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CREDIT CARD AUTHORIZATION FORM

TerraMar Travel, Inc.

133 N. Buena Vista St #4 Hemet CA 92543 (951) 929-0033 (951) 658-9593 fax

I authorize TerraMar Travel, Inc. to charge my credit card below for 2019 Agent
Renewal fees of $208 for Primary Agent or $338 for both Primary and Secondary
Agent – includes merchant fees of 4.2%)

Payment Amount $

Renewing Agent/s Name

Type of Card

VISA

MASTERCARD

AMERICAN EXPRESS

DISCOVER

Credit Card #

Security code on back of card

Expiration date

Card Holder Name

Other Passengers

Billing Address

City

State

Zip

Email

Telephone #

Fax #

Card Holder Signature (Type Name)

Date

Click here to download

An ocean of possibilities awaits you at our
Host Travel Agency, TerraMar Travel.
Contact us today, to learn more!

Why wait?

If you would love to be in the business of travel, are CURIOUS, EMPATHETIC and are COMMITTED, CALL TerraMar Travel! We would love to work with you!

CST #2053942-40 FL ST #36618

Book VISA's Here

Start Today!

Phone 1-951-929-0033

Rhonda@TerraMarTravel.com

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