A2Z Travel
11480 South St., Suite 201 Cerritos, CA 90703
Tel : 562-809-9111
Fax : 562-809-8700



Credit Card Holder's Authorization



I hereby authorize A2Z Travel to charge my credit card in the amount listed below for the payment of travel expense.

Name of passenger if other than card holder :
Name of card holder as shown on the credit card:
Credit Card number : Expiry :
Amount US : $
   
Credit card billing address:
Phone : (Home) (Business)

By signing below, I understand and acknowledge the charges described hereon and I agree that full payment is to be made when billed subject to and in accordance with the agreement governing the use of such card.

Card holder signature : ________________________________   Date :


By signing above, card holder agrees to waive all charge back rights.


In the event of cancellation or refund, minimum US$ 25.00 processing fee plus issuing carrier's charge will be applied.
Note: Identification is required. Please provide photo copy of credit card(Front and Back) and passport or driver's license of card holder


Below is for A2Z Travel Accounting use only:

Agent name : Date :
Ticket number : Invoice No :


Credit Card Authorization Form

1. Download the Credit Card Authorization Form by clicking above link.
2. Please print out the form and fax it to A2Z Travel sales representative

Currently, we accept Visa, Master, Discover and American Express. If you do not have one of these creedit accounts, simply call us to arrange payment by check or other methods.


@2006 A2Z Travel Inc. All right reserved.