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By submitting, you certify that you are the cardholder and are authorizing Hibiscus Travel to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You also certify you have read the Terms & Conditions. This charge will be manually applied by the agency to your confirmation/agreement. Please note that you may not see a charge from the travel agency on your credit card statement; the charge could also come from a third party supplier. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize Hibiscus Travel to use the above information to charge my credit card the stated amount. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature. By checking the box below and adding your signature, you indicate that the above amount is correct, you authorize the agency to charge your credit card for the specified amount, and you agree to the terms and conditions.
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