Maxima Travel International Ltd.

Maxima Tours
Suite 34-4429 Kingsway, Burnaby,
BC, V5H 2A1 Canada
Tel: (604) 454-9944 Fax: (604) 629 8894
E-mail: info@maximatours.com B.C. Registration No 29133
Web: http://www.maximaholidays.com

BOOKING FORM
Credit Card Signature on File Authorization
Forms must be signed and returned to confirm Booking

I,________________________________________________________(as appears on Credit Card) hereby authorize

“Maxima Travel International Ltd”, to issue travel service against my Credit Card
[ ] Visa [ ] MasterCard [ ] American Express
No. Expiration Date: CSC Code*
mm/yy last 3 digits*
CURRENCY: Canadian Funds American Funds
* CSC code, as it is displayed on the back of the credit card.
$ TOTAL AMOUNT This information is kept strictly confidential by the agency.
$ DEPOSIT at time of booking
$ TRAVEL INSURANCE [ ] Accepted [ ] Declined
The purchase of travel Insurance is OPTIONAL, please call to obtain a quote if required.

BALANCE WILL BE AUTOMATICALLY CHARGED ON

(Unless otherwise notified)

DESTINATION: DEPARTURE: RETURN:

HOTEL: ROOM TYPE: No. NIGHTS:
No. GUESTS: GATEWAY: MEAL PLAN:
GUEST NAMES
Use legal names as they appear on proof of citizenship or passport; name changes will result in a penalty.
FIRST NAME LAST NAME DOB
dd/mm/yy

FIRST NAME LAST NAME DOB

dd/mm/yy

Partial used & no show tickets are non refundable. We highly recommend travel insurance. Portions of this package
may not be or are not refundable. Cancellation penalties apply from both supplier and Maxima Travel International Ltd.
Agency cancellation& changing fee C$50/per person. Please reconfirm your flights with airline prior to departure.
BILLING INFORMATION
Complete Name
Your Charge Card Billing Address: City:
Province/State: Country ZIP/ Postal Code
Home Number Business Number
Email Fax Number

____________________________________ ________________
Signature as it appears on Credit Card Day/Month/Year

Please Fax Back to Maxima Travel International Ltd. +1 (604) 629 8894