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AMJ LUXE

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Reservation Number

First name*

Last name*

Payment Amount*

Card Type*

Visa

Mastercard

American Express

Discover

Card Number (No Spaces)*

Expiration Date (MM/YYYY)*

Security Code*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

I hereby authorize AMJ Getaways and its partners to process the payment as outlined above. This authorization confirms that I have provided accurate payment details and consent to the processing of the payment in full.

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