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EMCO Travel, LLC
4172 Ridgemoor Dr. N,
Palm Harbor, FL 34685
phone: 727-254-4373 or email
info@mytravelfind.com
Print out this form and fax it back to us at
203-653-5586
CREDIT CARD AUTHORIZATION FORM
Important! Please include clear copy of credit card from both sides and driver's license
I, the undersigned (Print
Name)
authorize E&M Travel to charge my credit card representing payment for
booking number (if avaialble)
for the following services:
To charge the amount:
To my:Visa
Mastercard
AMEX
Credit Card Number :
Security
Code:
Expiration Date:
Print Name Signature_________________________________ Date:
E-mail:
Billing Address:
City: State
Zip:
Billing Phone:
I/We are aware of any cancellation
policies and agree not to dispute or attempt of Chargeback any of the above
signed for and acknowledged charges.
Cardholder Initial ________
VERY IMPORTANT: Please be advised that your Credit Card statement will show
EM
Travel
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