CREDIT CARD AUTHORIZATION FORM Please call 1-866-6SINBAD to confirm this ticket order.
This form must be FULLY completed before tickets can be issued.
To: Sinbad Travel, Inc.
This is to confirm that, in keeping with all applicable laws I am instructing Sinbad Travel Inc.
to issue the following tickets against the credit card listed below. It is expressly understood that this amount
charged does not include or constitute any additional fees related to our acceptance of credit cards as a form
of payment, unless permitted by law. I the credit card holder has authorized this transaction and that we will
indemnify and hold Sinbad Travel Inc. harmless with respect to these instructions. It is understood and accepted
that to provide additional security for our benefit, Sinbad Travel Inc. may on request by us, verify the credit card
holder's billing address and may, with our approval, deliver the ticket(s) directly to that billing address. It is further
understood and agreed that we accept full responsibility for the amount due Sinbad Travel Inc., even if the Credit card
Company/Bank rejects the credit card charge for any reason whatsoever
Booking Number/
Ship/Sail Date: __________
Amount to be
charged: $ _______
1. Cardholder's name as it appears on the credit card.
2. Cardholder's billing address, including zip code.
Street:
City:
State:
Zip:
3.Cardholder's phone number
( )
-
-
4. Credits Card No
5.Exp Date
6.Name Of issuing Bank / Tel No
IS THE CARDHOLDER TRAVELING?
Yes
No
IS THE CARDHOLDER PAYING FOR MORE THAN ONE PURCHASE?
Yes
No
I (Card Holder) _____________________________________________ authorize to charge my credit card.
For the above booking, I understand that in the event of cancellation, a penalty may be assessed, as stated by Sinbad Travel Inc
Card Holder Signature
Date
Please fax this information and copies of both sides of the credit card and driver license as soon as possible. Keep in mind that if we do not receive this information, we will not be able to obtain the approval code, therefore, payment will not be applied, and booking may be canceled Thank you for your business.
