payment authorization

Tondry Wright | Bessemer, Al | (205) 267-9146 | travelwithtondry@gmail.com | www.travelwithtondry.com
Payment Authorization
Client Details:

Legal name as it appears on passport for international flights or driver's license/state ID and date of birth is required for TSA for airfare. If you do not have a middle name please type in "none". Mispelled names or incorrect birth dates can result in denial of boarding or entry. Each paying guest must complete a form.
Full Name

First NameMiddle Name or Initial Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Date of Birth

MonthDayYear
Name and date of birth listed above are as they appear on the government issued ID for the named person.
Last four digits of the card used for payment
** To protect your confidential information, you can not provide your full credit card number in this form. You will be contacted by Tondry Wright from Travel With Tondry to provide your full credit card number for payment. A copy of your photo ID or passport is required along with this form **
Upload Your Identity Card: A copy of the front of your Driver License, State ID or Passport is required by Tondry Wright - Travel With Tondry for all transactions. Please place identification on a flat surface and take a clear photo.

Cancelof
By signing below, I agree the information disclosed above is accurate to the best of my knowledge and to authorize a charge to the specified credit card above.
What is your approval amount
Signature Required (Signature must match your signed identification)
Should be Empty:

Payment Authorization

Client Details: