***Fill out this form only if you have been instructed to by Alanita Travel*** Please fill the form and click on print. Once after printing please sign and fax this form to us.
From:
To:
ALANITA TRAVEL
Fax No:
(617)701-1750
YOU MUST RETURN YOUR TICKETS TO ALANITA TRAVEL
Name of the Passenger
Ticket Number
Airline
1.
2.
3.
4.
5.
When was it issued:
How much was paid for each ticket: $
What mode of payment:
Reason for cancelling:
Refunds may take up to Ten(10) weeks depending on the airline.
Penalty for the above ticket(s) is: $375 per ticket I am aware of the penalty and authorize Alanita Travel to cancel my reservation.
Please mail my check to :
Home Phone No:
Work Phone No:
Sign here before faxing
I am aware that my ticket may only be valid for one year from the date of issue and all travel may need to be completed within one year from the date of issue of this ticket(s).
Signature here: X_____________________ Date:____________________