Credit Card Usage Authorization Form
ALL-INCLUSIVE RESORT TRAVEL
Agent Name:_______________
3195 NW 114th Lane, Coral Springs, FL 33065
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Fax completed & signed form to : 1-954-796-8740 If you have any questions, please call 1 954 979-1970 or 1 888 339-FUNN (3866) The following must be completed and signed by the person paying by credit card. |
| Your Name: ________________________________________________________ |
| Address card is listed to:______________________________________________ |
| City_________________________________ State ______ Zip _______________ |
| Work Phone (____)_____-________ Home Phone (____)_____-________ |
| Credit Card Number ________________________________________ | Expire Date: ____/____/____ |
| Credit Card Security Code _____ | Credit Card Type _____________________________________ |
| (American Express, Master Card, Visa, Discover) |
| I hereby authorize All-inclusive Resort Travel, Inc. or their suppliers, to charge my credit card for any travel transaction requested by me for the amounts noted, and state that I am the owner of said card. I further agree to pay any additional surcharges imposed by government authority, airlines, hotels or other travel supplier. I also understand that I will be charged cancellation fees up to the amount I have paid if: I cancel my trip, do not have proper travel documents and/or identification papers, or do not take my trip for any other reason. I agree that claims against resorts, airlines or other suppliers are not the responsibility of All-Inclusive Travel, Inc. or it's agents. All-Inclusive Resort Travel, Inc. and it's agents are not responsible for the suitability of the travel package purchased by me and/or my traveling companions. Travel Insurance is HIGHLY RECOMMENDED. |
|
Amount Authorized
for travel (NOT INCLUDING Travel Insurance) $____________US Dollars |
| OR |
|
Amount Authorized for travel (INCLUDING Travel Insurance) $______________US Dollars |
| Passenger #1 _______________________________________ | Date of Birth____/____/____ |
| Passenger #2 _______________________________________ | Date of Birth____/____/____ |
| Passenger #3 _______________________________________ | Date of Birth____/____/____ |
| Passenger #4 _______________________________________ | Date of Birth____/____/____ |
| Passenger #5 _______________________________________ | Date of Birth____/____/____ |
| Passenger #6 _______________________________________ | Date of Birth____/____/____ |