CREDIT CARDHOLDER’S AUTHORIZATION Date: _______/______/______

PLEASE FILL OUT THIS FORM COMPLETELY. BE SURE TO GIVE CORRECT MAILING ADDRESS .
**INCLUDE LIGHT COPIES OF YOUR CREDIRCARD, front and back, AND A PICTURE ID**
(IF YOU ARE PURCHASING A STUDENT TICKET PLEASE INCLUDE YOUR STUDENT ID). BE SURE TO CHECK YOUR ITINERARY CAREFULLY AND UNDERSTAND THE RULES AND REGULATIONS OF YOUR TICKET. ONCE YOUR TICKET IS ISSUED, YOU CANNOT MAKE CHANGES WITHOUT PENALTY. EVEN FULLY REFUNDABLE / NO-PENALTY TICKETS ARE SUBJECT TO A $10.00 REISSUING FEE. PLEASE INSPECT YOUR ITINERARY CAREFULLY
ADVISE ANY DISCREPANCY IMMEDIATELY.

NAME OF CC HOLDER AS SHOWN ON CC:______________________________________________________________

PLEASE CIRCLE CREDIT CARD OR DEBIT CARD: CREDIT CARD / DEBIT CARD

CC NAME & NUMBER ____________________________________________________________EXP DATE:____ / _____

TOTAL AMOUNT TO BE CHARGED: $____________________________________________________________________

REMARKS:$5.00 mailing will be added. Overnight mail is extra on request. _____________________________

PASSENGER’S FULL NAME: ___________________________________________________________________________

COMPLETE ROUTING: (PLEASE SEE ATTACHED ITINERARY) ________________________________________________

CREDIT CARD BILLING ADDRESS:_____________________________________________________________________

__________________________________________________________________________________________________

MAILING ADDRESS: _________________________________________________________________________________

__________________________________________________________________________________________________

FAX # : ( _____ )______ - ______________OVERSEAS CONTACT (PHONE #):___________________

HOME PHONE # : ( _____ )______-__________ WORK PHONE # : ( _____ ) -____________________

E-MAIL:____________________________________________________

______ Priority_Mailing $5.00 OR Overnight mail _____ (at passenger expense) Lost tickets are subject to lost ticket fee and procedures by the airline. Insured and overnight mail is available at passenger expense. Please indicate your preference. Tursan Travel is not responsible for lost or delayed mails.

Any dispute about the above sale, the jurisdiction is New York City Passenger will be responsible to pay express mail for late orders.

I hereby authorize Tursan Travel to use my credit card with all the above information that I have had given to Tursan Travel. And by signing below, I acknowledge charges described hereon..

SIGNATURE OF CARDHOLDER:_______________________________________________________________________