AUTHORIZATION TO CHARGE ON CREDIT CARD
Please fill this form, print and sign it and fax it to us at the number above.
Master Card
Visa American Express
Discover
Passenger Name:
Card Holder Name:
Company Name (if applicable):
Card Number:
Card Expiration Date:
Total Amount (in US Dollars):
Billing Address:
Billing Address:
Billing City:
Billing State:
Zip:
Billing Country:
Home Phone:
Office Phone:
Fax Number:
Credit Card Issuer's Phone Number:
In lieu of my credit card imprint, I , hereby authorize TransTravel and/or their representative to charge my Credit Card for the amount shown above. By signing below, I acknowledge the charges described above. Payment in full to be made when billed or in accordance with the policy of the company issuing the credit card.