Credit Card Form

Secure credit card form

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Passenger Info


Card Holder Name:

Passenger Names:

Relationship with card holder:

Airline:

Ticket numbers:


Credit Cardcc2


Credit Card number:

Expiry Date:

Credit Card type:

Security code:


Billing Address


City:

State:

Zip Code:

Phone Home:

Phone Work:

Amount USD:

Today's Date:


Please read carefully before signing.

I give full authorization to Prime Time Travel & Tours to charge the above mentioned amount on my credit card as indentified above and shall not decline, reject or challenge amount charged on my given credit card for the purpose of paying airlines tickets and the services for the above mentioned passengers. I also declare that I am aware of the fact that some restrictions may apply to the airlines tickets purchased by this transaction and that I am satisfied that all the restrictions have been explained to me before issue the tickets & services.

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