Economytravel.com Credit Card Form
Fax to: 770-393-0084 Click to Print Credit Card Form
Attn: (Booking agent):
_________________________________________________________
Booking Locator #
_________________________________________________________
Passenger Name:
_________________________________________________________
Passenger Phone:
_________________________________________________________
Delivery address:
_________________________________________________________
Delivery city/state/zip
_________________________________________________________
Cardholder's Name:
_________________________________________________________
Credit Card billing address:
_________________________________________________________
Credit Card City/State/Zip
_________________________________________________________
I do authorize Economytravel.com to charge my credit card number:
Credit Card#:
_______________________________________Exp Date_____________
Security Code:
___________ (on the back of card, 3 digits Visa/MC/Disc and 4 digits AMEX)

In the amount of USD $_____________ for the airline tickets and other travel arrangements that I have verbally discussed with them.

I have been advised of all fees with these tickets and am aware that tickets are non-endorseable to any other carrier, tickets are non-transferable to any other person, no refund for "no-show" (failing to use and failure to cancel) and reconfirmation of return flight is mandatory. I take full responsibility for the above mentioned charges.

Signature: __________________________________ Date: ______________

Credit Card (please copy)
Drivers License (please copy)
| |