Credit Card Authorization

CREDIT CARD AUTHORIZATION FORM

In accordance with our shared commitment to security, this is the authorization to charge your Credit/Debit card for travel arrangements with Monsieur Travel.

Multiple charges may apply; however, the total amount remains the same. Charges may appear in your statement as airline fees, ARC, or agent fees.

Select Currency

Card Type

Total Amount

Card Holder's Name

Card Number

CVV

Expiration Date

Billing Address

City

State

Zip Code

Reservation Number

Email Address

Contact Number

I hereby authorize Monsieur Travel to charge my card as mentioned above. I accept this transaction and agree to hold Monsieur Travel harmless regarding this authorization.

Charges will occur after itinerary reconfirmation over phone. Airlines may require documents; failure to provide them may result in cancellation. Once payment is received, changes/cancellations may incur fees.

Signature (type full name)

Date

CREDIT CARD AUTHORIZATION FORM

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