Travel Agent Credit Card Authorization Form
Travel Agent Credit Card Authorization Form
Please complete this form to authorize the processing of your payment.
Client Information
Name
Phone number
Address
Reservation Details
Booking Reference Number
Travel Insurance
Please indicate if you would like to add travel insurance to your booking:
-
Yes, I would like to add travel insurance.
-
No, I decline travel insurance.
Authorization
I hereby authorize [Your Company Name] or the travel supplier that my booking is through to charge my credit card for the travel reservation. I confirm that the credit card and billing information provided is accurate and complete.
Name:
Date:
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