SKI COLBEE TOURS, INC.
CREDIT CARD AUTHORIZATION FORM
TODAYS DATE: __________ I AUTHORIZE SKI COLBEE TOURS, INC. TO CHARGE MY CREDIT CARD IN THE AMOUNT OF $______________. CHARGE TO CREDIT CARD: ___VISA; ___MASTER CARD; ___AMEX; ___ DISCOVER CARD CARDHOLDER’S NAME (PLEASE PRINT): ____________________________________________________ CARDHOLDER’S ADDRESS: _________________________________________________________________ CITY: _____________________________________STATE:___________________ ZIP:___________________ CARDHOLDER’S DAYTIME PHONE #(___)___________________ E-MAIL: ___________________________ CARD NUMBER: __________________________________ EXPIRATION DATE: ____/____ gFOR VISA, MASTER CARD & DISCOVER CARD: 3 DIGIT NUMBER ON BACK OF CARD LOCATED IN SPACE FOR YOUR SIGNATURE: __________ gFOR AMERICAN EXPRESS CARD: 4 DIGIT NUMBER ON FRONT OF CARD LOCATED RIGHT ABOVE YOUR ACCOUNT NUMBER: _________ SIGNATURE OF CARDHOLDER: _____________________________________________________________ IF GROUP TRIP, NAME OF ORGANIZER: _____________________________________________________ DATE OF SKI TRIP: _______________DESTINATION:____________________________________________ REMARKS: