Exquisite Trips 4 U - Credit Card Authorization Form

INDEPENDENT TRAVEL AGENT

Lisa Williams | Pin #192908| (910) 644-0211 | exquisitetrips4u@gmail.com
Credit Card Authorization Form
The Independent Travel Advisor listed above is pleased to confirm travel arrangements. To complete your transaction and confirm your arrangements, your signature on this credit card authorization is required. Charges are payable ONLY to InteleTravel.com or the hotel, resort, tour operator, cruise line or other travel supplier. Independent Travel Advisors may not accept and process charges through any other account, or accept checks, cash or other forms of payment.
The cardholder listed below authorizes charges for:
Travel Itinerary Descriptions:Trip Name
Dates of Travel: Departure Date Return Date
Passenger Names: Passenger Name(s)
Card Holder Information
Card Holder Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Type of Payment:
Charges To Be Applied On:

MonthDayYear
Date
Amount (USD):
Description
Credit Card Type:
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby authorize Exquisite Trips 4 U, InteleTravel.com, or the hotel, resort, tour operator, cruise line or other travel supplier that my booking is through to charge my credit card for travel reservations.
Cardholder Signature
Date

MonthDayYear
Date
Browse Files

Cancelof
Should be Empty:

INDEPENDENT TRAVEL AGENT