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***Credit Card Authorization/Disclosure Form*** I, ____________________________________________, do hereby authorize Funjet Vacations to charge my credit card number ______________________________, exp. _____________, secret code____________ in the amount of $___________ deposit or final payment (Please circle one) I have read and agree with the terms and conditions of Funjet Vacations on their website, www.funjet.com & I am aware that no refunds will be made once I make my deposit and will purchase travel insurance as necessary. My billing address and phone number are as follows: Street_______________________________________________________________ City, State, Zip_______________________________________________________________ Phone__________________________________________ My booking information is as follows: Booking/Reservation #:__________________________Destination:Iberostar Rose Hall Beach, Montego Bay, Jamaica Dates of Travel: 3/6-3/13/2011 Passenger's name(s)(MUST BE EXACTLY AS TYPED IN PASSPORT): _______________________________________________________________ _______________________________________________________________ ___________________________________________ _________________________ Signature and Date Please mail completed form to: Luvtatravel / 1100 Marybeth Ln / Evansville, IN 47712 or fax to them at 812-401-4934 ** The cardholder’s signature is to be obtained for EVERY credit card transaction. Travel Agents are responsible for verifying the identity of the credit card holder and will be held responsible for false information or failure to produce a signed document or UCC form upon the request of the tour operator or the issuing bank.** All passengers must also initial here whether or not they would like travel insurance and a brochure will be mailed to them. I do want travel insurance:_______________________ I do NOT want travel insurance_________________ I am interested in the charter bus option, please call me with details: Phone____________________________ I am NOT interested in the charter bus option (initial)______________ |