credit card form

T-N-T Travel Services

2601 Las Cruces Circle Deer Park, TX 77536

Credit Card Authorization for Travel Reservation Services

For Our Mutual protection, this form authorizes us to Charge your travel arrangements to your credit card. Please note the cancellation policy outlined below.

Please review this form, click the appropriate box to authorize the charge, and click the submit button. No travel documents or tickets can be released until we have received this electronically signed form.

Date
Client Name (As it appears on credit card
Cardholder’s Billing Address
City
State
Zipcode
Phone Number Home
Cell Phone
Office
Fax Number
Credit Card Number

MC 

VISA 

AMEX 

Discover
Expiration Date
Security Code
Email Address
Please Charge the following travel payments to my Credit Card

Amount Due

for Deposit by Date

Amount Due

for Final Payment due by Date

Amount Due

for Travel Insurance due by Date

I have Declined Travel Insurance for this trip date.
By Clicking this box, I authorize T-N-T Travel Services to charge my credit card in the above listed amounts.

(charges on your credit card will be from ITIĀ  )

This box must be checked in order to process payment. No travel documents or tickets can be released until we have received this electronically signed form.

Submit
this authorization by clicking here:

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