TRAVELING WITH A PURPOSE SINCE 1974
Group Leaders
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04/16/2014 09:16:11 AM


MAKE A TOUR PAYMENT

You must already be a registered passenger with a Tour Code and Passenger ID Number in order to make a tour
payment using this form. If you have not registered for the tour, please submit a Travel Registration Form to enroll.
*Your 4 position Tour Code and 5 digit Passenger ID Number can be found on your Passenger Billing Statement
and is required for proper credit. Do not use your Permanent ID Number as your Passenger ID Number.
PASSENGER ACCOUNT PAYMENT DETAILS


Passenger Name:

(4 Positions)
Tour Code*:
(NOT your Permanent ID)
Passenger ID Number*:
(Whole dollar amounts only)
Amount to Apply:
Amount Includes
Travel Protection?
1.
$ .00
2.
(Example: HL09)
$ .00
3.
$ .00
4.
$ .00
5.
$ .00
TOTAL AMOUNT TO BE CHARGED ON THE FOLLOWING CREDIT CARD:
$ .00
Credit Card:
Credit Card Number:
Credit Card Verification Number: Help
Expiration Date: /
Name as it appears on Card:First Name:
Last Name:
Billing Address:
Billing City:
Billing State/Province, Postal:State/Province: Zip/Postal: -
Billing Country:
All amounts listed are in U.S. Dollars


CLICK HERE TO PRINT THIS PAGE FOR YOUR RECORDS PRIOR TO SUBMITTING

PRESS SUBMIT BUTTON ONLY ONCE TO AVOID DUPLICATE CHARGES!




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