Credit Card Authorization_ Reoccurring

Thank you for submitting a reoccuring payment with PollinGroup!

This form is used for anyone that has already submitted their inital payment and is submitting a reoccuring payment for their upcoming cruise. If you are making a first time payment please use this link: https://pollingroup.com/book-now/

The following form is secured from Cruise One/Pollin Group and Go Daddy.

If you are a single passenger, please fill out the information provided and move to the next page.

Thank you!

Payment Information

You may use this form to submit your credit card information to apply a payment for your upcoming cruise! **All information on the Pollin Group Website is secured and protected by GoDaddy. If you choose to provide this information by Phone, Personal Checks, Cashier Checks, and Money Orders, please contact your Cruise Specialist for further instruction and information.

First Passenger Information

Name *

First

Middle

Last

Email *

Please check the box below to indicate your preference on LeisureCare Insurance *

I opt out of the insurance provided by CruiseOne/Pollin Group
I opt into the insurance provided by CruiseOne/PollinGroup and accept that I will be charged the price in addition to the deposit price

If you do not wish to select the travel insurance for your cruise, please select above. Otherwise, your first invoice will reflect the price to include your travel insurance.

Second Passenger Information

Second Passenger Name

First

Middle

Last

Cruise Information

Cruise Sailing *

Please select the name of the cruise that you are making a payment for.

Cruise Specialist *

Please select the name of the Pollin Group Cruise Specialist on the account or select "other" if you don't see them listed.

I acknowledge and accept the terms that the Program Fee is non-refundable. *

I Acknowledge and Accept
No Program Fee Required

The only exception would be is if the cruise was cancelled by the Crusie Line and/or Group Leader/Organizer.

Payment Information- First Passenger

Cruise One/Pollin Group accepts all major credit cards.

Name as it appears on the Card *

First

Last

Card Number *

Exp. Date *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Amount to be submitted: *

Please indicate the amount that you would like to have charged, it must meet the minimum deposit due.

* Name of additional passengers(s):

If you are paying for more than 1 person with the amount submitted above, please add their name(s) separated by a comma.

I authorize CruiseOne/PollinGroup to charge my credit card with the agreed amount above. *

Authorization *

I elect to keep my information on file for payment of each deposit due to be made on the day it is due until my balance is paid in full.
I will contact Pollin Group each time a deposit is due until my balance is paid in full.

Payment Information- Second Passenger

If the second passenger is paying separately, please fill out the information below. Cruise One/Pollin Group accepts all major credit cards.

Name as it appears on the Card

First

Last

Card Number

Exp. Date

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Amount to be submitted:

Please indicate the amount that you would like to have charged, it must meet the minimum deposit due.

I authorize CruiseOne/PollinGroup to charge my credit card with the agreed amount above.

Authorization

I elect to keep my information on file for payment of each deposit due to be made on the day it is due until my balance is paid in full.
I will contact Pollin Group each time a deposit is due until my balance is paid in full.