Atlanta International Travel Inc.

7050 Jimmy Carter Boulevard Suite 202 Norcross GA 30092 United States of America

Phone:  770-449-7272  Fax:  770-449-0567

 

Authorization FOR CREDIT CARD USE

 

Credit Card #:__________________________________________  Exp Date:_______________

 

Issuing Bank:____________________________________    and Phone No:_________________

 

CC Holder Name:_______________________________________________________________

 

CC Billing Address:_____________________________________________________________

 

                        __________________________________________________________________

 

__________________________________________________________________

 

Phone No: (Res)_____________________________(Work)_____________________________

 

Name of Passenger (s):___________________________________________________________

 

Authorized charge amount in USD $:_______________________________________________

 

Confirmation Signature:__________________________________________________________

 

PLEASE READ CAREFULLY

I give full authorization to Atlanta International Travel _______________________________ (Travel Agent) And ________________________________________ (Airline) to charge the above mentioned amount charged 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 Holder’s Signature:_________________________________________________________

 

Signed at (City)__________________________________on (Date)_______________________

 

Please Fax to (770) 449-0567

 

PLAEASE ATTACH PHOTOCOPY OF CREDIT CARD (FRONT AND BACK)

AND DRIVER’S LICENCE.

 

PHOTOCOPIES MUST BE LEGIBLE FOR ACCEPTANCE.  NO EXCEPTIONS