GREAT ESCAPES TRAVEL, LLC
 
Fill out the secure form below to make a payment for your vacation.  
 
The information submitted will be sent to your Travel Agent who will process your payment.  
 
After your payment has been processed, you will receive an email confirmation of your payment.
 
If you have any questions, call 313-310-1630.

CREDIT CARD AUTHORIZATION FORM

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By signing this form, I hereby authorize Great Escapes Travel, LLC to charge my Credit/Debit Card as detailed on this form. I take full financial responsibility should any problems arise with the Credit Card company or my bank.

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