Room Block Payment - Yellow Umbrella Events

Group Room Block Payment Form

Please fill out the form below to submit your Credit Card information to pay for your room block deposit.

Your Name:*
Your Email:*
Your Phone Number*
New Credit Card Type:
Credit Card Number:*
MM:*
Please enter a number from 01 to 12.
YYYY:*
Please enter a number from 2021 to 2028.
CCV:*
Name on the Card:*
Billing Country:
Billing Address:*
Suite/Apt. #:
Billing City:*
Billing State:*
Billing State:*
Billing Zip:*
How much would you like to apply towards your room block?
Additional Comments:
Electronic Signature:*
By submitting, you certify that you are the cardholder and are authorizing Yellow Umbrella Events 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 the information contained in the confirmation you received is accurate.

This charge will be manually applied by Yellow Umbrella Events to your reservation. If there are any issues, someone will get back to you. Please note that you may not see a charge from Yellow Umbrella Events 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 Yellow Umbrella Events to use the above information to charge my credit card the stated amount for my Group Room Block. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature.
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