SKI COLBEE TOURS, INC.

AMERICAN EXPRESS

CREDIT CARD AUTHORIZATION FORM

 
TODAYS DATE: __________
 
 
I AUTHORIZE SKI COLBEE TOURS, INC. TO CHARGE MY AMEX CREDIT CARD IN THE AMOUNT OF   $______________.
 
                                                                  
CARDHOLDER’S NAME (PLEASE PRINT): ____________________________________________________
 
CARDHOLDER’S  ADDRESS: _________________________________________________________________
 
CITY: _____________________________________STATE:___________________ ZIP:___________________     
 
CARDHOLDER’S DAYTIME PHONE #(___)___________________  CELL#: (____)_______________________
 
E-MAIL ADDRESS: __________________________________________________________________________
 
CARD NUMBER: __________________________________       EXPIRATION DATE: ____/____
 
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:
 
 
 
 
 
_______________________________________________________________________
131 SANTA BARBARA DRIVE * PLAINVIEW, NY 11803 * TEL. 516-433-6527 * FAX. 516-433-7997 * E-Mail: SKICOLBEE@AOL.COM