Credit Card Ticket Order Fax Form

From:

To:

ALANITA TRAVEL

Fax No:

(617) 701-1750

I, (Credit card holder's Name) request Alanita Travel to issue the tickets 
below and authorize Alanita Travel to charge my credit card for the amount listed below. I am aware 
that the cancellation fees are from $375 to non refundable and date changes are from $275 and up. I 
am also aware that the airline that I am purchasing may not accept credit cards so it may not be 
possible for me to receive any additional benefits or insurance offered by my credit card company.

Alanita Travel is not responsible for seat assignment, Frequent Flyer numbers, meal preference or VISA REQUIREMENTS of any kind

Names of Passengers: PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

Last Name / First Name

Last Name / First Name

1.	2.
3.	4.
If passengers are not flying on same dates as each other, please fill out separate forms for each passenger.

Airline	Alanita Travel is not responsible for Visa Requirements of any kind
Cardholder Name(s)
Cardholder Phone (H)	(W)

Passenger's Phone No. in India Passengers Email ID

Credit Card Type	Visa Master Card American Express Discover (No Debit Cards or Corporate cards) Discover Cards not accepted on Emirates, Swiss, Air India, Qatar or Jet Airways PLEASE BE AWARE IF YOUR CARD IS DECLINED, THERE WILL BE AN ADDITIONAL $10 FEE
Credit Card Number	Expiry Date 1 2 3 4 5 6 7 8 9 10 11 12 2007 2008 2009 2010 2011 2012 2013 2014 2015
Total amount to be charged	Add $12 for courier service. (Not Applicable for  E-tickets)
Billing Address	Add. City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZipCode
Issuing Bank
Bank Customer Service Tel#
Please fax a copy of your credit card front and back *lighten copy please* Yours truly, Sign here before faxing

Signature here: X_____________________                       Date:____________________