WorldWide Travel Inc.
113-13 101 Ave.
Richmond Hill , NY 11419

WorldWide Travel Inc.
Credit Card Authorization Form

   Fax: 888-800-1202   Toll Free: 800-343-0038   

Credit Card Number:     Expiration Month/Year:  
Issuing Bank:     Bank Phone Number:  
 (You will find the above information on the back of your credit card.)

Relationship with cardholder Name of passenger(s)          

Authorized charge amount in US $:        Confirmation Signature:  

Please Read Carefully

I,   (Name of credit card holder as printed on the credit card) hereby authorize WorldWide Travel Inc. at   and   (Name of airline) to charge the above-mentioned amount to my credit card for the purpose of purchasing airfare for the passengers identified above. I also acknowledge that there will be a US$ 400.00 service fee for refund (if the ticket is refundable) or any change in reservations after the ticket is issued.

Credit Card Holder's Billing Address
 
 
 

X 
(Credit Card holder's authorized signature)
Signed at (city)   Date:  
Home Phone:  
Work Phone:  
Fax:  

Please attach a photocopy of the credit card (front & back) and a photocopy of the card holder's driver's license. Photocopies must be very clear for acceptance. No exceptions. It is strongly recommended to set the copier for a light copy and enlarged or zoomed.

FOR OFFICE USE ONLY - DO NOT WRITE BELOW THIS LINE

Amount:   Authorized By:  
Date: