EFTA00313946.pdf

FOUR SEASONS IC'SORT ORLANDO AT WALT 1315,4CY WORLD. HeISORT CREDIT CARD AGREEMENT 10100 DREAM TREE BOULEVARD. LAKE BUENA VISTA. FLORIDA 32836 Resort Reservations: laFFREY ePitels-1 hereby authorae the FOUR SEASONS RESORT ORLANDO at Wait Disney World® Resort to charge my credit card for the reservation as detailed below. Guest Name: Confirmation Number. (11-(4,1 4513b3a (,,,5? Arrival Date: err ft, ,aO18" Departure Date: QC Y Qtee PLEASE CHECK ONE OF THE FOLLOWING: "Please note credit card will be charged in full upon receipt of this document " 2 ALL CHARGES ;Room & Tax plus 3200/day for Incidentals) D ROOM & - AX UN 'r D OTHER Credit Card: MC VA DS _ Credit Card Expiration: O4./?-1 Pismo on Credit Card: F Ap-c/ evs-reiftl Billing Address: 0 261-rC IS-. City. State. Zip Code: 10/2-4. rJ1 OO?- Email Address: Contact Number I CERTIFY THAT THE ABOVE STATEMENT AND INFORMATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE I ALSO CERTIFY THAT I AM AUTHORIZED TO EFFECT CHARGES TO THE ABOVE CREDIT CARD NUMBER. IN THE CASE OF ANY INQUIRIES RELATED TO THESE CHARGE& I WKCJIOTtfltOUR RT ORLANDO PRIOR TO NOTIFYING MY CREDIT CARD COMPANY. CARDHOLDER'S SIGNATURE Date: 'Please include a Government Issued Photo th)st matches Me mom of the cardholder. For your security, phrase FAX this fegtet filed out in its tette,/ to the Four rt (Mande. Reservations Department. Tha request must he rocowd 12 hours MAX to date of armies P not penal the document to the Four Sealers Rascal CalaiX10. Interval 'Jur Completed Four Seasons Resort Orlando Aprl 2017 EFTA00313946