EFES INTERNATIONAL TRAVEL, INC.

CREDIT CARDHOLDER’S AUTHORIZATION

Credit Card Imprint Replacement

Attention: __________________________

In lieu of my credit card imprint, I, ____________________________________________________________

                                                                             (Name of cardholder as shown on credit card)

Hereby authorize EFES International Travel/Other Issuing Agency/Carrier/Consolidator/Tour Co./Hotel

To charge my:  Visa____ MC____ AX____ DS____ CB____

(Credit card name-Mark X)

No: ______________________________/ ______________ in the amount of $________________________

                              (Credit card number)                                       (Expiration)                                                                                              

For payment of transportation/hotel/tour/penalty/service charge of myself and/or,

______________________________________________________________________________MY SELF_

               (Full name(s) of passenger(s) if other than cardholder)                                 

My billing address:_________________________________________________________________________

Phone:  (Home)__________________________________ (Office)__________________________________

E-Mail: _______________________________________Fax: __________________________

Please confirm : 

Departure Date:______________________Depart_City______________Arrive_City___________________

Return  Date     :______________________Depart_City______________Arrive_City___________________

NOTE: Identification is required.  Please provide Photostat copy of the Credit Card (Front & Back) and Passport or Driver’s License of Cardholder.

By signing below I acknowledge charges described hereon.  Payment in full to be made when billed or in extended payment to be in accordance with standard policy of company issuing card. I also agree to penalty charges of $ 250.00 per ticket for cancellation and $ 175.00 for all date changes where applicable.

___I would like to receive the ticket(s) by priority or regular US mail services.

___I would like to receive the ticket(s) by special mail delivery services (*).

 

Notes : (*)The purchased ticket is delivered to the addressees by our special services with obtaining signature with an additional charge of $10.00.( FedEx Second day delivery )The lost ticket(s) must be informed to the issuing agent maximum in 6 days after the ticket(s) sent to the addressee. After 6 days, there is a fee of $100.00 for the lost ticket transactions. Otherwise our company is not responsible from any resulting claims for the lost tickets sent by regular mail or priority united postal mail . Changes are permitted only on return date within minimum/maximum stay rules, in the applicable booking class and the same itinerary. Refunds are only applicable to those booking canceled and tickets returned within 48 hours of cancellation. ***Fares and taxes are not guaranteed until ticketed. ***

Passenger must reconfirm flight times for schedule changes, be in possession of a valid passport and visa if applicable, and be aware of cancellation and change policy before travel

My travel agent has explained the rules and penalties of this fare;

COMPANY POLICY:

Ticket(s) is/are

·         -NON REFUNDABLE  ·         -NON ENDORSABLE  ·         -NON CHANGEABLE   

Please review your travel detail before signing.   Flights and schedule are subject to change subject

Signature of Cardholder______________________________Date_____/______/2006

Agent Remarks:

Please fill this out and fax it back to me.  THANKS

 

Agent Name: _____________________________________________________

For EFES International TRAVEL, Inc. Accounting Use Only:                                                              TKT#_________________________INV#_________________

This form must be submitted to EFES International Travel,Inc. ticket office prior to ticket issuance.  Incomplete information or false statements, or late responding, shall be considered sufficient cause for denial of ticket.

EFES INTERNATIONAL TRAVEL, INC.

2650 Fountain View, Suite 117  Houston, Texas 77057, 713 785  3337   Houston, 877 785 EFES  Toll Free,

713  785 0479 Fax, efes@efestravel.com , www.EFESTRAVEL.COM