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Professionals Name
My Billing Address
is
Postal Fax Office phone
Cell phone
Roommate
Resort Room :
smoking? Arrival Date at Resort: Departure Date Extension request: Package Tour Insurance : yes no If yes, with medical without medical (this is highly recommended; check it out or call us)
If accepting Package tour insurance we need your birth dates: Tour does not include airfare: will you do your own ? would you like us to give you a quote? Deposit / Payment : US Cheque ; US Money order ; credit card Card name Note: tour costs are in US Funds so tour is in US Funds . Make cheque payable to Advantage Travel Ltd.
I , authorize Advantage Travel Ltd. To charge the amount of $ for the following services to my card # Expiration Date Name on card
I / We are aware of
any cancellation policies and agree not to dispute or
attempt to Chargeback any of the above signed for and acknowledged charges
and have read and understand the Waiver & Responsibility clause on the
ProTeam Classic 2005 brochure.
Note: credit card companies have demanded the above procedures when the card is not imprinted ! -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Send this fully
completed application to Advantage Travel Ltd., Email: milesclassic@telus.net Web: www.milesclassictravel.com
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