CREDIT CARD CHARGE AUTHORIZATION

   NAME (name as it appears on card) 

   NAME (traveling companion (s)      

  ADDRESS                                              

  CITY/STATE                                           

  ZIP CODE                                                                                                         

  E-MAIL                                                     

TRIP LOCATION                                  

  TRIP DATE                                             

   CREDIT CARD                                        SELECT CARD AMEX VISA MASTERCARD DISCOVER              

  CARD NUMBER                                                                    

  EXPIRATION DATE                               

  For your security, American Express and MASTERCARD/VISA have instituted additional security measures for their cards.

 AMEX CID                   VISA/MC CW2

(CID)This is a four-digit number that appears on the front of your AMEX card, above your card number.

(CW2)This is a three-digit security code that appears on the back of your MC/VISA card in the signature panel, and at the end of card number.  

 A $400 per person deposit is required to confirm reservation. Balance is due 60 days prior to departure.

CANCELLATIONS MUST BE MADE IN WRITING. NO RE FUNDS WILL BE GIVEN ON UNUSED PORTIONS OF YOUR PACKAGE. 

 I understand and agree that Gary's Ski Tours may use this credit card to charge the full amount of the ski trip package I have purchased.  Any payments made are non-refundable

       PLEASE INITIAL ACCEPTANCE OF THESE TERMS AND ACKNOWLEDGEMENT     THAT ALL PAYMENTS ARE NON REFUNDABLE

QUESTIONS-CALL (954) 525- 8007 OR EMAIL  GARYSKI@ATT.NET                             

YOU MAY SUBMIT THIS FORM BY PRESSING THE SUBMIT BUTTON OR YOU MAY PRINT THIS FORM AND FAX TO           954-252-3936

 all information is strictly confidential