Hello there! I’m Stacey, and I call New Mexico home.

As a Travel Advisor with Dream Vacations, I'm passionate about exploring new destinations and diving into different cultures.

My favorite trips include cruises and Disney Park adventures.

I travel with my family, my husband, and my friends. I love sharing all my travels on YouTube and other social media platforms. In my downtime, I enjoy reading and crocheting with my husband, our three cats, and our dog.

Credit/Debit Card Authorization

Please fill out the form below to authorize me, Stacey Wallace, affiliated with Dream Vacations, to book your vacation.

Please verify that your name is your legal name that matches your travel identification, i.e., government-issued ID, passport, birth certificate, etc. I will use this form for the names of all travel companions.

NOTE: If you are filing this out for additional payments after the first booking, i.e, you have already paid your deposit and received booking confirmation. I only need the name for Guest 1, billing address, authorized $ amount, and credit card information. Please put N/A into all other required fields.

Guest 1 (lead guest)

Please verify that your name is your legal name that matches your travel identification i.e. government issued ID, passport, birth certificate, etc. I will use this form for the names for all travel parties.

First Name

Last Name

Guest 1 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guest 1 Email

Guest 2

First Name

Last Name

Guest 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guest Email

Guests 3 & 4 (if on the same reservation)

please fill out a separate CC authorization form for all reservations

Trip Destination

Resort name, cruise line, airlines, etc.

Billing Address

type "same as guest 1" if it's the same but make sure it matches the billing address that is associated with the provided credit/debit card.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Card Type

Visa

Mastercard

Discover

American Express

Disney Redemption Rewards

Amount to charge

please provide the amount you would like charged, minimum must be the quoted deposit amount and maximum is the full vacation balance. If you want to charge multiple cards, please fill out a separate form for each and send me an email to let me know.

Cardholder Name

CC Number

Expiration Date

CCV

E-Signature

By signing this form, you are authorizing Stacey Wallace, affiliated with Dream Vacations, to use the provided credit/debit card for the amount you authorize to book your trip.

Date

Disclaimers:

Stacey Wallace, affiliated with Dream Vacations, will only charge the approved amount and will only use your information for booking your vacation and nothing more.

This payment authorization is valid for one (1) booking, covering the amount described above (minimum deposit required for the first payment). Any subsequent payments may need a new Credit/Debit Authorization form to be filled out for specific payments.

By filing out this form:

You certify that you are authorized to provide this credit/debit card information
You will not dispute the payment with your bank/credit card company

Some travel partners do automatically save CC info, such as when you book a cruise. Your information will never be used without prior authorization and only for the $ amount you authorize.

Credit/Debit Card Authorization

My Active Life, LLC