Authorization for Deposit/Credit Card Charge:
I _____________________________, authorize A1 Deep Sea Charters to charge my credit card a $200 deposit to retain an offshore charter fishing trip.
Credit Card: Visa | MasterCard | American Express (Circle one)
Credit Card No: ___________________ (last 4 digits)
This is a NON-REFUNDABLE deposit, billed 7 days prior to your trip date of: ________________________
Example: If your trip date is July 19, seven days prior to your trip, July 12, your card will be billed.
____________ (Initial here acknowledging credit card charge agreement)
If the sea forecast on National Data Buoy Center/NOAA website: http://www.ndbc.noaa.gov/maps, Buoy #42019 for Western Gulf of Mexico, is above 5 feet, you can cancel your trip with full refund.
I understand the fishing party is bound by the rules and regulations of State of Texas and US Federal government.
All parties must have a current State of Texas fishing license, with a salt-water endorsement. Also all parties will be required to sign a release of liability upon boarding the vessel. Minor children or dependents must have a parent or guardian signature on the release of liability.
Sign: _________________________________________________________________________________
Printed Name: _________________________________________________________________________
Date: ________________________________________________________________________________
(must have both signature and printed name legible)
Fax to: 855.366.8800 or email to mptandl@earthlink.net Attn. Mark Greer
Signed documents must be returned 7 days prior to the trip, or reservation will not be guaranteed.
