CREDIT CARD FORM. PLEASE COMPLETE PRINT THIS FORM, COMPLETE
ALL RED AREAS, SIGN IT, AND FAX IT TO (516) 248-3496 OR SCAN IT TO YOUR RESERVATIONIST'S EMAIL ADDRESS. THANK YOU. YOU CANNOT COMPLETE THIS FORM ON LINE. YOU MUST PRINT IT OUT
AND FAX/MAIL/SCAN IT IN.
Lynott Tours, Inc.
205 Mineola Blvd, Suite 1B, Mineola, New York 11501 USA
Reservations Phone: (800) 221-2474 Telephone (516 ) 248-2042; Fax (516) 248-3496
DATE: _____________________Client Name: ________________________
Date of travel or Quote number: ____________________________________
email address: _________________________________________
This form is to be completed and signed by the cardholder. We do not accept an agent signing on behalf of the client. Deposit/full payment of $______________ is due no later than ___________________. Final payment is due 95 days prior to your departure.Payments will be processed through LYNOTT TOURS, INC. or the airline/supplier.
___ I do ____ I do not want car insurance. (Self drive programs only)
___ I do ____ I do not want travel insurance.
____ I have read the terms and conditions and agree to the Detailed terms and conditions
I am a client of Lynott Tours, Inc. I hereby appoint the
owner, manager, and all employees of LYNOTT TOURS, INC. to purchase and
issue travel documents, and to charge these purchases to my:
PERSONAL CREDIT CARDS or DEBIT ONLY - NO CORPORATE CARDS
|Credit Card Number||Expires||CSC (on back strip
or on front of card)
|Discover (not for airfare)|
THE NAME ON THE CARD MUST MATCH THE NAME ON THE RESERVATION. (We have a
different form if the signer is not the traveler.)
My charge is being processed through LYNOTT TOURS, INC.
I agree that I will pay for all such purchases and will hold Lynott Tours, Inc. responsible for its actions pursuant to this document. I acknowledge the cancellation fees of up to 100% will be charged to my account in the event of cancellation, and have read the special notice.
Date: _______________________ Signature:________________________________________
Cardholder only to sign
City: _________________________________ State: __________ Zip:________________
I am enclosing a picture ID (i.e., driver's license verifying address) and certify that the signature is in fact, mine.
IF WE ARE BOOKING YOUR AIRFARE, WE ALSO NEED:
Exact names on passport: _______________________________________________________________________
Date of Birth _______________________________
Passport # ____________________________ Date of Issue ___________________ Expiry: __________________