I ____________________________________________ hereby authorize MJ TRAVEL GROUP to process my credit

card for my travel plan on the request dates. Please note: credit card process will be done by MJ TRAVEL
GROUP/ booking vendor.

Reservation number if applicable: _______________

Print Cardholder Name __________________________ last name: ___________________________

Type of Credit Card:

____ VISA ____ MASTERCARD

________ other types: _________________

ACCOUNT NUMBER: ________________/________________/________________/________________

EXPIRATION DATE: _____/______/________CVV CODE: ______* Located on back of card
IN THE AMOUNT OF $________________ FOR THE FOLLOWING DATES LISTED BELOW:
1.

________ 2.______________ 3._______________4._____________ 5.________

Card billing address:

________________________________________________________________________________
address

city

state

zip

Phone: _____________________________ E-mail address: __ _________________@__________________

Cardholder Signature: _____________________________________________________ Date

MJ TRAVEL GROUP, 1-888-959-9401 fax: 1-888-959-7856. Please fax a copy of your Driver License, credit
card front and back to our office.. A $50 per person fee will apply for canceled BOOKINGS BY MJ GROUP.
MJ TRAVEL GROUP, Is an agency that cares about your needs, we are a full service agency ready to plan all
your events and travel needs. MJ Travel Group is dedicated to helping you find the perfect trip that will
match with your vacation needs and budget. Providing extremely high-quality and personalized service is
our #1 goal. Let us become your travel agency of CHOICE!
Please email us @ mjtravelgroup@verizon.net or following our upcoming events at http://mjtravelgroupevents.com