Credit Card Authorization Form

Fax completed form to 408-567-9928

 

   This form must be completed before tickets can be issued.  All sections and calculations must be complete.  The customer’s credit card billing address must be complete.  A signature from the authorized signer must still be obtained for corporate cards. Delivery charges will only be charged once.

 

   Santa Clara Travels (Santa Clara) will obtain the approval on the credit card.  Santa Clara Travels will usually accept Visa, Master Card, American Express and Discover, other credit cards and some destinations are subject to approval by airline.  Santa Clara Travels or AIRLINE/CONSOLIDATOR may appear on the cardholder’s statement.  We do not accept Debit Cards or Third Party credit cards. Please note: In addition to any Santa Clara Travels and airline penalties, 4% of total charge may also be non-refundable on cancellations.

 

Any changes must be phoned to Santa Clara Travels. 408-330-0000.

   Cardholder’s passport or drivers license and Credit Card photocopy required.  

 

 

NAME as shown on CREDIT CARD:___________________________________________________________

 

CREDIT CARD TYPE:    VISA   MC   AMEX   DISC OTHER

 

CREDIT CARD No: 

      /
Expiration date

                                                                                                                                         

BILLING ADDRESS:_______________________________________________________________________

                              _______________________________________________________________________

 

CARD HOLDER’S HOME PHONE:_______________________________________

                                           

Record Locator.  ___________________  Booking Agent: Santa Clara Travels

 

 

 

NAMES OF ALL PASSENGERS TRAVELING USING THIS CREDIT CARD:

 

1)__________________________             Charge Amount per Adult Child Infant

   (Last Name)                     (First Name)

2)__________________________             Charge Amount per Adult Child Infant

    (Last Name)                     (First Name)

3)__________________________             Charge Amount per Adult Child Infant

    (Last Name)                     (First Name)

4)__________________________             Charge Amount per Adult Child Infant

   (Last Name)                     (First Name)

5)__________________________             Charge Amount per Adult Child Infant

    (Last Name)                     (First Name)

 I hereby authorize Santa Clara Travels OR HIS CONSOLIDATOR OR AIRLINE to charge my card in the amount of 

 

$___________for payment of tickets for all the above passengers. 

 

 

In lieu of my card imprint, I hereby authorize you to utilize the above amount from my/our card, details

which (card) given above for transportation for myself and/or pax mentioned above -as per record locator

mentioned above. I will support this authorization with photocopies of my credit card and federal ID such as

Driving License or a Passport faxed herewith. By signing below, I acknowledge full liability for the charge

described herein. Payment in full will be made to card issuing authority as per terms of card issue.

 

 

 

________________________________

(SIGNATURE OF CARD HOLDER)

(MUST BE SAME AS SHOWN OF CARD)

                                     
                                                         

Click here to Download the Credit Card Authorization Form