Payments Payments Payments (after deposit amount) may be any amount you wish, and you can submit payments as often as you like. CREDIT CARD by our Secure Payment Form (below) If you already have a reservation or submitted a Booking Form to us, you may use the form below to submit a credit card or debit card payment authorization. CREDIT CARD by Phone You may call us to provide your credit card information: 800-516-5247 CHECKS Make checks payable to: Autism on the Seas Check must reference your AotS Invoice Number or Cruise Date.To Postal Mail checks, send them to: Autism on the Seas 494 Bridgeport Avenue Suite 101-346 Shelton, CT 06484-4762 Secure Payment Authorization Form This form must be used once per Invoice (one payment per form) * indicates a Required Field Contact Person (in case we have a question about your payment) First Name* Please let us know your name. Last name* Invalid Input Your Email* Please let us know your email address. Phone* Please write a subject for your message. Questions Notes and Comments: Please let us know your message. Use Credit Card on File (enter last 4-digits) Invalid Input Credit Card Info We can retain your credit card info on our secure database for easy use for future payments towards your cruise, up until your Final Payment, at which time all credit card information will be removed/destroyed. Save Credit Card on File?* No Yes Invalid Input Credit Card Type SelectAmerican ExpressDiscoverMaster CardVisa Invalid Input Credit Card Number Invalid Input Expiration Date: Month Select010203040506070809101112 Invalid Input Year Select20132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035 Invalid Input Verification CodeVisa/Mcard 3-Digit Verification Code or Amex 4-Digit Verification Code (on back of Card) Invalid Input Name on Credit Card Invalid Input Billing Address Invalid Input City Please write a subject for your message. State of Residence (or Country): Please write a subject for your message. Zip Code* Please write a subject for your message. Country* Please write a subject for your message. Using the credit card indicated above, I authorize this payment for:* Cruise - Initial Deposit (1st payment for this cabin)Cruise - Additional Payment (for this cabin)Cruise - Last Payment (leaving a zero balance for this cabin)1-on-1 Staff Service - DepositInsurance (Full Amount)Park Assistance Payment (Resort Stays)Resort Stay Service FeeStaff PaymentOther Invalid Input Payment Other Please let us know your message. Date of Cruise or Resort Stay: Invalid Input Invoice Listed Below is for: Staff Assisted CruiseCruise without AotS StaffStaff Assisted Resort Stay Invalid Input Invoice #* Invalid Input Enter AotS 5 Digit Invoice # (or Deposit Confirmation Number)If AotS Invoice # is not known, and/or if this is for your initial deposit, please enter either: One Person's First and Last Name on the Reservation or a Financial Assistance Award # Payment Amount * Invalid Input Submit Payment CONFIRMATION / RECEIPT You will receive an email confirming your payment request shortly after submission. You will receive an updated Invoice showing your payment within 48 hours of your payment clearing. PLEASE NOTE that providing us with your Payment, indicates an acknowledgement of our Terms, Conditions & Privacy Policies. Security Code* Invalid Input
