Panorama Travel Ltd.

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Phone: 1-212-741-0033


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Credit Card Authorization Form

Credit card charge authorization
Please read carefully, fill out, sign and return this agreement to Panorama Travel, Ltd.
This form will confirm that I have authorized Panorama Travel, Ltd. to charge my account, as indicated in this form, for the following services to passengers mentioned below.
I am aware of, and agree to the terms and conditions as set forth in this agreement.
Passengers names*
Date and place of travel*
Type of credit card*
Credit card number*
Credit card expiration date*
Cardholder`s name*
E-mail address *
Telephone number*
Cardholder`s address 1
Cardholder`s address 2
Amount per ticket
Amount of full payment (to be charged)*
Cardholder`s signature
Date*
PLEASE CHECK the dates and name spelling before signing the authorization.
After signing this authorization form, all overlooked errors are passenger’s responsibilities.
PLEASE PROVIDE enlarged copy of the credit card (both sides) and driver`s license.
TERMS & CONDITIONS: Changes and Refunds are subject to Panorama Travel, Ltd. service charges plus any applicable airlines penalties.
You have purchased a special discount fare and certain restrictions may apply.
Some fares are non-refundable and non-changeable. If the fare allows changes a fee may be assessed.
Cancellation and refund policies are subject to airline rules and may be changed without prior notice.All refunds and exchange tickets are subject to a 50.00 USD processing fee.
It is the full responsibility of passenger/subagent to verify the correctness of all the travel documents for the passenger including passports and visas.
The passenger is responsible to call the airline and reconfirm the flights 24-28 hours prior to departure.
Check in time is 3 hours 30 minutes prior departure.Panorama Travel strongly suggests all passengers purchase travel insurance.

Phone: 212.741.0033 or 800.204.7130
Fax: 212.645.6276

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