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Payment Information
FirstName:
___________________
As it Appears on
LastName:
___________________
Your Credit Card
Statement
(Order will not be processed w/o this info)
Address Must Match Your Credit Card
Mailing Address:
_________________________________
City/State:
_________________________
Zip/Postal Code:
___________________________
Country:
__________________________
Phone-Home:
___________________________
Phone-Work:
____________________________
Fax:
__________________________
Email Address:
__________________________
How would you like to pay for this?
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3.5% SERVICE CHARGE APPLIES FOR THE USE OF CARDS.
UPON APPROVAL WE WILL ADVISE YOU BY EMAIL
IF YOU HAVE PROBLEMS SENDING THIS FAX YOU MAY
CONTACT US AT TOLL FREE 1-877-811-9899
Card Number:
__________________________
Signature:
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Valid through:
(Month)_______
(Year)_______
Special Instructions Information
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Internet Vacation Zone.com
Vacation Rentals - Accommodations - Apartments - Getaway Holidays
Discount Lodgings & Late Deals - Corporate Relocation & Apart Hotels
Studios | 1 Bedroom | 2 Bedroom | 3 Bedroom
References Provided | Credit Cards Accepted
www.internetvacationzone.com |
info@internetvacationzone.com
