TSC Secure Payment Form - The Swinger Cruise

Secure Payment Form

Please use this form to securely pass payment information to our agents.

If you decide you would rather phone us with your booking information you can do that too. 215-268-3202 is my office number.

His NameAs it Appears on Passport

His Birth Date

Her NameAs it Appears on Passport

Her Birth Date

Home Address

Street

City

State

Zip/Postal Code

Country

Phone #

Please let us know where to apply this payment: Your travel date or name of the cruise.

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Authorized Amount

Billing Details

Billing Address*If same as Home Address put "n/a"

Name on Credit Cardexactly as printed on card

Credit Card Numberno spaces

Expiration Date

Card Security Code3 digits on back of CC or 4 digits for Amex