Microsoft Word - Credit Card Authorization...
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Tour Sign Up Form Form/Credit Card Authorization Form TOUR INFORMATION Name of Tour: Date: May 16, 2019 CARDHOLDER INFORMATION Name: Billing Street Address: City: State: Postal Code: Email: Phone Number: ()- CREDIT CARD INFORMATION Credit Card Type: MasterCard Visa American Express Discover Card Credit Card Number: Expiration Month: Expiration Year: Security Code (3-4 digits on back of card): Tour Cost: $ Group Count (*cost applies per person): N/A Total amount authorized to be processed (tour cost): $
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Transcript of Microsoft Word - Credit Card Authorization...
Tour Sign Up Form Form/Credit Card Authorization Form
TOUR INFORMATION
Name of Tour: Date: May 16, 2019
CARDHOLDER INFORMATION
Name:
Billing Street Address:
City: State: Postal Code:
Email:
Phone Number: ()-
CREDIT CARD INFORMATION
Credit Card Type: MasterCard Visa American Express Discover Card
Credit Card Number:
Expiration Month: Expiration Year:
Security Code (3-4 digits on back of card):
Tour Cost: $
Group Count (*cost applies per person): N/A
Total amount authorized to be processed (tour cost): $
Cardholder Signature X Date: //
Please send your completed submission form to [email protected]