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  • Debit Authorisation Form

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    ngomdiaz01
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    This document is a debit authorization form allowing DragonFlights to charge a credit card for flight reservation services. It contains information such as the cardholder's name, credit card number, expiration date, and amount to be charged. The form also specifies airport pick up and drop off details, additional VIP services like private lounges and transfers, and confirms that confidential information will only be accessible to authorized personnel.

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    This document is a debit authorization form allowing DragonFlights to charge a credit card for flight reservation services. It contains information such as the cardholder's name, credit card number, expiration date, and amount to be charged. The form also specifies airport pick up and drop off details, additional VIP services like private lounges and transfers, and confirms that confidential information will only be accessible to authorized personnel.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    19 views1 page

    Debit Authorisation Form

    Uploaded by

    ngomdiaz01
    This document is a debit authorization form allowing DragonFlights to charge a credit card for flight reservation services. It contains information such as the cardholder's name, credit card number, expiration date, and amount to be charged. The form also specifies airport pick up and drop off details, additional VIP services like private lounges and transfers, and confirms that confidential information will only be accessible to authorized personnel.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    DEBIT AUTHORISATION FORM

    I Undersigned, of.. (Company if any), give my


    approval to DRAGONFLIGHTS, to debit the following credit card and I make a commitment not to make
    opposition to this transaction:
    Visa Card
    MasterCard
    Amex
    Regarding the reservation of Mr/Mrs: .
    Card number:
    Expiry date: . /.
    CVS (the 3 digits back the card): .........
    Name of card holder:
    Amount: Euro, for the following charges:
    Date of the service (day/month/years): . /. /
    Choose your airport

    Paris Charles-De-Gaulle

    Paris Orly

    Paris Le Bourget I

    VIP Private Jet


    VIP TERMINAL (Meet & Greet + Transfer + Private VIP Lounge + all VIP services )
    Arrival I
    Departure
    Connecting Flights
    VIP Fast Track
    Arrival I
    Departure I
    Connecting Flights
    VIP PREMIUM (VIP Fast Track + Transfer)
    Limousine Transfer or Chauffeur-driven Limousine
    Hotel reservation
    Baggage assistance at airport (For group)
    Baggage transfer
    Full credit
    Other
    ---------------------------------------------------------------------------------------------------------------------------------------

    Other:

    ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------For confidentiality and security purposes, this document may only be sent by fax or by email
    at the following:
    fax number: +33.9550 63655 or email: contact@dragonflights.com
    We hereby certify that all confidential information is stored in restricted access areas and
    only be used by duly authorized personnel.
    Thank you
    Date:
    Owner Signature

    DragonFlights SAS - Aroport Paris Le Bourget, 821 avenue de l'Europe, 93350 LE BOURGET France
    Tel. +33 (0) 786 277 597 | contact@dragonflights.com | www.dragonflights.com and www.elite-airport.com
    RCS Nanterre 751 733619

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