| Travelinternational.net CREDIT CARD AUTHORIZATION FORM |
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| This portion to be filled in by Travel Agent Only. | |
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ATTENTION
:
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_____________________________________ |
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Establishment
No :
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_____________________________________ |
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Approval
Code :
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_____________________________________ |
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Name
of Approving Officer:
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_____________________________________ |
ATTENTION:
Reservations Officer : __________________________
L. A. Ca U.S. Fax: (310) 327 5583
In
lieu of my credit card imprint, I _______________________________________________,
Authorize Travel International Group Inc. to charge my credit card (VISA, MasterCard,
American Express) _______________________________________________ (account
number) which expires on _________________________ the amount of _________________________
for the payment of airline tickets/hotel or resort for the following person
(s):
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Routing :
_______________________________________________ |
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(Kindly fill-out the box below with the services you availed) |
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___________________________________________________________ NOTE: Please include CLEAR photocopies of your credit card (front and back), driver's license or passport. Please Fax back completed form to L. A. Ca U.S. Fax: (310) 327 5583. These requirements are checked by the approving bank. If you have no passport, please provide photocopies of your valid Company ID or Driver's License. These are strict requirements for approval of your payment. Only upon approval that your credit card is charged. |
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| Credit Card Information |
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| Name
On Card : |
_______________________________________________________________________ | |
| Credit
Card Number : |
_______________________________________________________________________ | |
| Expiry
Date : |
_______________________________________________________________________ | |
| Issuing
Bank : |
_______________________________________________________________________ | |
| Billing
Address : |
_______________________________________________________________________ | |
Office/Work
Address : |
_______________________________________________________________________ | |
Office/Work
Tel No. / Fax No. : |
_______________________________________________________________________ | |
Home
Address :
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_______________________________________________________________________ | |
Home
Tel No. / Fax No: |
_______________________________________________________________________ | |
| Type
of Card : |
(Please check) |__| VISA |__| MASTERCARD |__| Amexco | |
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Travel and Tours. All Rights Reserved. |
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