Credit Card Authorization form

TravelStoreMaker.com Inc.
2108A Homedale drive
78704 Austin, Texas, USA
Fax: 1-603-954-4755
Phone: 877 878 6731 - US & Canadian customers
Phone: +44 800 032 8481 - UK customers
Phone: +39 800 785 426 - Italian customers
Phone: +35 92 9333 888 ・for other countries
www.travelstoremaker.com


Credit Card Authorization Form



I, _________________________________________________,


hereby authorize TheStoreMaker.com to issue 
an airline ticket(s) for Reservation number: _______________


and to charge the following credit card the price for the said ticket(s):


__________________________ ____________________
(credit card company name) (credit card number)


__________________________ ____________________
(credit card holder's name) (expiration date)


Billing address:


Name: _________________________________________________


Street: _______________________________________________


City, State and ZIP:___________________________________


Area Code and Telephone:_______________________________


Drivers License/Passport Number:_______________________________________


You can fax this form along with
a Xerox copy of your credit card.


BE SURE TO SIGN THIS FORM BELOW.


_______________________________________________________
(Signature of Credit Card Holder)











Copy of Front of
Credit Card
Here


Copy of Back of
Credit Card
Here