ARRANGEMENTS YUKON

AUTHORIZATION FOR USE OF CREDIT CARD
I_________________________________authorize ARRANGEMENTS YUKON to have THOMAS COOK TRAVEL apply the amount of $___________ to my credit card for the charges described below, and guarantee payment of these charges.

Service:
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

__________________________ ______________________
authorizing signature card number
____________________________ ____________________________
date card type and expiration date (VISA or Mastercard only)
  ____________________________
  cardholder's name as appears on card
Billing address for above card - this is required by credit card company  
____________________________ Phone: (      )________________
____________________________ Fax: (      )__________________
____________________________ Email:_____________________

Fax to ARRANGEMENTS YUKON at 867 668 7690