Charge Authorization Agreement
Petrabax
22960 Calvert Street
Woodland Hills, CA 91367
www.petrabax.com
818.884.1984 ext 211

COMPLETE, PRINT & FAX THIS FORM TO (818) 884-4075

The DCM - Morrison 40th Anniversary Tour
arriving Paris, France on June 29 - July 5, 2011
Travel Agency - Cinetropic / Booking Agent - Morris

GROUP BOOKING #38630

I authorize Petrabax to charge the amount of USD $ 900 per person (based on double occupany of hotel room - two people traveling) to include 6 nights 3 Star hotel accommodation, daily breakfast, taxes and fees, welcome party and Morrison's Paris Walking Tour ($400 will be charged per person as a deposit upon registration and remainder charged on May 06, 2011)

OR
I authorize Petrabax to charge the amount of USD $ 1430 for my single occupancy hotel room to include 6 nights accommodation, daily breakfast, taxes and fees, welcome party and Morrison's Paris Walking Tour. ($400 will be charged per person as a deposit upon registration and remainder charged on May 06, 2011)

names of travelers

Visa MasterCard Amex Discover
credit card number
expiration date (mm/yy) security code
name on card
address
city state
postal code country
work phone home phone
E-mail address


I understand that after a $400 per person deposit is received, a receipt for my payment will be emailed. Deposits are refundable except for at $25 fee until February 25, 2011 on this date they become NON-REFUNDABLE. The remainder of the balance due will be charged to the credit card on May 06, 2011. A tour package will be provided with a hotel confirmation letter 2 weeks prior to departure. I have read this entire agreement and understand that I will be held fully responsible for its terms and charges.

Cardholder Signature _______________________________

Date _________________

Important disclosure: Rates pertaining to hotels and all other lodging services include our handling fee consisting of communication expenses incurred to obtain your reservations. Local rates may differ due to currency exchange fluctuations. Petrabax will not be held responsible for any of these possible differences, and absolutely no refunds will be made for such possible differences.

Cancellations and Refunds: Petrabax strongly recommends you purchase Trip Cancellation and Interruption insurance through your professional travel agent.

Lodging and independent services: Petrabax deals with thousands of hotels, each with their own particular cancellation policy. Generally, cancellations received 7 days prior to arrival will result in a 1 night cancellation fee (consult Petrabax for your particular hotel). In addition, certain hotels during special events, fairs and convention periods or because of special reduced rates being applied may be completely non-refundable. Petrabax will pass on all applicable penalties plus a one time $25 administrative fee. No refund applies for no-shows. All cancellations must be received in writing.

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