LetterofAuthorization

LETTER OF AUTHORIZATION

REQUIRES ACROBAT READER

*Passengers Names:

*Date of Birth:

Spouse/Companion:

Date of Birth:

Children Name(s) & DOB:

*Home Address:

*City State Zip:

*Home Phone:

XXX XXX-XXXX

Home Fax:

XXX XXX-XXXX

E-mail Address: (spcecify home/office)

Business Name:

Business Address:

Business Phone:

XXX XXX-XXXX

Business Fax:

XXX XXX-XXXX

Best Available Price: (any carrier, please check here)

Preferred Air Carrier:

First Class

2nd Choice:

Class of Service

Business

Economy

Seating Preference:

Aisle

Window:

No Preference:.

* Required Field

Preferred Rental Car Co.

Best Price:

Car Size:

Association Member:

AAA

Costco

AARP

Hotel Preference:

Best Price:

Non-Smoking:

Smoking:

Cruise Line Preference:

Alumnae of Cruise line(s)

Cabin Preference:

Inside Cabin:

Ocean View Cabin:

Balcony/Suite:

Cabin Occupancy:

Payment Information

Form of Payment:

Credit Card Type:

Account Number Card #1

XXXX-XXXX-XXXX-XXXX

Exp. Date:

Account Number Card #2

XXXX-XXXX-XXXX-XXXX

Exp. Date:

Account Number Card #3

XXXX-XXXX-XXXX-XXXX

Exp. Date:

I hereby authorize Sweet Adeline's Travel & Tours Inc. to charge airline tickets and/or travel services to the above credit card(s). Cancellation of this authorization needs to be in writing. Thank you for your cooperation..