Credit Card Authorization

Your information is secure. This form is encrypted and your card details are used solely to process your authorized travel booking. Card information is transmitted securely and is never stored on our servers.

Cardholder Information

Full Name (as it appears on card)*

Email Address*

Phone Number*

Billing Address

Street Address*

City*

State*

ZIP Code*

Country

Card Details

Card Type*

Card Number*

Expiration Date*

CVV / Security Code*

Authorization Details

Authorized Amount ($)*

Purpose of Charge*

Travel Dates

Destination

Traveler Information

Complete this section only if the traveler is different from the cardholder.

Traveler's Full Name

Relationship to Cardholder

Travel Insurance

Travel insurance is strongly recommended for all bookings. It protects your investment in the event of cancellations, medical emergencies, lost luggage, flight delays, and more.

Would you like to add travel insurance to your booking?*

Authorization & Signature

Authorization Agreement

I, the undersigned cardholder, authorize RLJ Travel to charge the credit card listed above for the amount specified. I understand that this authorization is for the travel services described and that all sales are subject to the cancellation and refund policies provided at the time of booking. I confirm that I am the authorized user of this card and that the information provided is accurate.

Typed Signature (Full Legal Name)*

By typing your name, you agree this serves as your electronic signature.

Date*

I have read and agree to the authorization agreement above, and I authorize RLJ Travel to charge my card as described.*

Your submission is encrypted and sent securely to RLJ Travel.