SKI TRIP ENROLLMENT APPLICATION

   BRECKENRIDGE -MARCH 19-26

CREDIT CARD PAYMENT

 name'(s) and date of birth of trip participants:

                                                                          

                                                                              

                                                                          

                                                                          

                                                                          

   for airline ticketing purposes, all names must match ID presented at airport) please ensure that all  names are spelled correctly on this form!!

Email addresshomephoneworkphone

 trip location & date: BRECKENRIDGE -MARCH 19-26

 accommodations: Beaver Run    condo selection: 2bd/2bth

 total cost-$7090  (base on 6 in 2bd/2bth) 

    price includes: ROUNDTRIP AIRFARE FLL/DEN/FLL for 2

                                                                               LGA/DEN/LGA for 4

                                 ground transfers to and from Denver Airport

                                  accommodations in Beaver Run  2bd/2bth for  7 nights 

                                  taxes

CREDIT CARD CHARGE AUTHORIZATIONdiscover card logo clipart

CREDIT CARD   NAME OF CARDHOLDER 

     CARD NUMBER    EXP DATE

 BILLING ADDRESS: address:city:state: zip code

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.  

   INITIAL I understand that a deposit equal to 50% of the total package price will be charged to my credit card.  I     agree to allow Gary's Ski Tours/Alpine Adventures to charge my ski trip balance on this credit card on or after January 15th.

Price subject to increase due to increase in airline taxes , fuel surcharges or airport passenger facility charges. All rates are subject to space availability at time of purchase. Space is limited and is on a first come first serve basis.  

payments are non-refundable.  

CONFIRMATION WILL BE E-MAILED TO YOU WITHIN 15 DAYS OF RECEIPT OF THIS APPLICATION. BALANCE OF TRIP PAYMENT DUE ON JANUARY 15TH.  

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

TRAVEL INSURANCE IS RECOMMENDED.

  INITIAL---I have read and agreed to the cancellation penalties. 

     SUBMIT THIS FORM BY PRESSING THE SUBMIT BUTTON. 

               TO ASSURE RECEIPT, YOU MAY ALSO FAX THIS FORM TO    (954) 252-3936