Alacrity Lifestyles, LLC

Credit Card Information


ALACRITY LIFESTYLES, LLC
900 E Pitkin Street, #101
Fort Collins, CO 80524
(970) 224-9392
 
I understand my credit card will be charged for services and products requested by me.   They may be reflected as Alacrity Lifestyles, LLC, The Travel Society, LLC, or the supplier of services.  This credit card will be used in reference to all Alacrity Lifestyles, LLC contracts that I have signed, unless I otherwise inform Alacrity Lifestyles, LLC.  I understand that is my responsibility to contact Alacrity Lifestyles, LLC with alternative payment information if this credit card is no longer in use, has been compromised, or expired.  Due to the increased fraud rates within the travel and concierge industry, I have also attached a copy of my credit card, front and back, and a copy of my identification to confirm that I am the authorized user of the card.
 
*Required information
CREDIT CARD INFORMATION
Name (as printed on credit card)*
 
 
 
 
Copy of your credit card* (maximum file size 100MB)

Please choose one of the following*:
 

Leave this empty:

Alacrity Lifestyles, LLC https://www.alacritylifestyles.com
Signature Certificate
Document name: Credit Card Information
Unique Document ID: eaf8fd09dbde26482f7feddc15d2bd1fb2b3cc5d
Timestamp Audit
July 13, 2018 12:55 pm MDTCredit Card Information Uploaded by Kirsten Danekind - kirsten@alacritylifestyles.com IP 73.181.50.155
gature mobile footer when signed