FULL NAME RANK/UNIT MILITARY ID/CAC# EXPIRATION DATE EMAIL TYPE QTY PRICE EA. TOTAL Name on Card Mailing Address City State Zip Phone (Required to request the credit card information to complete the order) I authorize Vandenberg ITT to charge my debit/credit card in the amount of (Add $10 for shipping) Signature Date Email signed form to: [email protected] We will call you for the CC number before we complete the payment DEBIT/CREDIT CARD INFORMATION (We accept Visa, MasterCard and American Express) Hold at ITT for pickup by cardholder Ship to billing address PHONE ORDER/CREDIT CARD AUTHORIZATION 805-606-7976 EMAIL: [email protected] I certify that the information above is true and that I am currently Active Duty, Retired member of the United States Armed Forces, current spouse of AD/Retired, Reservist in Active Duty status or a Dept. of Defense employee. It is a federal offense (18 USC Sec. 1343) to wrongfully obtain government services/privileges under false pretenses, which is punishable by fines and imprisonment for up to 20 years. Vandenberg AFB Information, Tickets & Travel has a “No Refund & No Exchange” Policy. Universal Annual passes and Seaworld will require individual names for all tickets TOTAL TICKET DESCRIPTION Example: 1 Day San Diego Zoo CH 4 $46 $184 STATUTE Whoever, having devised or intending to devise any scheme or artifice to defraud, or for obtaining money or property by means of false or fraudulent pretenses, representations, or promises, transmits or causes to be transmitted by means of wire, radio, or television communication in interstate or foreign commerce, any writings, signs, signals, pictures, or sounds for the purpose of executing such scheme or artifice, shall be fined under this title or imprisoned not more than 20 years, or both. If the violation affects a financial institution, such person shall be fined not more than $1,000,000 or imprisoned not more than 30 years, or both. 18 USC Sec. 1343 01/02/2006 DISNEY MILITARY PROMO TICKETS MUST BE ACTIVATED BY THE MILITARY MEMBER OR SPOUSE AT THE PARK WITH THEIR GUESTS OR FAMILY PRESENT. ALSO, ONE OF THE TICKETS MUST BE IN THE NAME OF THE MILITARY MEMBER OR SPOUSE. (ONLY EXCEPTION IS IF THE MILITARY MEMBER OR SPOUSE HAS AN ANNUAL PASS.) _______________________________________Please sign to verify you read and understood the statement above

CREDIT CARD AUTHORIZATION. 805-606-7976 EMAIL: [email protected]. ... STATUTE Whoever, having devised or intending to devise

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Page 1: PHONE ORDER/CREDIT CARD AUTHORIZATION · PHONE ORDER/CREDIT CARD AUTHORIZATION. 805-606-7976 EMAIL: 30FSS.FSWO.ITT@us.af.mil. ... STATUTE Whoever, having devised or intending to devise

FULL NAME

RANK/UNIT MILITARY ID/CAC# EXPIRATION DATE

TYPE QTY PRICE EA.

TOTAL

Name on Card

Mailing Address

City State Zip

Phone (Required to request the credit card information to complete the order)

I authorize Vandenberg ITT to charge my debit/credit card in the amount of (Add $10 for shipping)

Signature Date

Email signed form to: [email protected] We will call you for the CC number before we complete the payment

DEBIT/CREDIT CARD INFORMATION (We accept Visa, MasterCard and American Express)

Hold at ITT for pickup by cardholder

Ship to billing address

PHONE ORDER/CREDIT CARD AUTHORIZATION805-606-7976 EMAIL: [email protected]

I certify that the information above is true and that I am currently Active Duty, Retired member of the United States Armed Forces, current spouse of AD/Retired, Reservist in Active Duty status or a Dept. of Defense employee. It is a federal offense (18 USC Sec. 1343) to wrongfully obtain government services/privileges under false pretenses, which is punishable by fines and imprisonment for up to 20 years.

Vandenberg AFB Information, Tickets & Travel has a “No Refund & No Exchange” Policy.

Universal Annual passes and Seaworld will require individual names for all tickets

TOTALTICKET DESCRIPTION Example: 1 Day San Diego Zoo CH 4 $46 $184

STATUTE Whoever, having devised or intending to devise any scheme or artifice to defraud, or for obtaining money or property by means of false or fraudulent pretenses, representations, or promises, transmits or causes to be transmitted by means of wire, radio, or television communication in interstate or foreign commerce, any writings, signs, signals, pictures, or sounds for the purpose of executing such scheme or artifice, shall be fined under this title or imprisoned not more than 20 years, or both. If the violation affects a financial institution, such person shall be fined not more than $1,000,000 or imprisoned not more than 30 years, or both.18 USC Sec. 1343 01/02/2006

DISNEY MILITARY PROMO TICKETS MUST BE ACTIVATED BY THE MILITARY MEMBER OR SPOUSE AT THE PARK WITH THEIR GUESTS OR FAMILY PRESENT. ALSO, ONE OF THE TICKETS MUST BE IN THE NAME OF THE MILITARY MEMBER OR SPOUSE. (ONLY EXCEPTION IS IF THE MILITARY MEMBER OR SPOUSE HAS AN ANNUAL PASS.)

_______________________________________Please sign to verify you read and understood the statement above