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: travelnetworksan@gmail.com

  ** Printable credit card form is available. Please click 

You can use above form to copy and paste.