GOLDCOAST SNOWSKIERS

SKI TRIP ENROLLMENT APPLICATION

CREDIT CARD PAYMENT

name(s) 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!!

address:city:state:zipcode 

Email addresshomephoneworkphone

  departure city

trip location & date: PARK CITY- FEB.16-23

CREDIT CARD CHARGE AUTHORIZATIONdiscover card logo clipart

CREDIT CARD   NAME OF CARDHOLDER 

     CARD NUMBER    EXPDATE

   INITIAL I understand that a $400 per person deposit will be charged to my credit card.  I agree to allow Gary's Ski Tours to charge my ski trip balance on this credit card on or after November 25th.

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 NOVEMBER 25TH

**********Space is limited and is on a first come first serve basis.***********

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

TRAVEL INSURANCE IS RECOMMENDED.

I have read and agreed to the cancellation penalties.

  INITIAL 

 

     SUBMIT THIS FORM BY PRESSING THE SUBMIT BUTTON. 

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