FUN HAWAII TRAVEL
247 BEACH WALK, SUITE 100
HONOLULU, HAWAII 96815
PH: (808) 926-8878
TOLL FREE FAX: (866) 536-2757
Email: sales@fun-hawaii.com
Website: http://www.fun-hawaii.com
CREDIT CARD AUTHORIZATION FORM
To: Fun Hawaii Travel From: Date:
Name of Passenger(s): Receipt/Invoice #:_______________________
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Cardholder Name: _______________________________________________________________________________
Credit Card (circle one): Visa Master Card American Express Discover Credit Card ID Number: _____________
Credit Card Number: ____________________________________________ Expiration Date: _____________
Credit Card Billing Address: ________________________________________________________________________
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Email:________________________________________________________________________________
Telephone Number ( ) ________________________________________
I hereby authorize Fun Hawaii Travel to charge $ ___________________ to my credit card above.
Signed: _________________________________________
Please fax us front copies of your credit card and picture identification.