Credit Card 
          Authorization and Work Contract
        Date: 
          ______________ 
         
          I give authorization to Travel Experience Consulting 
            to charge my credit card for the following travel arrangements made 
            by Travel Experience Consulting:  
         
        Trip 
          Planning Services: 
           
         
          $_________ for non-refundable trip planning 
            fee ($500 for trips up to 3 weeks; $50 per additional week) 
          I will help you find your European dream destination, 
            plan your itinerary, select accommodations that meet your needs and 
            desires, and tell you about the attractions most appealing to you. 
            We'll start by talking about your European travel dreams. Then I'll 
            do some research and offer suggestions before I finalize a personal 
            itinerary that suits your dreams and your budget. You will receive 
            a written travel plan that you can follow to make your own arrangements 
            or you can have me make your travel reservations for you. 
          The trip planning fee is payable up-front as 
            a "consultation fee." It is non-refundable. If you decide 
            not to go on the trip as proposed in your work contract with Travel 
            Experience Consulting, then the fee is forfeited. 
         
        Booking 
          Services: 
         
          If you already know where you want to go, how 
            you want to get there, what you want to do, and where you want to 
            stay, you may not wish to use the full trip planning service. In that 
            case, I can arrange your airline tickets, rail passes, car rentals, 
            hotel, B&B, or apartment reservations, tour bookings, theater 
            tickets, etc. I charge a non-refundable 
            booking fee payable in advance as follows:  
         
        
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
               ________ travelers x $50 
                per person for airline tickets 
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
               ________ car rental reservations 
                x $20 for car rental reservations  
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
                ________ travelers x $20 
                per person for rail tickets or passes 
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
                ________ travelers x _________ 
                bookings x $20 per person per booking for theater tickets, museum 
                passes, travel cards, and similar ancillary items. 
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
                ________ nights x $20 per 
                night for lodging reservations 
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
                ________ travelers x _________ 
                cruise days x $10 per person per cruise day for cruise reservations 
                (cost applied to final cost of cruise) 
             | 
           
           
            |  
               $____________ 
             | 
             
               = 
             | 
             
                ________ travelers x _________ 
                vacation days x $20 per person per day for vacation packages and 
                tours (cost applied to final cost of package or tour) 
             | 
           
         
          
        Trip Insurance: 
           
         
          You should know that there may be substantial 
            penalties and/or no refund of the amount charged should you change 
            and/or cancel any of your travel arrangements. You 
            can and should buy trip cancellation insurance to protect 
            you from loss of your non-refundable trip costs in the event you have 
            to cancel for unforeseen reasons and to aid you during your trip in 
            the event you require emergency assistance. To provide the best possible 
            protection against loss of at-risk payments, it is important that 
            you purchase insurance within 7 to 14 days of your initial trip payment. 
            The cost of the premium varies with the insurance company used (they 
            all differ in their costs and benefits), the number and ages of travelers, 
            the trip duration, and the amount of money at-risk of loss in the 
            event of trip cancellation. Contact 
            me for a quote. Or see trip 
            insurance information on this website. 
           [ ] I have read and agree to the conditions 
            in the Travel Insurance Binder. 
          I understand that I am liable for any cancellation 
            penalties and out-of-pocket expenses incurred. 
          [ ]  I want to purchase trip insurance 
            at this time. Fill in the amount in the space provided below. 
          [ ]  I do not want to purchase trip insurance 
            at this time. I will also make my own provisions in the event of an 
            emergency while I am traveling.  
          ______________________________________________________ 
            (sign here) 
             
          $____________ = cost of insurance premium based 
            on an at-risk trip cost of $____________. 
         
        Total 
          to be charged: 
         
          $____________ to be charged to:  
          
             
              | [ ] Visa | 
              [ ] MasterCard | 
              [ ] American Express | 
              [ ] Diners' Club | 
              [ ] Discover  | 
             
           
            
         
        
           
            |  
               Make imprint of card by placing credit 
                card face up under paper and rub lightly across the numerals with 
                a pencil. 
             | 
             
              
             | 
           
         
         
          Number 
            _____________________________________________ Exp. 
            ____________________ 
           
            Name 
            on Card: 
            ________________________________________________________________ 
           
            Signature: 
            ____________________________________________________________________ 
           
            Billing 
            address: 
            ________________________________________________________________ 
            
         
        [ ] I have read and accept the Disclaimer 
          of Liability. 
        
            
         
        List 
          of Travelers (Indicate names as shown on photo ID or passport 
          (for international travel), and date of birth): 
         
          
             
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                 Name 
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                 Date 
                  of Birth 
               | 
               
                 Nationality 
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          (Use additional pages as needed.) 
         
        Describe 
          the arrangements requested.  
         
          Show preferred dates of travel, origin airports, 
            destinations desired, number nights in each destination, type of car 
            to be booked, etc. Attach additional pages as needed. 
          ______________________________________________________________________________________ 
          ______________________________________________________________________________________ 
          ______________________________________________________________________________________ 
         
        Attach 
          copy of front and back of photo ID and credit card and send with form 
          to:  
        Travel 
          Experience Consulting - FAX (208) 248-0548 
        
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