Authorization

CREDIT CARD AUTHORIZATION FORM

I, the credit card holder hereby authorize TravelsMaker to charge my credit card or designated supplier by TravelsMaker to charge my Credit Card as per particulars below. I fully understand and agree on the itinerary and restrictions on the ticket(s) already Explained or E-mailed to me by TravelsMaker.

I am also fully responsible for any Charge back dispute and  Non-payment to Credit card Company or Issuing Bank.
Please verify all the names and dates and fill out this form

Name *
Itinerary Received: * YesNo
Total Amount to be Charged (in $) *
Company Name:
Credit Card Holder's Name: *
Card Holder Billing Address: *
Line2:
City:*
State:*
Country: *
Zip: *
Card Holder's Phone : *
Credit Card Type : *
Credit Card Issuing Bank / Company: *
E-mail Address : *
I have verified the complete itinerary as per my request.
Card Holder's Signature : *
Passenger's Details

Name as on passport Gender

Comments / notes: