***Credit Card Authorization/Disclosure Form***

 

 

I, ____________________, do hereby authorize Apple Vacations to charge my 

credit card # _______________________, exp. _____, sic _____  in the amount of $___________.  



I have read and agree with the terms and conditions of the Fair Trade Contract

http://bookonline.applevacations.com/ftc.html


Including cancellation penalty and AV-OK Vacation Security Plan items. 

http://bookonline.applevacations.com/avok.html 


 

My billing address and phone number are as follows:

 

_____________________________________________

_____________________________________________

_____________________________________________

 

My booking information is as follows:

 

Booking/Reservation #:_______________

Destination: _______________________

Date of Travel: ____________________ 

Passenger Name (s):___________________________________

                              ___________________________________

 

 

 

__________________________               ___________

Signature                                                     Date   

 

Fax completed form to __732-617-2217 ___    (Travel agency fax number)