CHARGE CARD FORM  -- RYAN CLAN RALLY 2000

CHARGE CARD FORM  -- RYAN CLAN RALLY 2000
The form needs to be completed if one wishes any tour expenses to be charged; and the tour company needs a signature on file showing person's authorization to charge the card.

VISA 
Mastercard
American Express 
please check only one

Account #:
Name of person:
Mailing address:
City, State, ZIP
Phone number:
Card Expiration Date:
Your signature:

Print this completed form, then Mail or Fax it to:
Astro Travel and Tours
926 North Monroe Street
Tallahassee, Florida 32303
Attn: Wendy
OR
Fax to: 850/561-6088