit card.

All rates subject to restrictions, availability and change. See for complete terms and is registered with the States of Florida (ST-32452), Washington (602-735-106), California (209-1941-40), Iowa (977), and Hawaii (TAR 6732) as a seller of travel. uses the personal data you disclose about yourself on this form only for the purpose of processing your requested travel purchase. We retain your personally identifiable data only as long as that processing requires. We do not share any of your personal data with any third party except for the purpose of completing your purchase, and then only with third-party travel providers and credit card processors who protect and only process your personal data for the limited purpose of this travel purchase. Following the completion of your travel that is the subject of this transaction, your personal information shall be securely destroyed unless is required by law to retain it, and then it will be retained only for that limited legally required purpose. For complete details regarding the protection of your personal information, please see’s Privacy Policy posted at © 2020