Registry Gift Payment Registry Payment Form Gift Selection Please indicate gift purchase below. * Payment Amount * Select the Travel Advisor Working with the Couple : * UnsureMelinda H.Neil H.Donnie T.Stacey A.Anna C.Mandy Z.Leslie S.Adam W.Renee W. In order to avoid purchase delays you must select the advisor working with the couple. The advisor name can be found on the honeymoon/wedding gift registry. Note for Couple: * Billing Information Name * Billing Address * Street Address Line 2 City * State / Province / Region * Zip / Postal Code * Country * Email Address * Phone Number * Credit Card Information Credit Card Company * VISADiscoverAmerican ExpressMaster Card Credit Card Number * Expiration Month * JanFebMarAprMayJunJulAugSepOctNovDec Expiration Year * 2021202220232024202520262027202820292030 Security Code * Signature (Use finger or mouse to sign) * Clear By submitting, you certify that you are the cardholder and are authorizing Dreams and Destinations, Inc. or its chosen Tour Operator/Supplier/Cruise Line 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. Cancellation penalties may apply once payment is processed for your registry gift. If there are any issues, your agent will notify you. Please note, depending on the supplier used, that you may not see a charge from Dreams and Destinations on your credit card statement; the charge may come from our supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize Dreams and Destinations, Inc to use the above information to charge my credit card the stated amount. Terms and Conditions * I Agree to the Terms