FOUR SEASONS

FOUR SEASONS IC'SORT ORLANDO AT WALT 1315,4CY WORLD. HeISORT CREDIT CARD AGREEMENT 10100 DREAM TREE BOULEVARD. LAKE BUENA VISTA. FLORIDA 32836 Resort Reservations: laFFREY ePitels-1 hereby authorae the FOUR SEASONS RESORT ORLANDO at Wait Disney World® Resort to charge my credit card for the reservation as detailed below. Guest Name: Confirmation Number. Arrival Date: Departure Date: (11-(4,1 4513b3a (,,,5? err ft, ,aO18" QC Y Qtee PLEASE CHECK ONE OF THE FOLLOWING: "Please note credit card will be charged in full upon receipt of this document " ALL CHARGES ;Room & Tax plus 3200/day for Incidentals) 2 D ROOM & - AX UN 'r D OTHER Credit Card: Credit Card Expiration: Pismo on Credit Card: Billing Address: City. State. Zip Code: Email Address: Contact Number MC VA DS _ O4./?-1 F Ap-c/ evs-reiftl 0 261-rC IS-. 10/2-4. rJ1 OO?- I CERTIFY THAT THE ABOVE STATEMENT AND INFORMATION ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE I ALSO CERTIFY THAT I AM AUTHORIZED TO EFFECT CHARGES TO THE ABOVE CREDIT CARD NUMBER. IN THE CASE OF ANY INQUIRIES RELATED TO THESE CHARGE& I WKCJIOTtfltOUR RT ORLANDO PRIOR TO NOTIFYING MY CREDIT CARD COMPANY. CARDHOLDER'S SIGNATURE Date: 'Please include a Government Issued Photo fegtet filed out in its tette,/ to the Four MAX to date of armies P th)st matches Me mom of the cardholder. For your security, phrase FAX this rt (Mande. Reservations Department. Tha request must he rocowd 12 hours not penal the document to the Four Sealers Rascal CalaiX10. Interval 'Jur Completed Four Seasons Resort Orlando Aprl 2017 EFTA00313946