Lane Tours - An exceptional travel experience!

Application for Tours

                                  



Name:__________________________________________________ Date: _________



Address:______________________________________________________________



City:________________________________State: ________ Zip Code: _____________



E-Mail: ________________________________________________________________



Cell#: _____________________________ Home Phone:_________________________



Tour Name:______________________________________ Date of Tour: __________


         Type of Payment: Check: ____ Master Card: _____ Visa: _____ Other:_____

                                 Exp. Date:__________     # on back _________

Name Appears on Card: ________________________________________________
                  * Please provide copy of the front and back license and credit card.

I 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.

Cardholders Signature:_________________________________________ Date: _______