I, the cardholder and signed below, authorize Michael Siemens, an Associate of On & On Inc. dba TravelPerks, Dream Vacations suppliers and/or it's agents to charge the agreed amount in aggregate to the total listed above to my credit card provided herein. I further agree that I will pay for this purchase in accordance with issuing bank credit card holder agreement and On & On, Inc. of Eugene Oregon terms and conditions fee schedule as provided. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company so long as the transaction corresponds to the contract terms as agreed.
By typing your full name place a hyphen then the last 2 digits of your date of birth in the space below you are electronically signing your name to the Credit Card Authorization agreement above.
Example: "John Doe-58" would be for John Doe born in 1958.