PARU'S TRAVEL & TOURS
Domestic & International Travel

5341 Alhama Drive, Unit #3, Woodland Hills, CA 91364
Tel: 818-703-6060   Fax: 818-703-6633  Telex: 4956200 UI

CREDIT CARD AUTHORIZATION FORM

I authorize Paru's Travel & Tours to charge on my credit card:

     Visa   MasterCard   Amex  Other _________

Card #: ________________________________________________________  

Expiration Date:_________________________

Date:____________  for travel

Please include following information for each passenger traveling:
IF POSSIBLE MEAL PLUS SEATING PREFERENCE

on the following airline(s): ____________________________________________________

to the following destinations: __________________________________________________

for the following persons: ____________________________________________________

____________________________________________________

 _____________________________________________________

 _____________________________________________________

(if you need more space attach additional sheet)

 I am also faxing a copy of my driver's license for signature verification only. 

The total authorized amount in US$

__________________________________________ and _____________________

By signing this agreement I shall under no condition decline, reject, or challenge the amount authorized above:

Signature X_________________________________________

Date ___________________

Print Name ______________________________________________________________

Billing Address

______________________________________________________________

______________________________________________________________

Your Home Phone # ________________________ 

Work Phone # ______________________

Please Note: Ticket(s) will be mailed to the above address.  If ticket(s) need(s) to be sent to a different address, please mention it to us.  Thank You.

MEMBER OF THE INTERNATIONAL AIRLINES AGENT NETWORK