Alanita Travel - Credit Card Ticket Order Form

Credit Card Ticket Order Fax Form

To: Alanita Travel^®, 87 Common Street, Watertown,
MA 02472 Ph: (617)923-4810 Fax No:(617) 701-1750
Please Fax this to (617) 701-1750 or scan it as a PDF FILE ONLY to alanita@alanitatravel.net

I, (Credit card holder's Name) request Alanita Travel^® to issue the tickets below and authorize Alanita Travel^® / SLT / CTS to charge my credit card for the amount listed below. I am aware that all tickets are non refundable. I am aware that outbound date changes before departure date are $375 USD plus any applicable fare and tax differences. I am aware return date changes are $375 USD plus any applicable fare and tax differences. I am also aware that the airline that I am purchasing may not accept credit cards so it may not be possible for me to receive any additional benefits or insurance offered by my credit card company.

Alanita Travel^® is not responsible for seat assignment, Frequent Flyer numbers, meal preference or VISA REQUIREMENTS of any kind

NAMES OF PASSENGERS: PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

*If passengers are not flying on same dates as each other, please fill out separate forms for each passenger.

Passenger 1:
Passenger name as on the passport: (Last name/First name)

Date of birth:

Gender:

Passenger 2:
Passenger name as on the passport: (Last name/First name)

Date of birth:

Gender:

Passenger 3:
Passenger name as on the passport: (Last name/First name)

Date of birth:

Gender:

Passenger 4:
Passenger name as on the passport: (Last name/First name)

Date of birth:

Gender:

Airline

Cardholder Name(s):

Cardholder Phone (H):
Cardholder Phone (W):

Passenger's Phone No. in India:
Passengers Email ID:

Credit Card Type
Discover Cards not accepted on Swiss, Air India, Kuwait, Jet Airways, Austrian, Gulf, KLM and Turkish. PLEASE BE AWARE IF YOUR CARD IS DECLINED, THERE WILL BE AN ADDITIONAL $10 FEE

Credit Card Number:
Expiry Date:

Total amount to be charged:

Billing Address: Add:

Add:

City:

State:

Zip Code:

Issuing Bank:

Bank Customer service Tel:

Alanita Travel will email you updates for special sale fares and promotions Please check this box if you would not like to receive these emails:

Please send a copy of your credit card front and back *lighten copy please

Yours truly,

Signature here: X__________________________________

Date:____________________