| Boomerang Tours STOCKTON, CALIFORNIA |
| "PAYMENTS" |


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| Make payments for your Charter, Trip or Tour easily and securely using either of the following options: |
| Card Type: |
| Telephone: (include Area Code |
| Credit Card Number: |
| Expiration Date: |
| 3 or 4 Digit Security Code: |
| Card Holder's Name: |
| Card Holder's Billing Address: |
| City: |
| State / Zip: |
| Leave this code here: |
| Please charge my credit card for the following: |
| Invoice # or Tour Destination: |
| Date of Departure: |
| Group Name (If Known): |
| Amount: |
| Add 3% Surcharge: |
| Total Amount: |
| Additional Comments: |
| Today's Date: |
| By clicking "Submit", you authorize Boomerang Tours to charge the total amount due to your credit card as stated above |
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