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Authorization for CREDIT CARD USE | |
| Credit Card Number | |
| Expiration Date | |
| Issuing Bank | |
| Bank Telephone No | |
| Credit Card Holder's Name | |
| Credit Card Billing Address | |
| Phone Number (H/B) | |
| Name of Passenger(s) | |
| Authorized charge amount in USD $ | |
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PLEASE READ CAREFULLY BEFORE SIGNING | |
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I give full authorization to Thirumala Travels and Airline to charge the above mentioned amount on my credit card as identified above and shall not decline, reject or challenge such amount charged on my credit card for the purpose of paying for air tickets for the passengers identified above. I also declare that I am aware that some restrictions may apply to the tickets purchased by this transaction and that I am satisfied that such restrictions have been explained to me.
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| Card Holder's signature(Please sign in the box) | |
| City | |
| Date |
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| Please fill, sign and send this document back to us by email or fax to 866-496-5621 along with front and back copy of credit card and driver's licsense or any photo id. Photocopies must be legible for acceptance. No exceptions. | |