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I, Cardholder
____________________________________________________________________________
AUTHORIZE TO CHARGE MY CREDIT CARD LISTED BELOW IN THE AMOUNT OF
$ _________
FOR: ( ) AIRLINE TICKET(S); ( ) CRUISE
(S); ( ) TRAVEL PACKAGE (S); ( ) TRAVEL
INSURANCE;
$ AMOUNT IN WRITING:
________________________________________________________________________________________
for the following itinerary _________________________________________________________________
departure
city departure
date destination
city return date
________________________________________________________________________________________
airline name and/or hotel name
Passenger name
(s): _______________________________________________________________________
_________________________________________________________________________________________
Credit Debit Card # _____________ - ____________ - ____________ -
____________
Security digits
____________ Exp.
Date ______/______
Cardholder name _________________________________________________________________________
Cardholder billing addrees__________________________________________________________________
Cardholder phone' s: Home ( _______ )
_______ - __________ Work
( _______ ) _______ - _________
ALL PACKAGES/TICKETS ARE NON-REFUNDABLE.
VALID TRAVEL DOCUMENTS MUST BE CARRIED DURING THE ENTIRE JOURNEY. PASSENGER
MUST RECONFIRM RESERVATION DIRECTLY WITH AIRLINE 24-72 HOURS PRIOR TO EACH
FLIGHT. FAILURE TO DO SO MAY RESULT IN CANCELLAATION OF RESERVATION. CHECK
IN AT THE AIRLINE COUNTER IS REQUIRED AT LEAST 3 HOURS PRIOR TO EACH
FLIGHT. CHECK IN LATER COULD RESULT IN CANCELLATION OF RESERVATION. TRAVEL
AGENT(S) CARRY NO RESPONSIBILITY FOR PROBLEMS THAT ARE BEYOND AGENT' S
CONTROL. IDENTIFICATION IS REQUIRED! PLEASE PROVIDE ENLARGED AND LIGHT
PHOTOCOPY OF THE CREDIT CARD
IT IS STRONGLY RECOMMENDED THAT TRAVEL INSURANCE IS PURCHASED –
I AGREE_____, I DECLINE____, IF AGREED, AMOUNT OF INSURANCE $_____.
(FRONT & BACK) AND PASSPORT OR DRIVER LICENSE OF THE CARDHOLDER. I HAVE
READ, UNDERSTOOD, AND AGREED WITH THE INFORMATION ABOVE.
SIGNATURE OF
CARDHOLDER:________________________________________ DATE:_______________
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