Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

CREDIT CARDHOLDER'S AUTHORIZATION

IN LIEU OF MY CREDIT CARD IMPRINT, I, _______________________________________________


(name of cardholder as s hown on ca rd)

HEREBY AUTHORIZE _________________ / ______ SKYWAYS TRAVEL __________________


(is s uing ca rrier) (Travel Ag ency name )

TO CHA RGE M Y _________________ # ________-_______-________- _______ EXP ___________


(card name)

IN THE A M OUNT OF $ _________________ FOR PA YMENT OF TRA NSPORTA TION OF M YSELF

AND / OR _______________________ , _______________________ , __________________________


(full names of pas s en ger (s ) if oth er then ca rdholder)

M Y BILLING A DDRESS _____________________________ TEL: (HOME) _____________________

_____________________________ (W ORK) _____________________

IMPORTANT
NOTE IDENTIFICATION IS REQUIRED. PLEASE PROVIDE PHOTO S TAT COPY OF THE CREDIT

CARD (FRONT & BACK) AND PAS S PORT O R DRIVER'S LICENS E OF CARDHOLDER.

BY SIGNING BELOW , I A CKNOW LEDGE CHA RGES


DESCRIBED HEREON PA YMENT IN FULL TO BE
M A DE W HEN BILLED OR IN EXTENDED PA YM ENTS
IN ACCORDANCE WITH STA NDA RD POLICY OF
COMPA NY ISSUING CARD.

X ______________________________________
(sig nature of cardholdere)

FAX IN FOR FAS TER S ERVICE TO S KYWAYS TRAVEL AT


(713) 621 - 9391
10500 RICHMO ND , S TE 161
HO UST ON, TX 77042.
TE L: (713) - 621 - 9300

You might also like