Application for Tours
________ Zip Code: _____________
_____________________________ Home Phone:_________________________
Name:______________________________________ Date of Tour: __________
Type of Payment: Check: ____ Master Card: _____ Visa: _____
Exp. Date:__________ # on back _________
Appears on Card: ________________________________________________
* Please provide copy of the front and back license and credit card.
authorize Lane Tours, LLC to bill my credit card for the charges that
is incurred by the above individual/group. I
understand there will be a 5% handling charge fee added to my card.
If paying by check or money order, please send to address above.
All Sales Are Final and No Money Refunded unless Lane Tours cancels the trip due to not having require number of people for trip.
Signature:_________________________________________ Date: _______