TRAVEL SECRETS 10826 Venice Blvd., Ste. 103, Culver City, Calif. 90232 Fax 310-237-1052 Email info@travelsecrets.com
* Member of the Better Business Bureau. * California State Seller of Travel Registration #2034018-40. * All customer funds are deposited in Travel Secrets', Customer Trust Account at Union Bank, Los Angeles, CA.

 

CREDIT CARD PAYMENT AUTHORIZATION (Visa and Master Card only) Please print this form, complete, sign and fax return a copy of this form if:   1. Card holder is not a passenger in the booking.   2. Card holder is requesting tickets to be mailed to an address other than their credit card billing address.   3. The ticket purchased is non-refundable and non-changeable. "In lieu of my credit card imprint, I, __________________________(card holder name) hereby authorize Travel  Secrets, its agents, the airlines or overnight mail carriers to charge my _____________ (credit card name),  #______________________________ (credit card number), Expires ____/____ (expiration date), Security  Code ____ (Visa only- the 3 digit # in the back of the card, by your signature) payment for travel services and related fees for following bookings: Booking Ref #__________ Passenger Names:_________________________________ Booking Ref #__________ Passenger Names:_________________________________ Booking Ref #__________ Passenger Names:_________________________________ My credit card billing information follows:  Address_____________________________________________________________ City_______________________State_____ Zip________ Country_______________ Phone ________________ Cardholder Signature___________________________ Date____________________ Note: If Card Holder is not a passenger or tickets are being requested to be mailed to an address other than the credit card billing address, we need a faxed photocopy (front and back) of both your credit card and drivers license (or passport).

Please complete, sign and fax to 310-237-1052