Please note: Charges will appear on credit card statements as one of the following: AMT Travel, American Express Travel, AMT American Express, AMT Tour Travel, AMEX Travel, AMEX Cruise/Tour, or other varriations of our name. Each charge back received on behalf of any credit card company as initiated by any gift giver will also generate a $30 fee, whether or not the dispute is removed. This is to cover the cost of the fee our office is charged. This fee stands whether or not the dispute is withdrawn or not. This charge will be taken out of the total moneys generated by the registry.

First Name:	*
Last Name:	*
Email:	*

Day Phone:
Evening Phone:

Bride's Name:*
Groom's Name:*

Gift Amount :*

$25.00 $30.00 $40.00 $50.00 $60.00 $70.00 $80.00 $90.00 $100.00 $125.00 $150.00 $200.00 $250.00 $300.00 $400.00 $500.00 $600.00 $700.00 $800.00 $900.00 $1000.00 $1500.00 $2000.00 $2500.00 $3000.00 $4000.00 $5000.00 $6000.00 $7000.00 $8000.00 $9000.00 $10000.00

Credit Card Type:*

visa amex mastercard discover

Name on Card:*

Expiration Date: *

01 02 03 04 05 06 07 08 09 10 11 12 / 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 (mm/yy)

Credit Card Number:*

Security Code:*

Billing Address: *

Billing City:*

Billing State:*

Billing Zip:*

*	I hereby authorize AMT American Express Travel to charge the contribution amount above to my credit card.Once you click submit your card will be charged.

I would like a personalized card to accompany my gift. Personalized card will add a $5.00 charge

*	I agree to all terms of the charge back and/or charge dispute fees as detailed above. Gift will not be processed without checking this box.

Personalized Message

---

(800) 999-2599

info@amtweddings.com

About Us  |   Frequently Asked Questions |  Georgia Honeymoon Blog |  Quote Request |  Honeymoon Registry Rules and Regulations |  Join the Honeymooners Club |  Contact Us| Current Registries | Honeymoon Articles