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Please keep this Credit Card information on file for future use.
By submitting this form you agree that (1) you are the credit card holder and (2) that you are requesting the services listed above and (3) that you are authorizing this card to be used for the requested services. If you are not agree with this agreement, please contact our office at 1888-325-2475 to make your reservation by phone.
I AGREE
(Some transactions require completion of a Credit Card Authorization form, if we fax you one please fill it out and fax it back to us within 24 hours.)