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Economytravel.com Credit Card Form
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Fax to: 770-393-0084 Click to Print Credit Card Form
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Attn: (Booking agent):
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_________________________________________________________ | ||||
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Booking Locator #
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_________________________________________________________ | ||||
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Passenger Name:
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_________________________________________________________ | ||||
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Passenger Phone:
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_________________________________________________________ | ||||
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Delivery address:
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_________________________________________________________ | ||||
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Delivery city/state/zip
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_________________________________________________________ | ||||
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Cardholder's Name:
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_________________________________________________________ | ||||
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Credit Card billing address:
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_________________________________________________________ | ||||
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Credit Card City/State/Zip
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_________________________________________________________ | ||||
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I do authorize Economytravel.com to charge my credit card number:
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Credit Card#:
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_______________________________________Exp Date_____________ | ||||
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Security Code:
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___________ (on the back of card, 3 digits Visa/MC/Disc and 4 digits AMEX) | ||||
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In the amount of USD $_____________ for the airline tickets and other travel arrangements that I have verbally discussed with them. |
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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. |
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Signature: __________________________________ Date: ______________
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