Tickets and hospitality facilities have been obtained from
an official agent of the All England Club

Wimbledon 2007
CREDIT CARD AUTHORIZATION
PLEASE PRINT FORM AND FAX TO (757)422-0914

TO:_____________________________________________ FAX #_________________________
PHONE#_______________________
FROM:__________________________________________ FAX#_________________________

CREDIT CARD AUTHORIZATION

I authorize Great Atlantic Travel & Tour to charge by (check one):

VISA______ MASTERCARD_______DISCOVER________AMERICAN EXPRESS______

CARD NUMBER_________________________________ EXPIRATION DATE_____________

BILLING ADDRESS________________________________________________________________

The charge is for the following travel services. All reservations are accepted and based on the terms and conditions of the tour brochure.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

TOTAL AMOUNT TO BE CHARGED ON THE CREDIT CARD IS:____________________________

I understand that my signature on this contract along with a (front & back) copy of my credit card and a picture I.D. will serve as my authorized signature on the credit card charge slip. I understand and agree to all the Terms & Conditions of this purchase including payment and cancellation deadlines.

Signature of Cardholder__________________________ Date________________

Name as it appears on card______________________________________

Company name (if any)___________________________________________



Gullivers Sports Travel
1340 N. Great Neck Road #1272-360,
Virginia Beach, Virginia 23454
Tel: 757-422-9156/800-700-1940
Fax: 757-422-0914
email: info@gulliversportsusa.com