CREDIT CARD AUTHORIZATION FORM  CARDHOLDER   CARDHOLDER NAME   exactly as it appears on card   CREDIT CARD TYPE   AX   VI   MC   DS   CREDIT CARD NUMBER          CREDIT CARD EXP/ID   Exp:    Card ID:   what's this?   BILLING ADDRESS   as it appears on card statement     BILLING TELEPHONE #   (including area code)  RESERVATION DETAILS   TRAVEL AGENCY            TOUR OPERATOR or CRUISE LINE     GROUP NAME/ BOOKING #          DESTINATION     HOTEL or SHIP NAME     DEPART DATE     RETURN DATE     NAMES OF ALL TRAVELERS   for whom this payment is made    PAYMENT   CHARGE DEPOSIT   US$ WITH RESERVATION   CHARGE TRIP INSURANCE   US$ WITH RESERVATION   AUTOMATICALLY CHARGE BALANCE   US$ ON FINAL PAYMENT DUE DATE By signing below, I acknowledge receipt of the itinerary for the charges indicated above. I also acknowledge that I have read and fully understand the booking terms & conditions, cancellation & change fees, and the trip insurance offered. I agree to make payment for the above charges in full when billed, or in extended payments in accordance with the standard policies of the credit card issuing company.   CARDHOLDER SIGNATURE     DATE   FOR SECURITY REASONS, IDENTIFICATION IS REQUIRED. TO PROPERLY PROCESS YOUR PAYMENT, PLEASE FAX THE FOLLOWING TO TWG TRAVEL AT 301-593-6991. Once your payment is complete, you will be emailed a receipt for this transaction. SIGNED AUTHORIZATION PLUS the following (copied on the same page, please) CLEAR PHOTOCOPY OF CREDIT CARD (FRONT & BACK) WITH SIGNATURE CLEAR PHOTOCOPY OF CARDHOLDER'S DRIVER'S LICENSE (FRONT) CLICK THE BACK BUTTON ON YOUR BROWSER TO RETURN TO THE PREVIOUS PAGE