(Please print legibly with dark ink)

Universal Credit Card Authorization Form

I hereby authorize_________________________________________________________

to charge the following amount $ _______________

to my (circle one) Visa American Express Mastercard Discover)

CC#:_______________________________________________________________________

Auth Code ( 3 or 4 digit code on back of CC)_______

EXP Date:_______________________for reservation #____________________________

Destination:_________________________________

Departure date: _________________________Return Date:________________________

Departure location: _________________________________________________________

Name:___________________________________________________________________

Address: __________________________________

City: ____________________________ State: _______________ Zip: ______________

Home phone #:___________________________________________________________

Authorization signature: ____________________________________________________

TRAVEL AGENCY INFORMATION
Agency: All Aboard! Cruises and Vacation Travel
Agency Address: 3400 Oak Ridge Court
City: Lexington State: Kentucky Zip: 40515
Agency phone #: 859-971-0727

Click the PRINT button to print this page.
Complete form, SIGN and mail to the above address or FAX to:
Fax: 859-272-3692

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Click the PRINT button to print this page. Complete form, SIGN and mail to the above address or FAX to: Fax: 859-272-3692

Click the PRINT button to print this page.
Complete form, SIGN and mail to the above address or FAX to:
Fax: 859-272-3692