Credit Card Authorization Form Tour Destination______________________ Date of Departure____________
Agent Name__________________________ Agency ID#________________ Card Holder Name_______________________________________________
Billing Address__________________________________________________ Home Phone________________________ Daytime____________________
Credit Card Type: Master Card Visa Discover
Exp. Date___________ Card #___________________________________ I, _____________________________ hereby authorize Educational Travel Services, Inc. to apply
the amount of $___________ to the above credit card account. By signing this I am stating that I
have read and understood all the Terms and Conditions listed in the brochure presented by Educational Travel
Services.
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