Credit Card Usage Authorization Form
ALL-INCLUSIVE RESORT TRAVEL                          Agent Name:_______________
3195 NW 114th Lane, Coral Springs, FL 33065
Fax completed & signed form to : 1 954 796-8740
 If you have any questions, please call 1 954 979-1970 or 1 888 339-FUNN (3866)
 The following must be completed and signed by the person paying by credit card.
Your Name: ________________________________________________________
Address card is listed to:______________________________________________
City_________________________________ State ______ Zip _______________
Work Phone (____)_____-________              Home Phone (____)_____-________
Credit Card Number ________________________________________  Expire Date: ____/____/____ 
Credit Card Security Code  _____ Credit Card Type  _____________________________________
(American Express, Master Card, Visa, Discover)
I hereby authorize All-inclusive Resort Travel, Inc. or their suppliers, to charge my credit card for any travel transaction requested by me for the amounts noted, and state that I am the owner of said card.  I further agree to pay any additional surcharges imposed by government authority, airlines, hotels or other travel supplier.   I also understand that I will be charged cancellation fees up to the amount I have paid if: I cancel my trip, do not have proper travel documents and/or identification papers, or do not take my trip for any other reason.  I agree that claims against resorts, airlines or other suppliers are not the responsibility of All-Inclusive Travel, Inc. or it's agents.  All-Inclusive Resort Travel, Inc. and it's agents are not responsible for the suitability of the travel package purchased by me and/or my traveling companions.  Travel Insurance is HIGHLY RECOMMENDED.

Amount Authorized for travel (NOT INCLUDING Travel Insurance) $____________US Dollars
Please charge my card $______________US Dollars on or about ____/____/____ for deposit, and
the balance of $_____________ on or about ___/___/___ as additional payment.
Signed X________________________________________ Today's Date ____/____/____

OR

Amount Authorized for travel (INCLUDING Travel Insurance) $______________US Dollars
Please charge my card $______________US Dollars on or about ____/____/____ for deposit, and
the balance of $_____________ on or about ___/___/___ as additional payment.
Signed X________________________________________ Today's Date ____/____/____

Please PRINT CLEARLY
Travelers Names as they appear on Passport (Birth Certificate for Children).
Passenger #1 _______________________________________ Date of Birth____/____/____
Passenger #2 _______________________________________ Date of Birth____/____/____
Passenger #3 _______________________________________ Date of Birth____/____/____
Passenger #4 _______________________________________ Date of Birth____/____/____
Passenger #5 _______________________________________ Date of Birth____/____/____
Passenger #6 _______________________________________ Date of Birth____/____/____

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