2 Tall Grass Trail, Suite 13 Woodbridge, Ontario L4L 3Y9 T (905) 850-7895 F (905) 856-6670 TF 1855 243-0875

Reg. No. 01501980

Cheryl and Joseph

Credit Card Authorization Form
Note: The credit card user shall bear the name of one of the passengers. Third party credit cards are not accepted.

Name of Passengers:

Credit Card Information:

Card Type: Credit Card No.:

Expiration Date:

Security Code:

Card Holder Information:

Cardholder Name Phone Number

Name and Phone No.

Street

Billing Address:

City

Province

Postal Code

Authorized charge amount in CAD $

I give authorization to InStyle Vacations, a division of Cianfarani Travel Inc., Click here to enter text. and RBC Insurance, to charge in the aggregate, the above noted amount on my credit card as identified above and shall not decline, reject or challenge such amount charged on my credit card for the purpose of paying for the passengers identified above. I also declare that I am aware that restricitions (as outlined under the terms and conditions in the brochure) apply to the travel reservations. I decline to purchase cancellation insurance and out of province medical insurance. (initial) Cardholder must sign below where indicated. Please fax back to Click here to enter text. at (905) 856-6670.

Cardholder Signature

Date (MMM/DD/YYYY)