Airtravel Enterprises Inc.

9823, Bustleton Ave., Philadelphia, Pennsylvania 19115-3212, USA. T: 215 464 5300

F: 215 464 0700

CREDIT CARD AUTHORIZATION FORM

In lieu of my credit card imprint, I
hereby authorize,
(Card Holder Name as on the card)
Airtravel Enterprises Inc. to charge my VI / MC / DS / AX / DC
(Credit / Debit Card Number)
Expiry date in the amount of $
for payment of transportation for myself and/or

(Full Name(s) of passenger(s) if other than the card holder)

Billing Address

Phone
Work
Home
Cell
Driving License Number
State
NOTE : Identification is required. Please provide a photocopy of the Credit Card (front & back side) and
the Drivers License of the card holder for verification. In case of Third Party Payment we would request
you to ensure that all the documents reach us within 48 hours from the time of the transaction. In case
we do not hear from you within 48 hours, your booking will be auto-cancelled and a cancellation fee
(non-refundable) will be deducted from your card.

By signing below, I acknowledge the charges described herein, and undertake to make
payment in full when billed or in extended payment, in accordance with the standard policy of
the credit card company, which issued the card, I also acknowledge that there will be a service
charge and penalty in case I cancel or change the date of travel after issuance of the ticket(s)
as per the respective Airline fare rules, which are clearly explained to the passenger/card holder
prior to issuance for the ticket(s).

Signature
ISO 9001:2008 CERTIFIED

Date

SERVICE EXCELLENCE SINCE 1976

INDIA | UAE | USA