M Travel Corporation Co.,Ltd.
29/51 Moo 7, Kaset-Navamin Rd., Klhongkum, Bungkum, Bangkok 10230
Tel. 02 946 8900 fax 02 946 8944 E-mail: booking@mtravel.co.th
Credit Card Authorization Form
I, ___________________________________________ , hereby authorize M Travel Corporation Co.,Ltd. to charge my credit card account in the amount of : ß____________________ for the air ticket of the passenger(s).
Airline :________________________________
Reservation Code : _____________________
Passenger(s) Name :
_______________________________________________________________________
__________________________________________________________________________________________
Depart From : __________________________
Arrive To : _____________________________
My M Travel Member No. ________________
( ) VISA ( ) MasterCard ( ) American Express ( ) Discover
Credit Card
Number: _______________________________________________________
Bank :
____________________________________________________________________
Name (card holder) :
_______________________________________________________
Expiration Date: _____ /______ VID Code: ____________( 3 or 4 digits on the back of the credit card )
Credit Card Billing Address:
Street:
Zip Code: ______________________ Country: (if not US) ________________________________________
Telephone: ____________________________ Fax :
______________________________________________
IMPORTANT :
For paying by credit card
especially you are the CREDIT CARD'S HOLDER, please enclosed as well each copy
as below :
If you are first time (Card
Holder Traveler’s name) user M Travel
- front
& back of the credit card
- driving license or ID card
or passport front page
If you NOT travel with other
traveler(s) are first time user M Travel
- front
& back of the credit card
- driving license or ID card
or passport front page
- the
latest slip of the credit card billing statements
If you are M Travel
regular customer using a different credit card
- front
& back of the credit card
- driving license or ID card
or passport front page
If you are M Travel
regular customer using a NEW credit card
- front
& back of the credit card
- driving license or ID card
or passport front page
- the
latest slip of the credit card billing statements
By signing below, authorize use of my credit card to secure payment for
the above function. M Travel will copy the front and back of my credit
card and receive approval for the full amount of the estimated charges at
anytime but no later than 3 Business days (M-F) prior to my function. I
understand that failure to settle my account at the conclusion of the event
will result in an actual charge posting to my credit card. If payment occurs
with othermeans, M Travel will release the
hold on my credit card
X __________________________________
(Signature of Card holder)
Your completion of this
authorization form helps us to protect you, our valued customers, from credit card
fraud. All information entered on this form will be kept strictly confidential
by M Travel Corporation Co.,Ltd..
Complete and fax all
documents required to: 66(0)2 530 9167