Global Tours & Travels
Phone: (972) 827-0608  Fax: (972) 200-7087

CREDIT CARD AUTHORIZATION FORM

Credit Card Information

Name:  ______________________________________ (as shown on Credit Card)

Credit Card Type:  

VISA

Master Card   

AMEX  

Discover

OTHER

Credit Card No: 

CVV:   what is a cvv number?    Exp Date: 

Billing Address: ____________________________________________________

_________________________________________________________________

Card Holder's Home Phone: ___________________________________________

Issuing Bank Name: _________________________________________________

Bank Customer Service No: ___________________________________________

Booking Information

Record Locator:  _______________       Booking Agent Name: _______________

Names of all passengers traveling using this credit card:

1) ___________  __________      

    (Last Name)   (First Name)

2) ___________  __________      

    (Last Name)   (First Name)

3) ___________  __________      

    (Last Name)   (First Name)

4) ___________  __________      

    (Last Name)   (First Name)

 

TOTAL CHARGE =

I hereby authorize Global Tours & Travels to charge my card in the amount of
$___________ for payment of tickets for all the above passengers. I understand the
type of Purchase Refund/Cancellation Penalties that have already been explained to
me in advance. Please Fax this form along with front and back of Credit Card and valid
picture ID to (972) 200-7087.

______________________________                                                       ___________ 

(SIGNATURE OF CARD HOLDER)                                                                 DATE