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FUN HAWAII TRAVEL

247 BEACH WALK, SUITE 100

HONOLULU, HAWAII 96815

PH: (808) 926-8878

TOLL FREE FAX: (866) 536-2757

Website: http://www.fun-hawaii.com

 

CREDIT CARD AUTHORIZATION FORM

 

 

To: Fun Hawaii Travel                      From:                                                                       Date:

 

Name of Passenger(s):                                                                            Receipt/Invoice #:_______________________

 

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Cardholder Name:  _______________________________________________________________________________

 

Credit Card (circle one):   Visa     Master Card     American Express     Discover    Credit Card ID Number: _____________

 

 

Credit Card Number:   ____________________________________________     Expiration Date: _____________

 

Credit Card Billing Address: ________________________________________________________________________

 

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Email:________________________________________________________________________________

 

Telephone Number (                           ) ________________________________________

 

I hereby authorize Fun Hawaii Travel to charge $ ___________________ to my credit card above.

 

 

 

Signed: _________________________________________

 

Please fax us front copies of your credit card and picture identification.

 

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