Name* First Last Email* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit CardCardholder Name*Card Number*Expiration Month*MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberExpiration Year*Year2016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040Security Code*Amount to Be Charged*Trip Cancellation Insurance***Insurance must be purchased at time of deposit. If accepted, the insurance premium will be added to the amount of your package deposit. If you choose to decline this valuable protection, you understand that you will be financially liable for any penalties associated with changes/cancellation of your booking. * *AcceptDeclineInsurance Already Purchased for this TripNotesIn lieu of a credit card imprint, I hereby verify I am the cardholder named above and authorize Four Seasons Travel LLC (and/or their affiliates) to charge the above credit/debit card for my travel reservation. You are further advised that the posted charge may appear on your statement in the name of Four Seasons Travel LLC or one of our affiliates. You may request from Four Seasons Travel LLC the name of the affiliate that will appear on your statement. I have read, understand and agree with the AGENCY TERMS AND CONDITIONS and also the supplier terms and conditions provided to me with my invoice. I understand my reservations will not be processed until this completed authorization is received, and if not received within all applicable deadlines my booking may be automatically canceled. I understand and agree with the cancellation penalties associated with this reservation, and have been provided the opportunity to purchase travel insurance. By submitting this payment, I agree to pay the total amount as entered above in accordance with the card issuer agreement. The cardholder understands and agrees to these terms and expressly waives the rights to credit card chargebacks as a means to mediate disputes. * Terms and Conditions Agreement* I agree to the Terms and Conditions above. Signature* This iframe contains the logic required to handle Ajax powered Gravity Forms.