CREDIT CARD HOLDER’S AUTHORIZATION
In lieu of my credit card
imprint,
I-----------------------------------------------------------------------------hereby
authorize (Name
of cardholder as shown on credit card)
CYRUS TRAVEL, acting on
behalf of (Airline Name)-------------------------------------------------to
charge my:
Visa, Master Card, American
Express ------------------------------------------------------- -----------------------
(Circle One) (Credit Card Number) (Expiration date)
In the amount of $
-------------------------------------- for payment of transportation of myself
and /or
-------------------------------------------------------------------------------------------------------------------------------------------------
(Name (s)
of Passenger (s) if other than cardholder.)
For itinerary as follows:
----------------------------------------------------------------------------------------------------------
(Complete Routing)
My Billing Address:
-------------------------------------------------------------------- Phone:
(Home) ----------------------
------------------------------------------------------------------------
(Work) ------------------------------
Note: Identification is
required. Please provide Photostat copy
of the credit card (Front & Back)
and passport or driver licenses of cardholder. By signing below, I acknowledge
charges
described hereon. Payment in full to be
made when billed or in extended payment, in
accordance with standard policy of credit card issuing company, I have been
informed that:
·
1-
BRITISH AIRWAYS tickets issued in
"Q", “N” classes are non-refundable.
·
2-There
per ticket,
if I request a refund.
·
3-$250.00-$300.00
penalty for any change of reservation before departure.
·
4-After
departure non refundable.
---------------------------------------
--------------------------------------------- -----------------------------------
Signature of cardholder
Please print card holder name Date
Service, Reliability and Stability, Since
1960
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WASHINGTN |
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Tel: (310) 888 - 8810 |
Tel:(408) 993-1922 |
Tel: (415) 398-6111 |
Tel: (949) 221-8111 |
Tel: (703) 903-0400 |
Fax: 310-888-8812
|
Fax: 408-993-1926 |
Fax: 415-398-3686 |
Fax: 949-221-8243 |
Fax: 703-903-0440 |
|
(800) 992 - 9787 |
(800) 332 - 9787 |
(800) 882 - 9787 |
(866) 442 - 9787 |
(800) 558 - 8770 |
CCAF-12.15.06