CREDIT CARD ACOUNT AUTHORIZATION FORM

I AUTHORIZE THE USE OF TICKET(S) AND/OR TRAVEL DOCUMENTS PROVIDE VISION TRAVEL PAYMENT IN FULL
TO BE BILLED ACCORDINGLY TO THE CREDIT CARD SHOWN BELOW BY THE CORRECT INFORMATION GIVEN.

TOTAL AMOUNT TO BE CHARGED: $ (FARE&TAX) $ (OTHER FEE) $

PASSENGER NAME: PASSENGER NAME:

CREDIT CARD VISA ( ) MC ( ) AMEX ( ) DISCOVER ( ) TARJETA DBITO ( ) DINERS CLUB ( )

CARDHOLDER NAME:

CREDIT CARD NUMBER: EXPIRATION DATE: SECURITY CODE:

CURRENT ADDRESS: RELATIONSHIP WITH PASSENGER: TELEPHONE:

CREDIT CARD BILLING ADDRESS: TELEPHONE:

I ACCEPT FULL RESPONSIBILITY FOR TOTAL AMOUNT TO BE CHARGED AND UNDERSTAND ALL THE INFORMATION MENTIONED ABOVE..

SIGNATURE(SAME AS IN BACK OF CARD) DATE

PLEASE ATTACH A COPY OF YOUR CREDIT CARD, FRONT AND BACK SIDES, AND COPY OF THE CARD
HOLDER'S DRIVER LICENSE. COMPLETE THIS FORM AND SEND TO ONLINERESERVATION@VISIONTRAVEL.NET

RATES ARE SUBJECT TO CHANGE WITHOUT NOTICE..

Terms and Conditions:

The passenger is solely responsible to check in to the airline and the competent authorities with sufficient time to make arrangements prior
to boarding. Vision Travel is only an intermediary in the sale of this ticket and is therefore not responsible for delays, lack of attendance (no
show), illness, loss of documentation or alterations of civil order, military or climatic that may prevent the consummation by the passenger
or by the airline to provide the service on the ticket. No Show: Indicates that the passenger is not at the airport at the designated time for
the flight.
The authorization form and other requirements must be received before 3:00 pm, and those forms have to be sent maximum 24 hours
after booking date.
Any form submitted after 4:00 pm on Friday will be reviewed only on Mondays from 9:00 am.
Through this authorization enables you to Vision Travel and TravelMax USA to make the required fees