Credit Card Authorization Form
 
Booking Information
Booking Number:  
Reservation Agent Name:
Agency Information
Travel Agency Name:
ARC/IATA:
Street Address1:
Street Address2:
City:
State:
Zip:
Country
Tel:
Traveler Names*
Email*
   
Other Information
Amount (USD):*
First Name as appears on card:*
Last Name as appears on card:
Billing Address (Must match cardholder's billing information):*
City:*
State:*
Zip:*
Country*
Tel:*
   
I hereby authorize SITA World Tours to charge to my credit card for travel expenses in the amount indicated. The issuer of the card identified here is authorized to pay the amount shown as total upon proper presentation. I agree to pay such total subject to and in accordance with the agreement governing the use of such card.*
I have read and agree to the Terms and Conditions*
I certify that I am the cardholder and a traveling passenger. By checking this box and typing my name as printed on my credit card below, I am electronically signing this authorization form.*
  Cardholder's Signature*
   
Note: All fields with * are mandatory