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CreditCardAuthorizationForm 6505BlueLagoonDrive×225Miami,FL,33126 Attn: AccountingDepartment Fax: 3059259266 IATA : AgencyName: Transaction#: Groupware: AgentName: Phone: Date: ClubMedGroupCoordinator
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Completed form and deposit refer to the paperwork and payment required to be submitted in full to comply with regulations or requirements.
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