Carine Taylor TPI 
Credit Card Payment Authorization
Square Dance Cruise - March 24-31 2019
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TRAVEL INSURANCE - don't leave home without it! A quote will be provided to you to determine your requirements. *
TRAVEL INSURANCE for Canadians.   Due to Canadian provincial insurance licensing requirements, our agency may refer you to your local insurance agent. *
TRAVEL INSURANCE for Americans *
By e-signing here, I authorize Carine Taylor TPI to charge the above amount to the above credit card (NOTE - you can sign with your mouse if using a computer, and with your finger if using mobile device) *
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1) By signing this form, I have read and agreed to the terms and conditions of the travel agency and/or travel supplier. I will not dispute or attempt to charge back any of the above signed for and acknowledged charges.
 
2) No transactions will be performed until signature and permissions are received.
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Carine Taylor, CTC
Personal Travel Advisor
 
Travel Professionals International
2627A Portage Avenue, Winnipeg, Manitoba, R3J 0P7, Canada
Head Office Telephone:  204.987.3333
Carine's Tel: 613.836.9623 | Fax: 613.383.0223
TICO Registration # 1576226