NETWROK PAYMENT FORM

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Start Your Vacation Savings

This Locks In Your Vacations!

If you would like to verify, feel free to call one of the following numbers.
Inter-Mex: (52) (322) 42213 ext.111 & speak to Srta. Martinez.

Your Email Address

Name :

Address :

City :

State/Province :

Zip/Postal Code :

Contact Phone :

Fax :

Payment Method
Due to the Mexico Interest rates, we do not take credit cards on this package.
If not paid anually there is a $5.00 per check charge

I Would Rather Fax This Information
click here
Checking Account Information

1. Name on Check

2. Street Address

3. City, State & Zip

4. Check #

5. Amount

6. Bank's Name

7. Bank's Address

8. Routing # (9 digits)

9. Your Account #

10. All the Numbers

Questions or Comments

Your Internet Signature (Required)
Before submitting your payment, you must type your full name below. By doing this, you agree to the following:

I hereby authorize this Internet Merchant "Get-Aways Inc" to create a bank draft for .

I further agree to pay a twenty dollar service charge if bank draft is returned unpaid by your bank for any reason.

I agree that if I have choosen the monthly payment schedule, should I request my Vacation before all payments have been made, I authorize Get-Aways to issue a bank draft for the balance owed at that time.

I have read all the information including the Reservation Information and I fully understand that I am entitled to the Vacation benefits when my matrix is filled.
* Please Sign Here

Mexico.... InterMex
100 Francia Suite #111
Col Versallas
Puerto Vallarta, Jal - Mx
Ph. 52-32-24-22-13 ext.111
Fax. 52-32-24-21-76 USA.... Get-Aways Travel Net
Post Office Box 965
400 Mobil Ave. Ste. B-9,
Camarillo, Ca. USA
Ph. (805) 484-9779,
Fax (805) 388-8307

Contact Us:

Your Email Address
Name :
Address :
City :
State/Province :
Zip/Postal Code :
Contact Phone :
Fax :