959 West Brand Road
Suite # 89, Garland, TX 75040
Phone: (415) 666-5911, Fax: 972 499 0077
Email : info@royalairusa.com
   
 
CREDIT CARD AUTHORIZATION FORM
   
 
Credit Card Number:   Expiration Date:
         
Issuing Bank:   Bank Telephone No:
         
CC Holder Name:
         
CC Billing Address:
         
         
Phone Number (Home):   (Cell):  
           
Name of Passengers:      
           
       
           
       
         
Authorized charge amount in USD$  
         
Confirmation signature:  
         
 
PLEASE READ CAREFULLY BEFORE SIGNING
   
 
I give full authorization to Royal Air Tours & Travels (ticket issuer),
Travel Agent & 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'm 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.
 
Card Holders signature:   at (city):
         
   
 
PLEASE ATTACH PHOTOCOPY OF CREDIT CARD (front and back)
&
DRIVERS LICENCE.
   
 
PHOTOCOPIES MUST BE LEGIBLE FOR ACCEPTANCE. NO EXCEPTIONS.