Credit Card Information: Form is sent via a secure connection and only accessible by Janelle & Co. Travel LLC. To remain PCI compliant we can only collect the last 4 digits to be stored. Please email the first 12 digits and the CVV code from the back of card to chanda@jcotravel.com. This will be kept separate from the last 4.

Card Holder Authorization
I, the above-named authorized credit card user, give Janelle & Co. Travel LLC. and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by affixing my signature to this form, I will be held responsible for all agreed upon (as stated above) charges as well as any and all collection and legal fees. This credit card is authorized for only the charges noted above. By signing this "Credit Card Authorization" form, I/my organization acknowledge receipt and understanding of its contents, including its "Explicit Authorization" clause.

By signing below, I agree to the accuracy of the information disclosed within this form and to the authorization to charge my credit card for the amount specified above.