Payments

Payments (after deposit amount) may be any amount you wish, and you can submit payments as often as you like.

CREDIT / DEBIT 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 / DEBIT CARD by Phone
You may call us to provide your credit/debit 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

I am Cruising as a:*

Guest

STAFF Volunteer

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Contact Person (in case we have a question about your payment)

First Name*

Please let us know your name.

Last name*

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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.

Credit / Debit Card Info

Use Credit Card on File?*

No Yes

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Use Credit / Debit Card on File (enter last 4-digits)

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We can retain your credit/debit 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/debit card information will be removed/destroyed.

Save Credit / Debit Card on File?*

noyes

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Credit / Debit Card Type

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Credit/Debit Card Number*

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Expiration Date: Month

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Year

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Verification Code

Visa/Mcard 3-Digit Verification Code or Amex 4-Digit Verification Code (on back of Card)

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Card is a *

Credit CardDebit Card

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Name on Credit Card

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Billing Address

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City

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State of Residence (or Country):

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Zip Code*

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Country*

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Payment Info

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 - Deposit

Insurance - Guest (Full Amount)

Park Assistance Payment (Resort Stays)

Resort Stay Service Fee

Grant Award Deposit

Other

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Enter Grant Award # (see email from Foundation)*

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Using the credit card indicated above, I authorize this payment for:*

Insurance - Staff (Full Amount)|STAFF Insurance|Insurance - Staff (Full Amount)

STAFF Payment

Other|STAFF Other|Other

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Payment Other

Please let us know your message.

Date of Cruise or Resort Stay:

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Cruise Type

Staff Assisted Cruise

Staff Assisted Resort Stay

Cruise without AotS Staff

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Invoice #*

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Enter AotS 5 Digit Invoice # (or Cruise Line Reservation #)
If AotS Invoice # or Cruise Line Res # is not known, please enter: One Person's First and Last Name on the Reservation

Payment Amount *

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Currency (other than U.S.D.)

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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*

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