All fields must be completed, please.
Your name as it appears on your credit card:
Your Island Dreams agent (Tina, Susan, Yvonne, Ken):
Credit card number:
CVV (Card Verification Value):
Credit card billing address, in full:
Destination and dates of travel, plus any comments:
Dollar amount of authorized charge, or state "Pay in full per invoice"
Date of charge authorization
By submitting this form, I authorize Island Dreams to process the credit card charge as described above.
I further state that I have read, understand, and agree to abide by Island Dreams' Terms and Conditions of Sale.
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Island Dreams Tours and Travel