Island Jack's Travel              Phone:  888-505-8889
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            Credit Card Authorization Form

            HONEYMOON GIFTS Credit Card Authorization Form -  *This form produces a FAX that is sent only to our office for processing.    By clicking "submit" you will only produce the fax.   It does not process your card.     That will be done on a secure server by your agent only.     By submitting this form you are authorizing Island Jack's Travel to make this transaction in your behalf for travel arrangements that you have approved.     Submission of this form indicates that you have read and accepted the Terms & Conditions outlined at the bottom of this form.   
            Please put the HONEYMOON COUPLE's name here so that the payment will applied correctly. You will receive an invoice receipt showing the payment has been made.
            Total amount to be charged for this transaction.
            Name as it appears on your credit card
            Daytime phone number. There is also room if you want to put in a 2nd number.
            Full credit card number
            Input Expiration *AND* CID number (in parenthesis) like this: EXAMPLE: Expires 04/12 (123)
            Full address where credit card is billed.
            Type in your full name. This will be your electronic signature signifying that you authorize this transaction by Island Jack's Travel for payment toward your trip.

          CLICK HERE for Terms & Conditions

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