Tyus Tours & Travel LLC

(614) 771-6200
2469 East Dublin-Granville Rd, #29054 Columbus, Ohio 43229
Office 866-547-5362 or
614-583-9144
Fax 614-352-2725
E-mail:travel@tyustours.com

Credit Card Authorization Form * Required Fields

First Name :* Middle Name :* Last Name :*
Gender:* Male Female
TRAVEL DATES :* START DATE :* END DATE :*
Destination: *
TRIP COST: *$
INSURANCE COST: *$
TOTAL AMOUNT TO CHARGE YOUR CREDIT CARD TODAY: *$
Credit Card Number :* CC Type:* VI MC AX DS
Expiration Month/Year :* Security code :*

CC holder name :*
CC Billing Address :*

CC City:* CC State:* CC Zip Code:* Email Address :* Phone Number (H) :* Cell:

Passengers Names exactly as appears on Passport*	Gender & DOB: (MM/DD/YY)*
Name :*	Gender:* Male Female DOB:*
Passport# :*	Issue Date :*	Exp Date :*

Passengers Names exactly as appears on Passport*	Gender & DOB: (MM/DD/YY)*
Name :*	Gender:* Male Female DOB:*
Passport# :*	Issue Date :*	Exp Date :*

Passengers Names exactly as appears on Passport*	Gender & DOB: (MM/DD/YY)*
Name :*	Gender:* Male Female DOB:*
Passport# :*	Issue Date :*	Exp Date :*

Passengers Names exactly as appears on Passport*	Gender & DOB: (MM/DD/YY)*
Name :*	Gender:* Male Female DOB:*
Passport# :*	Issue Date :*	Exp Date :*

Notes :*

PLEASE READ CAREFULLY BEFORE SUBMITTING

I give full authorization to Tyus Tours & Travel LLC to charge the above mentioned amount on my credit card as identified above and shall not decline, reject or challenge such amount charged on my credit card for the purpose of paying for air, cruise/or tour, for the passengers identified above. I also declare that I am aware that some restrictions may apply to the tickets purchased by this transaction and that I am satisfied that such restrictions have been explained to me. By accepting these terms, you are consenting to the supplier's terms and conditions. I have been offered insurance for my travel arrangements.

“Total cost of Insurance” by the accept/decline insurance:* Yes No

I Have Read and Agree to The Terms

Please note the following

Passports needed 30 days prior to day of departure

E-mail: travel@tyustours.com

or
Mail to:Tyus Tours & Travel LLC, 2469 East Dublin-Granville Rd #29054 Columbus, Ohio 43229

Type the above number:

Tyus Tours & Travel LLC
2469 East Dublin-Granville Rd
Office 866-547-5362 or 614-583-9144 Fax 614-352-2725 E-mail:travel@tyustours.com

Credit Card Authorization Form * Required Fields

PLEASE READ CAREFULLY BEFORE SUBMITTING

I Have Read and Agree to The Terms

**Please note the following**

Please note the following