In lieu of my credit card imprint as required by Airline Reporting Corporation Section 8.4, I hereby authorize Lowfare to Travel Inc. And/or the ticket issuing airline to charge the following amount from my credit card.
Month Year
Phone Numbers :
Office
Cell
Passengers* :
1.
2.
3.
4.
American Express
VISA
Master Card
Discover
Diners
By checking this box , I accept full liability for the charges described herein. Payment in full will be made when billed in accordance with the standard policy of the bank issuing the card. I am aware that these tickets are non refundable and subject to a penalty from charge as specified by my travel agent.
All Credit Card payments must be supported by copies (front and back) of the Credit Card used and a Federal ID such as Driver’s License or Passport.
**Most airline tickets are Electronic Tickets delivered by Email or Fax. **
Note: A cancellation penalty of US$ 275.00 or more applies on cancellation of all tickets.
This form must be completed in full and all information must be true and correct in order for ticket issuance to be complete.
