Credit Card Authorization Cardholder   CARDHOLDER NAME exactly as shown on credit card     CREDIT CARD TYPE           CREDIT CARD NUMBER          CREDIT CARD EXP/ID   Exp:       Card ID:   what's this?   BILLING ADDRESS as shown on card statement     BILLING TELEPHONE #   (including area code) Reservation Details   TRAVEL AGENCY            TOUR OPERATOR/CRUISE LINE     CONFIRMATION#/GROUP NAME          DESTINATION     HOTEL/SHIP NAME     DEPART DATE     RETURN DATE     NAMES OF ALL TRAVELEERS for whom you are making a payment   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 SIGNED AUTHORIZATION 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