CREDIT CARD FORM. PLEASE COMPLETE PRINT THIS FORM, COMPLETE
ALL RED AREAS, SIGN IT, AND SCAN IT TO YOUR RESERVATIONIST'S EMAIL ADDRESS. THANK YOU. YOU CANNOT COMPLETE THIS FORM ON LINE. YOU MUST PRINT IT OUT
AND SCAN IT.
Lynott Tours, Inc.
205 Mineola Blvd, Suite 1B, Mineola, New York 11501 USA
Reservations Phone: (800) 221-2474 Telephone (516 ) 248-2042
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: __________________