credit card authorization form
In lieu of my credit card imprint I,_____________________ hereby
Name of cardholder
Authorize TRAVEL NETWORK to charge USD _____________________
Credit card Number:
______________________________ Exp __________
For initerary as follows:______________________________________________
Example: San Diego - LAX - Incheon -LAX -San Diego Taking Korean air.
My credit card billing address:
______________________________________________________________________________
Contact Phone Number:_____________________
Work Phone Number:_______________________
E-mail Address:___________________________________
** Note: IDENTIFICATION IS REQUIRED. Please provide a LEGIBLE COPY OF CREDIT CARD FRONT AND BACK SIDES, AND PHOTO I.D. OF CARDHOLDER.
By siging below, I acknowledge the charges descrided hereon.
Payment is to be made when billed in accordance with the policy of the credit card compayn.
Please fill-out, sign and fax or E-mail back to us with requirements prior to ticket issuance.
DATE:_______________________
SIGNATURE:_______________________

7888 Dagget Street, Suite 102
San Diego, CA 92111
Tel: (858) 292-2888
FAX:(858) 292-2887
Email:
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