AUTHORIZATION

Thank you for booking your upcoming vacation with us!

For your convenience, you may charge vacation payments to your credit card by completing this secure Credit Card Authorization Form. If you wish to give your credit card information over the phone, please complete this form including just the last 4 digits of your credit card and contact your agent with the complete card number. Vacation payments are also accepted by check or money order made payable to Go Away Groups.

If paying by check or money order, please remit payments to:
Go Away Groups
13 Jody Drive
St. Peters, MO 63376

I, (required) , hereby authorize Go Away Groups or their representative Tour Operator or Cruise Line to charge the following:

Card Type (required):

In the amount of: $

on reservation/booking #:

Credit Card Billing Street Address:

City:

State:

Zip Code:

Contact Phone:

Your Email (required)

By selecting 'I Agree', you are providing this transaction an Electronic Signature with the same legal weight as a handwritten signature as defined in the 'Electronic Signatures in Global and National Commerce Act'. You must select ‘I Agree’, or your payment will not be applied.

My GoAwayTravel.com Travel Specialist is:
(If you do not know who your Travel Specialist is,
please select “Not Sure” from the drop-down list.)