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Holiday Tours & Travel Sdn. Bhd.

(International Tours) 603-6286 6288


Company No: 23070-H KKKP 0424 (Domestic Tours) 603-6286 6286
A-0-1, Block A (Finance) 603-6286 6088
No. 1 Jalan Seri Utara 1 (Admin) 603-6286 6000
Sri Utara, Off Jalan Ipoh (Fax) 603-6286 6000
68100 Kuala Lumpur Email: general@holidaytours.com.my
Malaysia Website: www.holidaytours.com.my

CREDIT CARD AUTHORISATION FORM


I, _______________________________, hereby agrees to the terms and conditions stated
herein and authorise Holiday Tours and Travel Sdn Bhd to charge the amount of

RM __________ to my credit card as per the details confirmed below:

BOOKING / TICKET REFERENCE:


(Attn : )

CARDHOLDER FULL NAME:

CREDIT CARD TYPE: VISA / MASTERCARD / AMERICAN EXPRESS/


(plse provide a copy of the credit card) DINERS / OTHERS(plse specify)

CREDIT CARD NUMBER:

CREDIT CARD EXPIRY DATE:

C.V.V (last 3 digits on the back of card):


Amex (the 4 digits code on the front of card)

CARDHOLDER ADDRESS:

(as shown in your card statement)


POSTAL / ZIP CODE:

CARDHOLDER DATE OF BIRTH:

CARDHOLDER PASSPORT NUMBER/


IDENTITY CARD NUMBER:

CARDHOLDERS SIGNATURE:

DATE OF SIGNATURE:

For third party payment:-


plse indicate the name of the person you are
paying for and on behalf
Terms & Conditions
a) Any objection to the validity of the charge must be made within seven (7) days from the
date of the signature.

A-0-1, Block A, No. 1, Jalan Seri Utara 1, Sri Utara, Off Jalan Ipoh,
68100 Kuala Lumpur. Malaysia.
Tel / Fax : 603- 6286 6288 email: jacklyn.lee@holidaytours.com.my
b) Kindly assist to photocopy credit card (Back & Front ) to us for reference.
Holiday Tours & Travel Sdn. Bhd. (International Tours) 603-6286 6288
Company No: 23070-H KKKP 0424 (Domestic Tours) 603-6286 6286
A-0-1, Block A (Finance) 603-6286 6088
No. 1 Jalan Seri Utara 1 (Admin) 603-6286 6000
Sri Utara, Off Jalan Ipoh (Fax) 603-6286 6000
68100 Kuala Lumpur Email: general@holidaytours.com.my
Malaysia Website: www.holidaytours.com.my

A-0-1, Block A, No. 1, Jalan Seri Utara 1, Sri Utara, Off Jalan Ipoh,
68100 Kuala Lumpur. Malaysia.
Tel / Fax : 603- 6286 6288 email: jacklyn.lee@holidaytours.com.my

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