Charge Card Agreement...

fyi-cruises
113 Pheasant Tr.
Lake Marion, IL 60110-1415
Phone: 847-421-8086
Fax: 847-836-1947

Please select the Print Friendly button on the bottom of this page, Fill it Out and mail it in. We look forward to serve you.

TRAVEL FORM

Booking Number:

Name as it appears on your Credit Card (Please Print)

First Name:

Middle Initial:

Last Name:

Suffix:

Signature:

By signing this form, you hereby authorize that your credit card can be used to pay for all checked items through fyi-cruises directly to the:

Chargeable Item	Check
Cruise Line Hotel Pre and Post Cruise Accommodations Travel Insurance Company The Griffin Institute of Excellence Seminar Meet and Greet and any other cost as necessary

We at fyi-cruises will never charge any fee without your consent and will not use your credit card directly except to pay these checked charges directly to the above mentioned companies.

Email Address:

Credit Card Type:

---------------------- Check Only One -------------------------
Visa Master Card American Express Discover

Credit Card Number:

Expiration Date:

Month: Year:

Travel Insurance:

Do you want to waive Travel Insurance?
Yes No
Do you want to purchase your Travel Insurance through us?
Yes No

Special Needs:

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