"RING OF FIRE EXPEDITIONS"
CREDIT CARD AUTHORIZATION FORM

PLEASE PRINT CLEARLY!!!

Who to Contact | Solar Eclipse Tours

Carlson Wagonlit Travel / owned and operated by Future Travel
1085 Hercules
Houston, Texas 77058
Phone 281-480-1988 or 800-929-9004 Fax 281-480-2587

 

We use this form to prevent credit card fraud.
Please print this form, complete and fax back to us at (281) 480-2587.

 

In lieu of my credit card imprint, I,

_____________________________________________
        (name of cardholder as shown on credit card)

hereby authorize Future Travel, Inc. on behalf of,

_____________________________________________
            (issuing carrier/wholesaler name)

to charge my

_________________________________________________________________
      (credit card name)           (credit card no.)                         (expiration date)

in the amount of $ _______________ for payment of services for myself and/or
                                      (total amount)

______________________________________________ for travel to ___________________
(full name(s) of passenger(s) if other than cardholder)                                   (destination)

departing on _______________________
                                      (date of travel)

My billing address:_______________________ Home Phone: ________________________
                                              (street address)

                                    _______________________ Office Phone: _______________________
                                            (city/state/zip code)

 

Signature of Cardholder__________________________________ Date _____________