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Dream Vacations Dallas - Doug Thompson
CREDIT CARD PAYMENT FORM
This form is used for payments on bookings made with Dream Vacations / Big D Cruises LLC. If you have any questions, please contact Doug Thompson at 214-254-4980 or by email at dthompson@dreamvacations.com
Payment Type
*
Deposit as outlined on invoice
Periodic Payment
Final Payment as on invoice
Final Payment NO INSURANCE
Booking name or reference number
*
Name on Card
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CVC code
*
Payment Amount
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Your Email address
*
Please provide us with any other details that will assist in processing your transaction.
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