|
Picasso Travel will not process bookings without a customer's signed credit authorization form. Your order will not be processed until we receive this form. Please send it to the attention of ALEV. |
||
| If you are
using the Passenger's Credit Card, please print and fax the signed
authorization form to 310-645-0412.
If you
cannot print this form, please contact us at 310-645-4400 and we will fax
you a copy of the authorization form. |
||
|
Credit
Authorization Form
|
||
| I (Credit Card Holder's Name) | ||
| understand that Picasso Travel will act as the merchant | ||
| on the behalf of Malincho International (Travel Agency Name) | ||
| for my purchase of airline tickets for the amount of $ $. | ||
|
||
with expiration date ___ . |
||
| Card Holder's Contact: | ||
|
Street : _
|
||
| City : ______ | ||
| State : _____ | ||
| Zip Code : ___ | ||
| Phone : ____ | ||
| Fax : ____________________ | ||
| Signed : _________________________ | ||
| Name : ___________________________ | ||
| Date : _____ | ||
|
NOTE: ID IS REQUIRED. PLEASE
PROVIDE A PHOTO COPY OF CREDIT CARD (FRONT AND BACK) AND PASSPORT
OR DRIVER'S LICENSE OF CARD HOLDER. 3RD PARTY
CREDIT CARD WILL NOT BE ACCEPTED. |