Curated Travel Collection, Parent Company of Ears of Experience Credit Card Authorization Form

Please sign and complete this form to authorize the Curated Travel Collection to make a one time debit to your credit card listed below.

By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.

Please complete all fields. You may cancel this authorization at any time by contacting us. This authorization will remain in effect until cancelled.

This is a credit card authorization form. You are not making a payment with this form.

Payments will be processed from 9am - 2pm Monday through Friday. Payments submitted outside these hours will be processed the next business day.

Client Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Payment Information

Credit Card Type *

Discover Card cannot be used for purchasing planning packages. It can only be used for booking or paying on vacations. If purchasing one of the planning packages, please use anything but Discover. Mark "understand" in the blank. If you have questions regarding this, please email me at sstuemke@curatedtravelcollection.com . *

Credit Card Number *

Expiration Date (mm/yy) *

Name on Card *

CVV Code *

Amount to be Charged *

Date of Payment * +

Description of Goods and Services *

Signature *

clear

Confirmation *

I authorize Shannon Stuemke with the Curated Travel Collection to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.

Terms and Conditions *

I have read and agree to The Curated Travel Collection LLC's Terms and Conditions.

For Disney World and Disneyland clients only:
Please add your credit card information to your My Disney Experience account profile for Advance Dining Reservation bookings. The costs for these reservations will vary and you will be notified of the price before making any such reservation. These reservations can be seen in your My Disney Experience account after they are booked. Make sure to check your reservations in your account and make any changes or cancellations at least 2 hours in advance (for most dining reservations) to avoid unnecessary credit card charges. Keep in mind that dessert parties have a 5-day cancellation policy while dinner shows and Cinderella’s Royal Table have a 48-hour cancellation policy.