P R Travel 
P. O. Box 697
White House, TN 37188

Honeymoon Registry / Credit Card Authorization Agreement Form

Brides Full Name________________________________

Grooms Full Name_______________________________

Wedding Date_________________________

I, __________________________, the undersigned, hereby authorize P R Travel to act as my agent in my behalf to make purchases using the credit card as indicated below. I understand that P R Travel agrees to make only the purchases that I have specifically authorized by phone, email, verbal, or other communication and will not authorize any purchase whatsoever without my expressed consent. I have the right to terminate this agreement with or without cause at anytime with verbal, written or other communication at my sole discretion.

Card _____________(Visa, Am Ex, Master Card, Etc.)

Account # ______________________________Expiration Date_________________

3 or 4 Digit Security Code________________ (Located on back of card)

Name on face of Card__________________________________________________

Billing Address of Card_________________________________________________

Your Gift Amount $_________________________
 

Signed_________________________________  Date_________________