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PAYMENT AUTHORIZATION FORM

  • I

  • Having my billing address at

  • City:

  • State:
    Zip:
    Tel:
  • I hereby authorize ANDALOUS EXPRESS TRAVEL  to charge my credit card for the travel related  services as described below:

  • Airline ticket(s) From
    To
  • *Departure Date
    *Return Date
  • *Credit Card # : (DISCOVER NOT ACCEPTED)

  • *Exp : /

  • *In the Amount of  $:

  • Total Number of passengers

  • Passenger's name date of birth

    *a copy of card holder credit card and picture id is required.

    card holder credit card
    picture id

    help me please

      By signing below, I agree that I’ll pay for all such purchases and will not hold ANDALOUS EXPRESS TRAVEL responsible for any of these actions pursuant to this credit card authorization.

    I am aware of the applicable restrictions and /or penalties related with the purchased tickets as shown.

    *******    PLEASE NOTE THAT SOME TICKETS ARE NON-REFUNDABLE AND NON- CHANGEABLE PLEASE ASK YOUR AGENT BEFORE SIGNING THIS FORM    *******

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